Meeting the needs of rural breast cancer survivors: What still needs to be done?

Meeting the needs of rural breast cancer survivors: What still needs to be done?
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DOI:
10.1089/15246090050118198
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发表时间:
2000-07-01
期刊:
JOURNAL OF WOMENS HEALTH & GENDER-BASED MEDICINE
影响因子:
--
通讯作者:
Meischke, H
Meischke, H
中科院分区:
其他
文献类型:
--
作者:
Wilson, SE;Andersen, MR;Meischke, H

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随着乳腺癌筛查和治疗的改进,了解幸存者的治疗后需求变得越来越重要。 1996 年,在为期 5 个月的时间里,对华盛顿农村社区的乳腺癌幸存者 (n = 128) 进行了焦点小组 (n = 23) 的调查,以探索改善农村乳腺癌幸存者的生活并扩大现有的乳腺癌幸存者知识的方法。幸存者报告了他们的癌症经历的积极和消极结果。结果表明,许多患有乳腺癌的女性,特别是诊断为晚期乳腺癌的女性的需求没有得到满足。被诊断为晚期癌症的参与者比被诊断为早期癌症的参与者更有可能评论医疗系统的不良治疗,并表示需要增加对乳腺癌患者的支持和教育服务。农村幸存者,无论诊断时处于哪个阶段,都报告需要更多有关乳腺癌的教育以及诊断后更多的情感支持。需要进一步努力促进医疗保健范围内的支持和教育并改善患者与临床医生的关系。
As screening and treatment for breast cancer improve, learning about survivors' post-treatment needs becomes increasingly important. Focus groups (n = 23) were conducted with breast cancer survivors (n = 128) in rural Washington communities during a 5-month period in 1996 to explore ways to improve the lives of rural breast cancer survivors and to expand existing knowledge of breast cancer survivorship. Survivors reported positive and negative outcomes of their cancer experience. Results indicate that the needs of many women with breast cancer, particularly women diagnosed with late-stage disease, are not being met. Participants diagnosed with late-stage cancer were more likely than participants diagnosed with early-stage cancer to comment about being treated poorly by the medical system and to voice a need for increased support and educational services for breast cancer patients. Rural survivors, regardless of stage at diagnosis, reported needing more education about breast cancer and more emotional support after diagnosis. Further efforts to facilitate support and education within the context of medical care and to improve patient-clinician relationships are needed.