Sprague Brian L, Dittus Kim L, Pace Claire M, Dulko Dorothy, Pollack Lori A, Hawkins Nikki A, Geller Berta M
Department of Surgery and the Office of Health Promotion Research, University of Vermont in Burlington, USA.
Clin J Oncol Nurs. 2013 Jun;17(3):266-72. doi: 10.1188/13.CJON.17-03AP.
Cancer survivors face several challenges following the completion of active treatment, including uncertainty about late effects of treatment and confusion about coordination of follow-up care. The authors evaluated patient satisfaction with personalized survivorship care plans designed to clarify those issues. The authors enrolled 48 patients with breast cancer and 10 patients with colorectal cancer who had completed treatment in the previous two months from an urban academic medical center and a rural community hospital. Patient satisfaction with the care plan was assessed by telephone interview. Overall, about 80% of patients were very or completely satisfied with the care plan, and 90% or more agreed that it was useful, it was easy to understand, and the length was appropriate. Most patients reported that the care plan was very or critically important to understanding an array of survivorship issues. However, only about half felt that it helped them better understand the roles of primary care providers and oncologists in survivorship care. The results provide evidence that patients with cancer find high value in personalized survivorship care plans, but the plans do not eliminate confusion regarding the coordination of follow-up care. Future efforts to improve care plans should focus on better descriptions of how survivorship care will be coordinated.
癌症幸存者在积极治疗结束后面临诸多挑战,包括对治疗远期效应的不确定性以及对后续护理协调的困惑。作者评估了患者对旨在厘清这些问题的个性化生存护理计划的满意度。作者从一家城市学术医疗中心和一家农村社区医院招募了48例乳腺癌患者和10例结直肠癌患者,这些患者在过去两个月内完成了治疗。通过电话访谈评估患者对护理计划的满意度。总体而言,约80%的患者对护理计划非常满意或完全满意,90%或更多的患者认为该计划有用、易于理解且篇幅合适。大多数患者报告称,护理计划对于理解一系列生存问题非常重要或极其重要。然而,只有约一半的患者觉得它有助于他们更好地理解初级保健提供者和肿瘤学家在生存护理中的作用。结果表明,癌症患者认为个性化生存护理计划具有很高价值,但这些计划并未消除后续护理协调方面的困惑。未来改进护理计划的努力应侧重于更好地描述生存护理将如何协调。