老年肺癌患者全程管理模式的研究现状_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

黄成铭 ¹ , 方裕锦 ¹ , 周永召 ¹ , 邓懿 ¹ , 徐丹 ³ ,  王可 ^2,3

1. ;
2. ;
3. ;

Corresponding author：

王可, Email: 442620720@qq.com

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DOI：

10.7507/1671-6205.202505003

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Citation： 黄成铭, 方裕锦, 周永召, 邓懿, 徐丹, 王可. 老年肺癌患者全程管理模式的研究现状. Chinese Journal of Respiratory and Critical Care Medicine, 2025, 24(10): 735-738. doi: 10.7507/1671-6205.202505003 Copy

1.	Siegel RL, Miller KD, Fuchs HE, et al. Cancer Statistics, 2021. CA Cancer J Clin, 2021, 71(1): 7-33.
2.	Vallet-Regí M, Manzano M, Rodriguez-Mañas L, et al. Management of Cancer in the Older Age Person: An Approach to Complex Medical Decisions. Oncologist, 2017, 22(3): 335-342.
3.	World Health Organization I A FRoC. Globocan fact sheet, 2022, China. http://gco.iarc.fr/today/data/factsheets/populations/160-china-fact-sheets.pdf. Accessed August 02, 2024.
4.	辛雯艳, 黄磊, 闫贻忠. 2005-2014年中国老年人肺癌发病的时间趋势分析. 现代预防医学, 2020, 47(12): 2113-2116.
5.	Colloca G, Lattanzio F, Balducci L, et al. Treating cancer and no-cancer pain in older and oldest old patients. Curr Pharm Des, 2015, 21(13): 1706-14.
6.	蔡敏, 谢学勤, 吴士勇. 我国老年人口健康状况及卫生服务利用. 中国卫生信息管理杂志, 2021, 18(1): 9.
7.	Xu Z, Liu C, Zhu Y, et al. Efficacy of first-line treatments in the elderly and non-elderly patients with advanced epidermal growth factor receptor mutated, non-small cell lung cancer: a network meta-analysis. BMC Cancer, 2022, 22(1): 514.
8.	Stone E, Rankin N, Kerr S, et al. Does presentation at multidisciplinary team meetings improve lung cancer survival? Findings from a consecutive cohort study. Lung Cancer, 2018, 124: 199-204.
9.	Dickhoff C, Dahele M. The multidisciplinary lung cancer team meeting: increasing evidence that it should be considered a medical intervention in its own right. J Thorac Dis, 2019, 11(Suppl 3): S311-S314.
10.	Dietel M, Bubendorf L, Dingemans AM, et al. Diagnostic procedures for non-small-cell lung cancer (NSCLC): recommendations of the European Expert Group. Thorax, 2016, 71(2): 177-84.
11.	Ricadat É, Schwering KL, Fradkin S, et al. Adolescents and young adults with cancer: How multidisciplinary health care teams adapt their practices to better meet their specific needs. Psychooncology, 2019, 28(7): 1576-1582.
