Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Wexner Medical Center at The Ohio State University Medical Center, 320 W 10th Avenue, M210 Starling Loving, Columbus, OH 43210, USA.
Gynecol Oncol. 2013 Aug;130(2):389-97. doi: 10.1016/j.ygyno.2013.05.022. Epub 2013 May 23.
There are over one million survivors from gynecologic malignancies currently living in the United States and this population is expected to increase by 33% over the next decade. Identifying the needs of these cancer survivors is often understudied and overlooked.
A literature review using MEDLINE was searched for research articles published in English from 1967 to 2013 focusing on survivorship care in women with gynecologic malignancies.
For women with gynecologic malignancies, the survivorship period requires management of several aspects of care. Improved coordination of care between providers that may be addressed with the use of survivorship care plans and should include surveillance recommendations. Providers should conduct a focused evaluation of late and long-term effects of cancer that may continue to effect patients during and after treatment. Opportunities to improve lifestyle behaviors and continue general health maintenance should also be maximized.
The survivorship period incorporates the following: prevention of new cancer diagnoses, surveillance for recurrence, assessment and management of side effects from cancer and cancer treatment, and the coordination of care between patients and healthcare providers. Focusing on these components may improve quality of life as it allows for a seamless transition for cancer survivors and their caregivers.
目前美国有超过 100 万名妇科恶性肿瘤幸存者，预计在未来十年内这一人群将增加 33%。确定这些癌症幸存者的需求往往研究不足和被忽视。
使用 MEDLINE 进行文献回顾，检索了 1967 年至 2013 年期间以妇科恶性肿瘤女性生存者护理为重点的英文研究文章。
对于患有妇科恶性肿瘤的女性，生存期间需要管理几个方面的护理。通过使用生存护理计划，可以更好地协调提供者之间的护理，其中应包括监测建议。提供者应针对癌症的晚期和长期影响进行重点评估，这些影响可能会在治疗期间和治疗后继续影响患者。还应尽量利用改善生活方式行为和继续保持一般健康的机会。
生存期间包括以下内容：预防新发癌症诊断、监测复发、评估和管理癌症和癌症治疗的副作用，以及患者和医疗保健提供者之间的护理协调。关注这些方面可以提高生活质量，因为它可以使癌症幸存者及其护理人员顺利过渡。
