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癌症康复者出院后随访的体验。

Cancer survivors' experiences of discharge from hospital follow-up.

机构信息

Department of Primary Health Care, Oxford University, Old Road Campus, Oxford University, Headington, Oxford, UK.

出版信息

Eur J Cancer Care (Engl). 2012 May;21(3):390-7. doi: 10.1111/j.1365-2354.2011.01312.x. Epub 2011 Nov 17.

Abstract

Discharge from hospital follow-up is a key time point in the cancer journey. With recommendations for earlier discharge of cancer survivors, attention to the discharge process is likely to become increasingly important. This study explored cancer survivors' experiences of discharge from hospital follow-up. Survivors of breast, colorectal and prostate cancer (n= 1275), 5-16 years post diagnosis were approached to take part in a questionnaire survey. The questionnaire included questions about discharge status, provision of time/information prior to discharge, feelings at discharge and satisfaction with how discharge was managed. Completed questionnaires were returned by 659 survivors (51.7%). Approximately one-third of respondents were not discharged from follow-up 5-16 years post diagnosis. Of those discharged, a substantial minority reported insufficient time (27.9%), information (24.5-45.0%) or adverse emotions (30.9%) at the time of discharge. However, 90.6% of respondents reported satisfaction with how discharge from hospital follow-up was managed. Despite high levels of satisfaction, discharge of cancer survivors from hospital follow-up could be improved with the provision of additional time, information and support. Better structuring of the final hospital appointment or a review appointment in primary care at this time could help to ensure that discharge from hospital follow-up is managed optimally for cancer survivors.

摘要

出院后的随访是癌症治疗过程中的一个关键时间点。随着癌症幸存者提前出院的建议,对出院过程的关注可能会变得越来越重要。本研究探讨了癌症幸存者出院随访的体验。研究招募了 1275 名乳腺癌、结直肠癌和前列腺癌幸存者,他们在诊断后 5-16 年接受了问卷调查。问卷包括有关出院状况、出院前提供时间/信息、出院时的感受以及对出院管理的满意度等问题。共有 659 名幸存者(51.7%)完成了问卷。大约三分之一的受访者在诊断后 5-16 年未出院随访。在出院的患者中,相当一部分人报告说出院时时间不足(27.9%)、信息不足(24.5-45.0%)或情绪不佳(30.9%)。然而,90.6%的受访者对出院管理的满意度报告。尽管满意度很高,但可以通过提供额外的时间、信息和支持来改善癌症幸存者的出院情况。在这个时候更好地安排最后一次医院预约或在初级保健机构进行复查预约,可以帮助确保癌症幸存者的出院得到最佳管理。

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