12.	夏翠翠, 李建新. 健康老龄化还是病痛老龄化—健康中国战略视角下老年人口的慢性病问题. 探索与争鸣, 2018(10): 7.
13.	黄成铭, 周永召, 徐静, 等. 小细胞肺癌全程随访管理模式的探索与挑战. 中国肺癌杂志, 2025, 28(1): 47-54.
14.	李静琪, 蒋雅迪, 龙平凤. 基于APP随访联合个体化全程营养管理在老年脑卒中吞咽困难患者中的应用. 中西医结合护理(中英文), 2025, 11(01): 167-170.
15.	王青, 陈英, 王兵, 等. 基于护士主导的衰弱全程管理对老年胃肠肿瘤手术患者干预效果的研究. 南通大学学报(医学版), 2024, 44(02): 176-180.
16.	Zhong Y, Qin G, Xi H, et al. Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China. BMC Public Health, 2023, 23(1): 537.
17.	Chen H, Cheng M, Zhuang Y, et al. Multimorbidity among middle-aged and older persons in urban China: Prevalence, characteristics and health service utilization. Geriatr Gerontol Int, 2018, 18(10): 1447-1452.
18.	Palladino R, Tayu Lee J, Ashworth M, et al. Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries. Age Ageing, 2016, 45(3): 431-435.
19.	Zielinski A, Halling A. Association between age, gender and multimorbidity level and receiving home health care: a population-based Swedish study. BMC Res Notes, 2015, 8: 714.
20.	Ha NT, Le NH, Khanal V, et al. Multimorbidity and its social determinants among older people in southern provinces, Vietnam. Int J Equity Health, 2015, 14: 50.
21.	Dugravot A, Fayosse A, Dumurgier J, et al. Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: a 24-year follow-up of the Whitehall II cohort study. Lancet Public Health, 2020, 5(1): e42-e50.
22.	中国老年保健协会肺癌专业委员会, 北京肿瘤学会肺癌专业委员会. 老年晚期肺癌内科治疗中国专家共识(2022版). 中国肺癌杂志, 2022, 25(6): 363-384.
23.	王芹, 王秋萍, 张卫, 等. 癌症化疗患者自我隐瞒和自尊特点及其与负性情绪的关系. 中国心理卫生杂志, 2016, 30(6): 3.
24.	Harrop E, Noble S, Edwards M, et al. Managing, making sense of and finding meaning in advanced illness: a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer. Sociol Health Illn, 2017, 39(8): 1448-1464.
25.	Bakirhan K, Sharma J, Perez-Soler R, et al. Medical Treatment in Elderly Patients with Non-Small Cell Lung Cancer. Curr Treat Options Oncol, 2016, 17(3): 13.
26.	Zylla D, Steele G, Gupta P. A systematic review of the impact of pain on overall survival in patients with cancer. Support Care Cancer, 2017, 25(5): 1687-1698.
27.	张静涛, 王欣然, 韩斌如, 等. 老年肺癌患者胸腔镜肺切除术后并发心律失常的临床特征及危险因素分析. 首都医科大学学报, 2022, 43(4): 564-569.
