The Ohio State University, Columbus, OH, 43201, USA.
J Cancer Surviv. 2010 Jun;4(2):140-8. doi: 10.1007/s11764-010-0115-0. Epub 2010 Jan 23.
Limited information is available about rural cancer survivors' needs and if they differ from urban cancer survivors.
A convenience sample of cancer survivors completed a self-administered survey.
Rural Appalachia (n = 99) and urban non-Appalachia (n = 107) cancer survivors completed the survey. Urban survivors reported more needs than rural survivors (p < 0.001), but worry about cancer recurrence and concern about fatigue were reported most often by both urban and rural survivors. Urban survivors (n = 87; 81.3%) and rural survivors (n = 72; 72.9%) indicated that they searched for cancer information, but rural survivors were more likely to obtain information from family members and healthcare providers (p < 0.05). Rural survivors differed from urban survivors by reporting less effort to get the information they needed (p < 0.05) and less concern about the quality of the information (p < 0.01), but they reported having a harder time understanding the information they found (p < 0.05).
Rural and urban survivors' most frequent needs focused on cancer recurrence and fatigue. Rural survivors reported fewer needs compared to urban survivors; however, our findings suggest certain needs may be more important to rural survivors. While most survivors reported searching for information about cancer, rural and urban survivors use different sources for finding information and have varying experiences in their searches.
There is an ongoing need to provide survivorship care that is tailored to the unique needs of cancer survivors. It is essential to provide educational materials for all cancer survivors, but using different communication channels for urban versus rural survivors may be beneficial.
关于农村癌症幸存者的需求，以及他们是否与城市癌症幸存者不同，相关信息有限。
采用便利抽样法，对癌症幸存者进行了一项自我管理的调查。
阿巴拉契亚农村（n=99）和非阿巴拉契亚城市（n=107）的癌症幸存者完成了这项调查。城市幸存者报告的需求比农村幸存者多（p<0.001），但城市和农村幸存者都最常报告担心癌症复发和疲劳。城市幸存者（n=87；81.3%）和农村幸存者（n=72；72.9%）都表示他们搜索过癌症信息，但农村幸存者更可能从家庭成员和医疗保健提供者那里获取信息（p<0.05）。农村幸存者与城市幸存者不同，他们报告说在获取所需信息方面付出的努力较少（p<0.05），对信息质量的关注较少（p<0.01），但他们报告说更难理解他们找到的信息（p<0.05）。
农村和城市幸存者最常见的需求集中在癌症复发和疲劳上。与城市幸存者相比，农村幸存者报告的需求较少；然而，我们的研究结果表明，某些需求对农村幸存者可能更为重要。尽管大多数幸存者报告说他们在搜索有关癌症的信息，但农村和城市幸存者使用不同的信息来源，并且在搜索过程中有不同的体验。
为癌症幸存者提供量身定制的生存护理仍然是一项持续的需求。为所有癌症幸存者提供教育材料是必要的，但为城市幸存者和农村幸存者使用不同的沟通渠道可能会有所帮助。
