Best evidence summary of cognitive training in breast cancer patients with chemotherapy-related cognitive impairment
10.3760/cma.j.cn211501-20240105-00050
- VernacularTitle:乳腺癌化疗相关认知障碍患者认知训练的最佳证据总结
- Author:
Huaiyu BAI
1
;
Qingyang LI
;
Ru BAI
;
Lingjie XU
;
Ping YE
;
Shuoshuo LI
;
Jing ZHANG
Author Information
1. 蚌埠医科大学护理学院,蚌埠 233030
- Keywords:
Breast neoplasms;
Chemotherapy-related cognitive impairment;
Cognitive training;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2024;40(16):1236-1243
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence of cognitive training in breast cancer patients with chemotherapy-related cognitive impairment, so as to provide evidence-based evidence for clinical decision-making and practice.Methods:The literature about the relevant cognitive training in breast cancer patients with chemotherapy-related cognitive impairment were searched for CNKI, VIP database, Wanfang, SinoMed, PubMed, Web of Science, CINAHL, Embase, Cochrane Library, JBI as well as home and abroad official website of relevant professional institutes, including clinical decisions, guidelines, evidence summaries, systematic reviews, best practice information manuals, expert consensuses, and high-quality original studies. The literature retrieval period was from the database construction to March 1, 2023. Two researchers screened and evaluated the quality of the included literature, and extracted, generalized and summarized evidence according to the topic.Results:A total of 17 articles were involved, including 3 clinical decisions, 4 guidelines, 2 evidence summaries, and 8 systematic reviews. Finally, 6 evidence topics and 25 pieces of best evidences were formed, including screening and evaluation, training principles, training time, training place, training content, training effect.Conclusions:Cognitive training can effectively improve cognitive function in breast cancer patients with chemotherapy-related cognitive impairment. Medical staff should carefully select the best evidence, early screen and dynamically evaluate the cognitive changes of patients, follow the principle of step by step and dynamic adjustment, and carry out individualized cognitive training as soon as possible according to the treatment cycle and patients wishes, so as to prevent or delay chemotherapy-related cognitive impairment and improve the quality of life of patients.