School of Nursing and Lineberger Comprehensive Cancer Center, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA.
J Oncol Pract. 2012 Jul;8(4):e80-6. doi: 10.1200/JOP.2011.000401. Epub 2012 Feb 14.
Survivorship care plans (SCPs) are tools used to assist in the transition from treatment to surveillance cancer care. However, few studies have investigated survivor and provider preferences regarding SCPs. Our purpose was to explore survivor and primary care provider preferences regarding content, format, and delivery of SCPs.
Focus groups and provider interviews were performed in 2010. Five different templates were presented to study participants for their feedback. Each SCP included a treatment summary, surveillance schedule, and care plan for the same fictitious patient. Sessions were transcribed, and field notes taken.
Four focus groups (n = 29 survivors) and five primary care providers participated. No cancer survivors had ever received a written SCP. We found clear preferences for the Journey Forward format (with some modifications) and face-to-face delivery (print or electronic) to the survivor by his or her oncologist just before or soon after completion of treatment. Primary care providers preferred an abbreviated version.
Written SCPs were endorsed by all patients and primary care providers as helpful communication tools. However, if used alone, the SCP would be insufficient to ease the transition to follow-up care. Improved communication and care coordination were identified as important for survivorship care that went beyond what this document might provide.
生存护理计划(SCP)是一种用于辅助从治疗过渡到癌症监测护理的工具。然而,很少有研究调查过生存者和提供者对 SCP 的偏好。我们的目的是探讨生存者和初级保健提供者对 SCP 的内容、格式和交付方式的偏好。
2010 年进行了焦点小组和提供者访谈。向研究参与者展示了五种不同的模板以获取反馈。每个 SCP 都包含一份治疗总结、监测计划和同一位虚构患者的护理计划。会议记录和现场记录。
四个焦点小组(n=29 名生存者)和五名初级保健提供者参加了会议。没有癌症生存者收到过书面 SCP。我们发现对“未来之旅”格式(略有修改)和面对面交付(打印或电子)有明确的偏好,由生存者的肿瘤医生在治疗结束前或结束后不久亲自交给他/她。初级保健提供者更喜欢缩写版。
所有患者和初级保健提供者都认为书面 SCP 是有用的沟通工具。然而,如果单独使用,SCP 不足以缓解向后续护理的过渡。改善沟通和护理协调被确定为生存护理的重要内容,这超出了该文件可能提供的内容。