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首页> 外文期刊>Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing >Uncertainty in breast, prostate, and colorectal cancer: implications for supportive care.
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Uncertainty in breast, prostate, and colorectal cancer: implications for supportive care.

机译：乳腺癌，前列腺癌和结肠直肠癌的不确定性：对支持治疗的影响。

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PURPOSE: The aim of this paper was to identify and explore the literature for key aspects of uncertainty experienced by patients who have been diagnosed with breast, prostate, or colorectal cancer. ORGANIZING CONSTRUCT: Throughout the cancer journey important decisions are made about treatments, symptom control, and supportive care and many approaches have been adopted to examine coping and uncertainty associated with a cancer diagnosis. Uncertainty and its associated attributes, such as stress or anxiety, fluctuate across the disease trajectory. To appreciate the changing nature of uncertainty one should consider its effect on specific patient groups by considering the available evidence. METHODS: A comprehensive literature search that was focused on reviews and studies about uncertainty in cancer patients was conducted in PubMed and CINAHL. In total, 40 articles were identified that indicated uncertainty in patients with breast, prostate, or colorectal cancer, although the emphasis in each differed according to the nature and treatment of the disease. FINDINGS: Uncertainty was found to comprise three main themes: uncertainty because of limited or lack of information, uncertainty concerning the course and treatment choices related to the disease, and uncertainty related to everyday life and coping with the disease. CONCLUSIONS: Uncertainty influences patients' experiences of their cancer and their coping. Whilst it might be impossible to avoid uncertainty entirely, its negative effects might be ameliorated by understanding patients' specific needs along the disease trajectory of breast, prostate, and colorectal cancer.
机译：目的：本文的目的是针对已诊断出乳腺癌，前列腺癌或结直肠癌的患者，对不确定性的关键方面进行识别和研究。组织结构：在整个癌症旅程中，都会做出有关治疗，症状控制和支持治疗的重要决策，并且已采用许多方法来检查与癌症诊断相关的应对和不确定性。不确定性及其相关属性（例如压力或焦虑）会在疾病轨迹中波动。要了解不确定性的变化性质，应考虑可用证据，考虑不确定性对特定患者组的影响。方法：在PubMed和CINAHL中进行了全面的文献搜索，重点是回顾和研究癌症患者的不确定性。总共确定了40篇文章表明乳腺癌，前列腺癌或结直肠癌患者的不确定性，尽管每种疾病的重点根据疾病的性质和治疗方法而有所不同。结果：不确定性包括三个主要主题：由于信息有限或缺乏而引起的不确定性，与疾病相关的疗程和治疗选择的不确定性以及与日常生活和应对疾病有关的不确定性。结论：不确定性影响患者的癌症经历和应对方式。尽管可能无法完全避免不确定性，但通过了解患者沿着乳腺癌，前列腺癌和大肠癌的病程发展的特定需求，可以减轻不确定性。

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