28.	刘贵祥, 龚海峰, 张海鹰. 高龄肺癌患者围手术期心血管并发症的分析. 中国煤炭工业医学杂志, 2005, 8(8): 2.
29.	Sheikhi MA, Ebadi A, Talaeizadeh A, et al. Alternative Methods to Treat Nausea and Vomiting from Cancer Chemotherapy. Chemother Res Pract, 2015, 2015: 818759.
30.	武晓媛, 何芸, 闫玉, 等. 化疗相关性恶心呕吐的中西医防治进展. 中医临床研究, 2021, 13(24): 115-119.
31.	Passaro A, Di Maio M, Del Signore E, et al. Management of nonhematologic toxicities associated with different EGFR-TKIs in advanced NSCLC: a comparison analysis. Clin Lung Cancer, 2014, 15(4): 307-312.
32.	彭艳梅. 表皮生长因子受体拮抗剂相关皮肤不良反应表现及治疗进展. 中国肿瘤临床, 2017, 44(13): 4.
33.	Peer M, Azzam S, Cyjon A, et al. Major pulmonary resection after neoadjuvant chemotherapy or chemoradiation in potentially resectable stage Ⅲ non-small cell lung carcinoma. Sci Rep, 2021, 11(1): 20232.
34.	张学飞, 闫贻忠, 庞丽娟, 等. 中国老年人群恶性肿瘤疾病负担. 中国老年学杂志, 2017, 37(21): 5.
35.	Sun H, Zhang H, Cai H, et al. Burden of Lung Cancer in China, 1990-2019: Findings from the Global Burden of Disease Study 2019. Cancer Control, 2023, 30: 10732748231198749.
36.	向润, 李强. 肺癌“一体化诊疗、全程管理”模式的发展现状与思考—基于四川省肿瘤医院肺癌MDT团队经验. 中国肺癌杂志, 2020, 23(04): 211-215.
37.	Lai XB, Ching SSY, Wong FKY, et al. A Nurse-Led Care Program for Breast Cancer Patients in a Chemotherapy Day Center: A Randomized Controlled Trial. Cancer Nurs, 2019, 42(1): 20-34.
38.	聂奕轩, 金学勤, 宋娟, 等. 老年肺癌患者照顾者居家照护网络支持性服务方案构建及可行性研究. 护理学杂志, 2024, 39(17): 1-5,19.
39.	张建薇, 卢璇, 朱欢欢. 多学科模式下四阶梯心脏康复在老年心力衰竭病人全程管理中的效果评价. 实用老年医学, 2022, 36(05): 538-540.
40.	刘显平, 李晓, 杨帆. 非小细胞肺癌根治性切除术后复发转移模式研究进展. 中国肺癌杂志, 2022, 25(1): 8.
41.	詹妮. 以中医护理为主的全程管理模式在中医老年科护理管理中的应用. 中医药管理杂志, 2024, 32(08): 167-169.
42.	闫妍, 剌媛媛, 贺鹭, 等. 潜在类别分析在探究60岁以上老年人的多病模式和相关因素的应用, 中国卫生统计, 2022, 39(05): 702-706.
43.	蒋红莲, 闫伟, 路云. 老年共病指数的应用与推广问题研究. 中国慢性病预防与控制, 2020, 28(07): 548-551.
44.	张镅, 马旭梅. 老年肺癌患者阈下抑郁、失志对社会参与的影响路径分析. 当代护士(中旬刊), 2024, 31(06): 122-127.
45.	万胤辰, 王招娣, 吴坤, 等. 照顾能力干预方案在晚期肺癌患者家庭照顾者中的应用研究. 中华护理杂志 2024, 59(15): 1824-1831.
46.	Nguyen Q, Wybrow M, Burstein F, et al. Understanding the impacts of health information systems on patient flow management: A systematic review across several decades of research. PLoS One, 2022, 17(9): e0274493.
47.	Matthews KS, Rennoldson SC, Fraser SD. Influence of health-system change on treatment burden: a systematic review. Br J Gen Pract, 2022, 73(726): e59-e66.

