Routine follow-up after treatment for ovarian cancer in the United Kingdom (UK): Patient and health professional views
Routine follow-up after treatment for ovarian cancer in the United Kingdom (UK): Patient and health professional views
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DOI：
10.1016/j.ejon.2009.04.007
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发表时间：
2009-12-01
影响因子：
2.8
通讯作者：
Wray, Julie
中科院分区：
文献类型：
--
作者：
Lydon, Anne;Beaver, Kinta;Wray, Julie
目的：本研究旨在探讨卵巢癌患者及医护人员对卵巢癌治疗后后续服务提供的看法。在这项研究的发源地英国，卵巢癌是女性最常见的妇科癌症。病因不明，症状往往含糊不清，大多数病例是在晚期诊断出来的。妇科癌症治疗后常规随访的益处几乎没有证据，疾病进展的可能性很高。方法：在英格兰西北部的一家医院，对6名患者和7名卫生专业人员进行了两个焦点小组。结果：从患者组中，出现了三个主要主题：保证，对支持和信息的需求，以及替代跟踪护理的方法。卫生专业人员小组提出了三个主要主题：患者到门诊诊所就诊以监测疾病进展；更新现有系统的必要性；以及应鼓励患者自我管理他们的疾病。结论：两个焦点小组对后续护理程序的看法有相似之处也有不同之处。患者重视临床检查以提示疾病复发，而卫生专业人员认为这是没有证据基础的历史做法。关于如何监测疾病进展的准确信息应该传达给患者。建议采取一种改进的后续程序方法，作为一种有用的战略，在满足服务需求的同时，根据个人的需要和偏好来量身定制服务。(C)2009爱思唯尔有限公司。保留所有权利。
Purpose: The aim of this study was to explore patients and health professional's perceptions of follow-up service provision following treatment for ovarian cancer. In the United Kingdom, where this study took place, ovarian cancer is the most common gynaecological cancer in women. The causes are unknown, symptoms are often vague and most cases are diagnosed at an advanced stage. There is a high likelihood of disease progression and little evidence on the benefits of routine follow-up after treatment for gynaecological cancer.Method: Two focus groups were conducted with patients (n = 6) and health professionals (n = 7) at a hospital in North-West England.Results: From the patient group, three main themes emerged: reassurance, the need for support and information, and alternative approaches to follow-up care. Three main themes emerged from the health professional group: patient attendance at outpatient clinics to monitor for disease progression; the need to modernise the current system: and patients should be encouraged to self-manage their disease.Conclusions: There were similarities and differences in perceptions of follow-up care procedures between the two focus groups. Patients placed importance on clinical examination in indicating disease recurrence, whereas health professionals viewed this as historical practice with no evidence base. Accurate information on how disease progression is monitored should be communicated to patients. A modified approach to follow-up procedures is suggested as a useful strategy to tailor services to individual needs and preferences, whilst responding to service demands. (c) 2009 Elsevier Ltd. All rights reserved.