Perspectives on post-treatment cancer care: Qualitative research with survivors, nurses, and physicians
Perspectives on post-treatment cancer care: Qualitative research with survivors, nurses, and physicians
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DOI：
10.1200/jco.2006.10.0826
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发表时间：
2007-06-01
影响因子：
45.3
通讯作者：
Harvey, Catherine
中科院分区：
文献类型：
--
作者：
Hewitt, Maria E.;Bamundo, Annette;Harvey, Catherine
目的癌症幸存者在治疗后有许多医疗和社会心理需求未得到解决。进行了定性研究，以评估由肿瘤学家创建的生存护理计划如何提高生存护理的质量。参与者和方法对癌症幸存者、护士、初级保健医生和肿瘤学家进行的焦点小组和访谈提供了对治疗后随访实践的见解，以及为幸存者和转诊医生提供癌症幸存者护理计划的可接受性和可行性。结果癌症幸存者对治疗后医疗服务满意，但认为其心理社会需求未得到满足。幸存者对收到后续护理计划表示热烈支持。初级保健医生认为自己在治疗后阶段扮演着重要的角色，并指出书面的后续护理计划将有助于他们改善生存实践。护士认识到需要改善对癌症幸存者的护理，并建议她们可以在制定和实施癌症幸存者计划方面发挥积极作用。提供肿瘤治疗的医生承认生存护理计划的价值，但不倾向于完成这些计划，因为这样的计划不会减少其他报告和沟通要求，而且在他们繁忙的日程安排下，完成这些计划会很麻烦。结论患者、护士和医生对生存期护理计划的接受度较高，但仍存在一些障碍。障碍可以通过以下方式克服：电子医疗记录、保险公司报告要求的变化、患者的倡导以及将护理计划纳入教育和培训方案。
PurposeCancer survivors have many medical and psychosocial needs that are unaddressed in the post-treatment period. Qualitative research was carried out to assess how a survivorship care plan created by oncologists could improve the quality of survivorship care.Participants and MethodsFocus groups and interviews conducted with cancer survivors, nurses, primary care physicians, and oncologists provide insights into post-treatment follow-up practices and the acceptability and feasibility of providing survivors and referring physicians with a cancer survivorship care plan.ResultsCancer survivors reported satisfaction with post-treatment medical care, but felt that their psychorsocial needs were not met. Survivors expressed enthusiastic support for receipt of a follow-up care plan. Primary care physicians viewed themselves as playing an important role during the post-treatment period and indicated that a written care plan for follow-up would help them improve their survivorship practices. Nurses recognized the need to improve the care of cancer survivors and suggested that they could play an active role in creating and implementing cancer survivorship plans. Physicians providing oncology care acknowledged the value of survivorship care plans, but were not inclined to complete them because such plans would not reduce other reporting and communication requirements and would be burdensome to complete given their busy schedules.ConclusionSurvivorship care planning is viewed favorably by consumers, nurses, and physicians, however there are several barriers to its adoption. Barriers may be overcome with: electronic medical records, changes in reporting requirements of insurers, advocacy on the part of patients, and incorporation of care planning in education and training programs.