Department of Health Systems, School of Population Health, University of Auckland, Auckland 1142, New Zealand.
Psychooncology. 2010 Feb;19(2):201-8. doi: 10.1002/pon.1553.
Psychosocial care across the cancer continuum is a core component of quality gynaecologic cancer services. The purpose of this qualitative study was to identify needs for supportive care in a sample of New Zealand women and to understand to what extent they feel their needs are being met by health services.
Purposive sampling was used to recruit women (n=28) diagnosed with a gynaecologic cancer. Unstructured interviews were conducted and a thematic analysis was performed.
Interviews revealed a range of shared and unique needs and support experiences. Three themes emerged reflecting participants' sense of control, need for validation of the cancer experience and organisation of their care. Findings suggest issues of continuity and coordination of care result in unmet support needs across the continuum of care, but primarily after treatment finishes.
While broadly consistent with previous results, findings highlight the need for a patient-focused, comprehensive, integrated approach to supportive cancer care encompassing diagnosis, treatment and long-term recovery.
贯穿癌症全程的心理社会关怀是高质量妇科癌症服务的核心组成部分。本 qualitative 研究的目的在于确定新西兰女性样本中支持性护理的需求，并了解她们对卫生服务满足其需求的程度。
采用目的抽样法招募了 28 名被诊断患有妇科癌症的女性。进行了非结构化访谈，并进行了主题分析。
访谈揭示了一系列共同和独特的需求和支持体验。出现了三个主题，反映了参与者对控制感、癌症经历验证的需求以及对护理组织的需求。研究结果表明，护理的连续性和协调性问题导致贯穿癌症全程的支持性护理需求未得到满足，但主要是在治疗结束后。
虽然与之前的结果大致一致，但研究结果强调需要以患者为中心，全面、综合的方法来提供支持性癌症护理，涵盖诊断、治疗和长期康复。
