Grant Marcia, Economou Denice, Ferrell Betty, Uman Gwen
City of Hope, Division of Nursing Research and Education, Duarte, CA 91010, USA.
J Cancer Educ. 2012 Jun;27(2):226-32. doi: 10.1007/s13187-012-0314-7.
The Institute of Medicine (IOM) 2006 report, From Cancer Patient to Cancer Survivor: Lost in Transition (In M. Hewitt, S. Greenfield and E. Stovall (Eds.), (pp. 9-186). Washington DC: The National Academies Press, 2006) identifies the key components of care that contribute to quality of life for the cancer survivor. As cancer survivorship care becomes an important part of quality cancer care oncology professionals need education to prepare themselves to provide this care. Survivorship care requires a varied approach depending on the survivor population, treatment regimens and care settings. The goal of this program was to encourage institutional changes that would integrate survivorship care into participating centers. An NCI-funded educational program: Survivorship Education for Quality Cancer Care provided multidiscipline two-person teams an opportunity to gain this important knowledge using a goal-directed, team approach. Educational programs were funded for yearly courses from 2006 to 2009. Survivorship care curriculum was developed using the Quality of Life Model as the core around the IOM recommendations. Baseline data was collected for all participants. Teams were followed-up at 6, 12 and 18 months postcourse for goal achievement and institutional evaluations. Comparison data from baseline to 18 months provided information on the 204 multidiscipline teams that participated over 4 years. Teams attended including administrators, social workers, nurse practitioners, registered nurses, physicians and others. Participating centers included primarily community cancer centers and academic centers followed by pediatric centers, ambulatory/physician offices and free standing cancer centers. Statistically significant changes at p = <0.05 levels were seen by 12 months postcourse related to the effectiveness, receptiveness and comfort of survivorship care in participant settings. Institutional assessments found improvement in seven domains of care that related to institutional change. This course provided education to participants that led to significant changes in survivorship care in their settings.
医学研究所（IOM）2006年的报告《从癌症患者到癌症幸存者：过渡中的迷失》（载于M. 休伊特、S. 格林菲尔德和E. 斯托瓦尔编著的《从癌症患者到癌症幸存者：过渡中的迷失》第9 - 186页，华盛顿特区：美国国家科学院出版社，2006年）确定了有助于癌症幸存者生活质量的关键护理要素。随着癌症幸存者护理成为优质癌症护理的重要组成部分，肿瘤学专业人员需要接受教育，以便为提供此类护理做好准备。幸存者护理需要根据幸存者群体、治疗方案和护理环境采取不同的方法。该项目的目标是鼓励进行机构变革，将幸存者护理纳入参与中心。一项由美国国立癌症研究所资助的教育项目：优质癌症护理的幸存者教育，为多学科两人团队提供了一个机会，通过目标导向的团队方法获得这一重要知识。2006年至2009年为年度课程提供了教育项目资金。幸存者护理课程以生活质量模型为核心，围绕医学研究所的建议制定。为所有参与者收集了基线数据。在课程结束后的6个月、12个月和18个月对团队进行跟踪，以评估目标达成情况和机构评估。从基线到18个月的比较数据提供了关于4年中参与的204个多学科团队的信息。参与团队包括管理人员、社会工作者、执业护士、注册护士、医生等。参与中心主要包括社区癌症中心和学术中心，其次是儿科中心、门诊/医生办公室和独立癌症中心。课程结束后12个月，在p = <0.05水平上观察到与参与者环境中幸存者护理的有效性、接受度和舒适度相关的统计学显著变化。机构评估发现与机构变革相关的七个护理领域有所改善。本课程为参与者提供了教育，使其所在环境中的幸存者护理发生了显著变化。
