Supportive Cancer Care Research Unit, Juravinski Cancer Centre, Hamilton, ON, Canada.
J Psychosoc Oncol. 2011;29(3):286-307. doi: 10.1080/07347332.2011.563342.
Meeting the supportive care needs of cancer patients remains a challenge to cancer care systems around the world. Despite significant improvements in the organization of medical care of patients with cancer, numerous surveys of cancer populations demonstrate that significant proportions of patients fail to have their supportive care needs met. One possible solution is the introduction of a care coordinator role using oncology nursing to help ensure that patients' physical, psychological, and social support needs are addressed. Although having face validity, there is little empirical evidence on the effects of nurse-led supportive care coordinator roles on patient reported supportive care outcomes. In this article the authors present the results of a prospective longitudinal cohort study of 113 patients referred to a community-based specialist oncology nursing program. Using validated instruments they found significant improvements in patient-reported outcomes in key supportive care domains: unmet needs, quality of life, and continuity of care, as well as a shift in patterns of health resource utilization from acute care settings to the community over the course of the intervention. The results of this study are important in supporting the design and development of controlled trials to examine provider roles in the coordination of supportive cancer care.
满足癌症患者的支持性护理需求仍然是全球癌症护理系统面临的挑战。尽管癌症患者医疗护理的组织有了显著改善，但对癌症患者的多项调查表明，仍有相当比例的患者未能满足其支持性护理需求。一种可能的解决方案是引入护理协调员角色，利用肿瘤护理来帮助确保患者的身体、心理和社会支持需求得到满足。尽管这种方法具有表面上的合理性，但关于护士主导的支持性护理协调员角色对患者报告的支持性护理结果的影响，实证证据很少。在本文中，作者报告了对 113 名转介到社区肿瘤专科护理项目的患者进行的前瞻性纵向队列研究的结果。他们使用经过验证的工具发现，在关键支持性护理领域，患者报告的结果有了显著改善：未满足的需求、生活质量和护理的连续性，并且在干预过程中，卫生资源利用模式从急性护理环境向社区转移。这项研究的结果对于支持设计和开展对照试验以检验提供者在协调癌症支持性护理方面的作用具有重要意义。
