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甲状腺癌后的生活质量:对患者信息及支持需求与偏好的评估

Quality of life after thyroid cancer: an assessment of patient needs and preferences for information and support.

作者信息

Roberts Katherine J, Lepore Stephen J, Urken Mark L

机构信息

Teachers College Columbia University, Department of Health and Behavior Studies, New York, NY 10027, USA.

出版信息

J Cancer Educ. 2008;23(3):186-91. doi: 10.1080/08858190802247762.

DOI:10.1080/08858190802247762
PMID:18709591
Abstract

BACKGROUND

In this article, we describe the quality of life and central information and support needs of people with thyroid cancer. We also describes patients' preferences for services to address their needs. This report may help patients to anticipate how thyroid cancer will affect them and inform physicians on useful ways to help address their patients' needs.

METHODS

We collected data through a survey (n = 62) of people who had been treated for thyroid cancer.

RESULTS

Most respondents indicated that quality of life was quite good, and most of their information needs were adequately addressed during routine care. However, respondents also indicated a desire for ongoing access to information, including information about lifestyle factors that might affect risk of recurrence, signs and symptoms of recurrence, and recent developments in thyroid cancer diagnostics and treatments. They also reported some unmet social and emotional support needs. Respondents reported a strong preference for gaining access to information through convenient resources such as the Internet.

CONCLUSIONS

Patient care following thyroid cancer treatment could be improved by providing ongoing education about lifestyle factors related to cancer risk, disease surveillance, and resources for treating and coping with cancer. Health care providers should become familiar with local and Internet-based sources of information and support related to thyroid cancer to improve patient access to this information.

摘要

背景

在本文中,我们描述了甲状腺癌患者的生活质量、核心信息需求及支持需求。我们还描述了患者对满足其需求的服务的偏好。本报告可能有助于患者预测甲状腺癌将如何影响他们,并告知医生帮助满足其患者需求的有用方法。

方法

我们通过对62名接受过甲状腺癌治疗的患者进行调查收集数据。

结果

大多数受访者表示生活质量相当好,并且他们的大多数信息需求在常规护理期间得到了充分满足。然而,受访者也表示希望能够持续获取信息,包括有关可能影响复发风险的生活方式因素、复发的体征和症状以及甲状腺癌诊断和治疗的最新进展等信息。他们还报告了一些未得到满足的社会和情感支持需求。受访者表示强烈倾向于通过互联网等便捷资源获取信息。

结论

通过提供有关与癌症风险相关的生活方式因素、疾病监测以及治疗和应对癌症的资源的持续教育,可以改善甲状腺癌治疗后的患者护理。医疗保健提供者应熟悉与甲状腺癌相关的本地和基于互联网的信息及支持来源,以改善患者获取这些信息的途径。

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