Kew F M, Galaal K, Manderville H, Verleye L
Northern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, England.
Int J Gynecol Cancer. 2007 May-Jun;17(3):557-60. doi: 10.1111/j.1525-1438.2007.00839.x.
Traditionally, women who have been treated for a gynecological cancer have undergone long-term follow-up by hospital doctors. Recently, there has been interest in alternative models of follow-up, including nurse-based review. The project compares patients' and professionals' views of follow-up. A questionnaire was completed by 96 women attending routine follow-up clinics and by 32 professionals involved in delivering follow-up. A large majority of women (82/96, 92%) and professionals (25/34, 73%) thought that follow-up should be provided by a hospital doctor. However, professionals were more likely to think that specialist nurses and general practitioners should be involved in the provision of follow-up (P < 0.01). Professionals thought that the most important part of the follow-up visit was the consultation, whereas women thought it was the examination (P < 0.001). Women thought that detection of recurrence was the most important reason for continuing surveillance, whereas professionals regarded addressing patients' concerns as the primary reason for follow-up (P < 0.001). We conclude that the views of women undergoing follow-up after gynecological cancer differ significantly from the professionals providing follow-up care. These views must be considered when developing alternative follow-up strategies.
传统上，接受过妇科癌症治疗的女性一直由医院医生进行长期随访。最近，人们对包括基于护士的复查在内的替代随访模式产生了兴趣。该项目比较了患者和专业人员对随访的看法。96名前往常规随访诊所的女性和32名参与随访工作的专业人员完成了一份问卷。绝大多数女性（82/96，92%）和专业人员（25/34，73%）认为应由医院医生提供随访。然而，专业人员更倾向于认为专科护士和全科医生应参与随访工作（P < 0.01）。专业人员认为随访就诊中最重要的部分是会诊，而女性则认为是检查（P < 0.001）。女性认为检测复发是继续监测的最重要原因，而专业人员则将解决患者的担忧视为随访的主要原因（P < 0.001）。我们得出结论，妇科癌症术后接受随访的女性的观点与提供随访护理的专业人员的观点存在显著差异。在制定替代随访策略时必须考虑这些观点。
