兒童腦瘤患者之硼中子捕獲治療照護

Nursing Care of Boron Neutron Capture Therapy for Recurrent Pediatric Brain Tumor Patients

誠如眾所周知，兒童有別於成人，他們需要特殊的醫療照護系統。腦瘤是兒童最常見好發的固態性腫瘤，傳統的治療策略包括：根除性手術、放射治療以及全身性化學治療，然而有些個案仍然會遭受治療的失敗進而導致腫瘤的復發。硼中子捕獲治療（Boron Neutron Capture Therapy; BNCT）是一個現代的標靶性治療，由於較高的腫瘤治療效益以及較低的正常組織的傷害性，硼中子捕獲治療對於復發性的兒童腦瘤疾病變得越來越受歡迎。雖然硼中子捕獲治療可以改善兒童腦瘤疾病，但是高品質的護理照護在治療期間均是不可或缺的。本文主要目的為呈現護理照護的專業角色，並希望幫助兒童患者可以順利耐受進而完成此項治療措施。

It is well known children are not small adults and they require a special medical care system. Brain tumors are the most common solid type of malignant disease in children. Conventional treatment strategies include radical surgery, radiotherapy and systemic chemotherapy. However, some patients still undergo failure of treatment and a relapse in the malignant disease. Boron neutron capture therapy (BNCT) is a modern targeted therapy. Due to high treatment efficiency and less normal tissue toxicities, BNCT has become more and more popular for the treatment of recurrent pediatric brain tumors. Although BNCT can improve the treatment outcomes for pediatric patients, high-quality nursing care is indispensable before, during and after BNCT procedures. This article attempts to show the specialties of nursing skills for BNCT and help pediatric patients better tolerate the treatment procedures.