关键词: 肿瘤护理, 靶向治疗, 自我管理, 皮肤不良反应, 专家共识

Abstract:

Objective The development of the expert consensus on self-management of skin adverse reactions in patients undergoing targeted cancer therapy（hereinafter referred to as “the consensus”） aims to enhance the effectiveness of self-management for skin-related adverse reactions in cancer patients receiving targeted therapy. It seeks to reduce the incidence of these reactions and alleviate their severity. Methods Utilizing evidence-based approaches，a systematic search was conducted across both domestic and international databases and relevant websites. This process included the evaluation and summarization of pertinent evidence to create a preliminary draft of the consensus. Through 2 rounds of Delphi expert inquiries and a round of expert panel discussion，the content was refined，leading to the final draft of the consensus. Results The consensus comprises 11 sections：gathering information before medication，identifying risk factors prior to medication，self-assessment and proactive reporting，skin cleansing，skin moisturizing，sun protection，makeup application，appropriate clothing，engaging in household activities，prophylactic medication，and common management techniques. Conclusion This consensus provides a valuable reference for clinical nurses to guide cancer patients in the self-management of skin adverse reactions associated with targeted drug therapy.

Key words: Oncologic Nursing, Targeted Therapy, Self-Management, Cutaneous Adverse Reaction, Expert Consensus