Objective

This literature review provides an overview of non-muscle-invasive bladder cancer diagnosis (NMIBC), treatment, and surveillance. Existing evidence is reviewed to identify the NMIBC patient pathway, highlight its effect on quality of life, and identify supportive care needs of this patient group. A framework to guide nurses in the care of this underserved population is proposed.

Data Sources

Electronic databases including CINAHL, Medline, PsychInfo, Cochrane, and Google Scholar were searched.

Conclusion

NMIBC is a chronic disease with high recurrence and progression rates with most patients requiring invasive treatment and burdensome surveillance schedules with frequent hospital visits. Treatment-related side effects may interrupt therapy and possibly result in its discontinuation. Patients’ quality of life can be negatively affected at various stages of the cancer trajectory. Specialist nurses provide holistic care throughout all stages of the patient journey to optimize supportive care, information provision, and delivery of appropriate treatment and surveillance protocols. NMIBC research is historically underfunded with a paucity of evidence identifying the supportive care needs of this population. Further research is urgently required to fill the gaps identified.

Implications for Nursing Practice

This timely paper raises the profile of unmet supportive care needs in an underserved research cancer population. Suggestions are proposed to improve the quality of nursing care through standardized practices and the development and integration of patient pathways. Evidence of the effect of NMIBC on family members or carers is absent from the literature. Future research implications and directions are proposed.

中文翻译：

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非肌肉浸润性膀胱癌患者对监测和治疗的支持性护理需求

客观的

这篇文献综述概述了非肌肉浸润性膀胱癌 (NMIBC) 的诊断、治疗和监测。审查现有证据以确定 NMIBC 患者途径，强调其对生活质量的影响，并确定该患者组的支持性护理需求。提出了一个指导护士照顾这一服务不足人群的框架。

数据源

检索了包括 CINAHL、Medline、PsychInfo、Cochrane 和 Google Scholar 在内的电子数据库。

结论

NMIBC 是一种具有高复发率和进展率的慢性疾病，大多数患者需要侵入性治疗和繁重的监测计划，经常去医院就诊。治疗相关的副作用可能会中断治疗并可能导致治疗中断。在癌症轨迹的不同阶段，患者的生活质量可能会受到负面影响。专科护士在患者旅程的所有阶段提供整体护理，以优化支持性护理、信息提供以及适当治疗和监测方案的实施。NMIBC 研究历来资金不足，缺乏确定该人群支持性护理需求的证据。迫切需要进一步的研究来填补发现的空白。

对护理实践的影响

这篇及时的论文提出了在服务不足的癌症研究人群中未满足的支持性护理需求的情况。建议通过标准化实践和患者路径的开发和整合来提高护理质量。文献中没有 NMIBC 对家庭成员或照顾者影响的证据。提出了未来的研究意义和方向。