1. Siegel RL, Miller KD, Fuchs HE, et al. Cancer Statistics, 2021. CA Cancer J Clin, 2021, 71(1): 7-33.
2. Vallet-Regí M, Manzano M, Rodriguez-Mañas L, et al. Management of Cancer in the Older Age Person: An Approach to Complex Medical Decisions. Oncologist, 2017, 22(3): 335-342.
3. World Health Organization I A FRoC. Globocan fact sheet, 2022, China. http://gco.iarc.fr/today/data/factsheets/populations/160-china-fact-sheets.pdf. Accessed August 02, 2024.
4. 辛雯艳, 黄磊, 闫贻忠. 2005-2014年中国老年人肺癌发病的时间趋势分析. 现代预防医学, 2020, 47(12): 2113-2116.
5. Colloca G, Lattanzio F, Balducci L, et al. Treating cancer and no-cancer pain in older and oldest old patients. Curr Pharm Des, 2015, 21(13): 1706-14.
6. 蔡敏, 谢学勤, 吴士勇. 我国老年人口健康状况及卫生服务利用. 中国卫生信息管理杂志, 2021, 18(1): 9.
7. Xu Z, Liu C, Zhu Y, et al. Efficacy of first-line treatments in the elderly and non-elderly patients with advanced epidermal growth factor receptor mutated, non-small cell lung cancer: a network meta-analysis. BMC Cancer, 2022, 22(1): 514.
8. Stone E, Rankin N, Kerr S, et al. Does presentation at multidisciplinary team meetings improve lung cancer survival? Findings from a consecutive cohort study. Lung Cancer, 2018, 124: 199-204.
9. Dickhoff C, Dahele M. The multidisciplinary lung cancer team meeting: increasing evidence that it should be considered a medical intervention in its own right. J Thorac Dis, 2019, 11(Suppl 3): S311-S314.
10. Dietel M, Bubendorf L, Dingemans AM, et al. Diagnostic procedures for non-small-cell lung cancer (NSCLC): recommendations of the European Expert Group. Thorax, 2016, 71(2): 177-84.
11. Ricadat É, Schwering KL, Fradkin S, et al. Adolescents and young adults with cancer: How multidisciplinary health care teams adapt their practices to better meet their specific needs. Psychooncology, 2019, 28(7): 1576-1582.
12. 夏翠翠, 李建新. 健康老龄化还是病痛老龄化—健康中国战略视角下老年人口的慢性病问题. 探索与争鸣, 2018(10): 7.
13. 黄成铭, 周永召, 徐静, 等. 小细胞肺癌全程随访管理模式的探索与挑战. 中国肺癌杂志, 2025, 28(1): 47-54.
14. 李静琪, 蒋雅迪, 龙平凤. 基于APP随访联合个体化全程营养管理在老年脑卒中吞咽困难患者中的应用. 中西医结合护理(中英文), 2025, 11(01): 167-170.
15. 王青, 陈英, 王兵, 等. 基于护士主导的衰弱全程管理对老年胃肠肿瘤手术患者干预效果的研究. 南通大学学报(医学版), 2024, 44(02): 176-180.
16. Zhong Y, Qin G, Xi H, et al. Prevalence, patterns of multimorbidity and associations with health care utilization among middle-aged and older people in China. BMC Public Health, 2023, 23(1): 537.
17. Chen H, Cheng M, Zhuang Y, et al. Multimorbidity among middle-aged and older persons in urban China: Prevalence, characteristics and health service utilization. Geriatr Gerontol Int, 2018, 18(10): 1447-1452.
18. Palladino R, Tayu Lee J, Ashworth M, et al. Associations between multimorbidity, healthcare utilisation and health status: evidence from 16 European countries. Age Ageing, 2016, 45(3): 431-435.
19. Zielinski A, Halling A. Association between age, gender and multimorbidity level and receiving home health care: a population-based Swedish study. BMC Res Notes, 2015, 8: 714.
20. Ha NT, Le NH, Khanal V, et al. Multimorbidity and its social determinants among older people in southern provinces, Vietnam. Int J Equity Health, 2015, 14: 50.
21. Dugravot A, Fayosse A, Dumurgier J, et al. Social inequalities in multimorbidity, frailty, disability, and transitions to mortality: a 24-year follow-up of the Whitehall II cohort study. Lancet Public Health, 2020, 5(1): e42-e50.
