老年癌症病人接受治療導致衰弱的臨床評估與護理處置

老年癌症病人經常伴隨多重慢性病及多種藥物使用，在癌症治療的過程中常因副作用進而造成衰弱。本文主要目的為探討老年癌症病人接受治療導致衰弱之定義、生理病理機轉、導因、評估工具、醫療處置及護理照護。常見老年癌症衰弱症狀評估工具，多面向評估量表包括衰弱表現型、周全性老年醫學評估；單面向評估-主觀評估包括格羅寧根衰弱指標；客觀評估量表包括臨床衰弱量表及G8問卷，希望藉此能提供臨床照護老年癌症病人衰弱的評估及護理處置。

Older cancer patients often grapple with chronic diseases and the complexities of managing multiple medications. The side effects associated with cancer treatment can further exacerbate frailty in this vulnerable population. This article aims to delve into the concept of frailty in older cancer patients, examining its definition, underlying mechanisms, causes, evaluation tools, medical interventions, and nursing care strategies. To assess frailty comprehensively, multidimensional instruments are employed, notably Fried’s Frailty Phenotype (FFP) and the Comprehensive Geriatric Assessment (CGA). For more focused evaluations, single-dimensional tools are utilized, including objective assessments like the Groningen Frailty Indicator (GFI) and subjective measures such as the Clinical Frailty Scale (CFS) and the G8 Questionnaire. This exploration serves as a resource for clinical practitioners, offering guidance on assessing frailty in older cancer patients and informing nursing management practices.