癌症随访护理。患者的观点。
Cancer follow-up care. Patients' perspectives.
作者信息
Miedema Baukje, MacDonald Ian, Tatemichi Sue
机构信息
Dalhousie University Family Medicine Teaching Unit, Dr Everett Chalmers Regional Hospital, Fredericton, NB.
出版信息
Can Fam Physician. 2003 Jul;49:890-5.
OBJECTIVE
To assess family physicians' and specialists' involvement in cancer follow-up care and how this involvement is perceived by cancer patients.
DESIGN
Self-administered survey.
SETTING
A health region in New Brunswick.
PARTICIPANTS
A nonprobability cluster sample of 183 participants.
MAIN OUTCOME MEASURES
Patients' perceptions of cancer follow-up care.
RESULTS
More than a third of participants (36%) were not sure which physician was in charge of their cancer follow-up care. As part of follow-up care, 80% of participants wanted counseling from their family physicians, but only 20% received it. About a third of participants (32%) were not satisfied with the follow-up care provided by their family physicians. In contrast, only 18% of participants were dissatisfied with the follow-up care provided by specialists. Older participants were more satisfied with cancer follow-up care than younger participants.
CONCLUSION
Cancer follow-up care is increasingly becoming part of family physicians' practices. Family physicians need to develop an approach that addresses patients' needs, particularly in the area of emotional support.
目的
评估家庭医生和专科医生在癌症后续护理中的参与情况，以及癌症患者对这种参与的看法。
设计
自行管理的调查。
地点
新不伦瑞克省的一个健康区域。
参与者
183名参与者的非概率整群样本。
主要观察指标
患者对癌症后续护理的看法。
结果
超过三分之一的参与者（36%）不确定哪位医生负责他们的癌症后续护理。作为后续护理的一部分，80%的参与者希望从他们的家庭医生那里获得咨询，但只有20%的人得到了。约三分之一的参与者（32%）对家庭医生提供的后续护理不满意。相比之下，只有18%的参与者对专科医生提供的后续护理不满意。年长的参与者比年轻的参与者对癌症后续护理更满意。
结论
癌症后续护理越来越成为家庭医生业务的一部分。家庭医生需要制定一种方法来满足患者的需求，特别是在情感支持方面。
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