22. 中国老年保健协会肺癌专业委员会, 北京肿瘤学会肺癌专业委员会. 老年晚期肺癌内科治疗中国专家共识(2022版). 中国肺癌杂志, 2022, 25(6): 363-384.
23. 王芹, 王秋萍, 张卫, 等. 癌症化疗患者自我隐瞒和自尊特点及其与负性情绪的关系. 中国心理卫生杂志, 2016, 30(6): 3.
24. Harrop E, Noble S, Edwards M, et al. Managing, making sense of and finding meaning in advanced illness: a qualitative exploration of the coping and wellbeing experiences of patients with lung cancer. Sociol Health Illn, 2017, 39(8): 1448-1464.
25. Bakirhan K, Sharma J, Perez-Soler R, et al. Medical Treatment in Elderly Patients with Non-Small Cell Lung Cancer. Curr Treat Options Oncol, 2016, 17(3): 13.
26. Zylla D, Steele G, Gupta P. A systematic review of the impact of pain on overall survival in patients with cancer. Support Care Cancer, 2017, 25(5): 1687-1698.
27. 张静涛, 王欣然, 韩斌如, 等. 老年肺癌患者胸腔镜肺切除术后并发心律失常的临床特征及危险因素分析. 首都医科大学学报, 2022, 43(4): 564-569.
28. 刘贵祥, 龚海峰, 张海鹰. 高龄肺癌患者围手术期心血管并发症的分析. 中国煤炭工业医学杂志, 2005, 8(8): 2.
29. Sheikhi MA, Ebadi A, Talaeizadeh A, et al. Alternative Methods to Treat Nausea and Vomiting from Cancer Chemotherapy. Chemother Res Pract, 2015, 2015: 818759.
30. 武晓媛, 何芸, 闫玉, 等. 化疗相关性恶心呕吐的中西医防治进展. 中医临床研究, 2021, 13(24): 115-119.
31. Passaro A, Di Maio M, Del Signore E, et al. Management of nonhematologic toxicities associated with different EGFR-TKIs in advanced NSCLC: a comparison analysis. Clin Lung Cancer, 2014, 15(4): 307-312.
32. 彭艳梅. 表皮生长因子受体拮抗剂相关皮肤不良反应表现及治疗进展. 中国肿瘤临床, 2017, 44(13): 4.
33. Peer M, Azzam S, Cyjon A, et al. Major pulmonary resection after neoadjuvant chemotherapy or chemoradiation in potentially resectable stage Ⅲ non-small cell lung carcinoma. Sci Rep, 2021, 11(1): 20232.
34. 张学飞, 闫贻忠, 庞丽娟, 等. 中国老年人群恶性肿瘤疾病负担. 中国老年学杂志, 2017, 37(21): 5.
35. Sun H, Zhang H, Cai H, et al. Burden of Lung Cancer in China, 1990-2019: Findings from the Global Burden of Disease Study 2019. Cancer Control, 2023, 30: 10732748231198749.
36. 向润, 李强. 肺癌“一体化诊疗、全程管理”模式的发展现状与思考—基于四川省肿瘤医院肺癌MDT团队经验. 中国肺癌杂志, 2020, 23(04): 211-215.
37. Lai XB, Ching SSY, Wong FKY, et al. A Nurse-Led Care Program for Breast Cancer Patients in a Chemotherapy Day Center: A Randomized Controlled Trial. Cancer Nurs, 2019, 42(1): 20-34.
38. 聂奕轩, 金学勤, 宋娟, 等. 老年肺癌患者照顾者居家照护网络支持性服务方案构建及可行性研究. 护理学杂志, 2024, 39(17): 1-5,19.
39. 张建薇, 卢璇, 朱欢欢. 多学科模式下四阶梯心脏康复在老年心力衰竭病人全程管理中的效果评价. 实用老年医学, 2022, 36(05): 538-540.
40. 刘显平, 李晓, 杨帆. 非小细胞肺癌根治性切除术后复发转移模式研究进展. 中国肺癌杂志, 2022, 25(1): 8.
41. 詹妮. 以中医护理为主的全程管理模式在中医老年科护理管理中的应用. 中医药管理杂志, 2024, 32(08): 167-169.
42. 闫妍, 剌媛媛, 贺鹭, 等. 潜在类别分析在探究60岁以上老年人的多病模式和相关因素的应用, 中国卫生统计, 2022, 39(05): 702-706.
43. 蒋红莲, 闫伟, 路云. 老年共病指数的应用与推广问题研究. 中国慢性病预防与控制, 2020, 28(07): 548-551.
44. 张镅, 马旭梅. 老年肺癌患者阈下抑郁、失志对社会参与的影响路径分析. 当代护士(中旬刊), 2024, 31(06): 122-127.
45. 万胤辰, 王招娣, 吴坤, 等. 照顾能力干预方案在晚期肺癌患者家庭照顾者中的应用研究. 中华护理杂志 2024, 59(15): 1824-1831.
46. Nguyen Q, Wybrow M, Burstein F, et al. Understanding the impacts of health information systems on patient flow management: A systematic review across several decades of research. PLoS One, 2022, 17(9): e0274493.
47. Matthews KS, Rennoldson SC, Fraser SD. Influence of health-system change on treatment burden: a systematic review. Br J Gen Pract, 2022, 73(726): e59-e66.

Chinese Journal of Respiratory and Critical Care Medicine

老年肺癌患者全程管理模式的研究现状

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