Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Support Care Cancer. 2013 Sep;21(9):2643-9. doi: 10.1007/s00520-013-1892-6. Epub 2013 Jul 5.
Traditionally, cancer patient follow-up has focused on disease surveillance and detecting recurrence. However, an increasing number of patients who have survived cancer acknowledge the importance of cancer rehabilitation issues and the need for more patient-oriented models of care by reporting their unmet physical, emotional, and social needs. Nurse-led follow-up care for cancer patients fulfills this need and has been developing gradually for various cancer diagnoses and prognoses. A growing body of evidence suggests that these services provide high-quality care that is both safe and efficient. Furthermore, patients benefit from the continuity of care and easy access to support for their multitude of needs, provided by such organized care. In this paper, we review the literature published in the past 5 years regarding nurse-led follow-up care for cancer patients in order to provide input and opinion for future research, clinical practice development, and nursing leadership. We pay special attention to head and neck cancer patients, a group that has been largely understudied and hence underreported in the literature. These patients have specific needs with respect to information and education regarding their cancer and potential treatment side-effects as well as a particular need for long-term psychosocial support and practical advice.
传统上，癌症患者的随访重点是疾病监测和复发检测。然而，越来越多的癌症幸存者认识到癌症康复问题的重要性，以及通过报告未满足的身体、情感和社会需求，需要更加以患者为中心的护理模式。护士主导的癌症患者随访护理满足了这一需求，并已逐渐针对各种癌症诊断和预后发展起来。越来越多的证据表明，这些服务提供了安全高效的高质量护理。此外，患者还受益于这种有组织的护理提供的连续性护理和对其多种需求的便捷支持。在本文中，我们回顾了过去 5 年中发表的关于癌症患者护士主导的随访护理的文献，为未来的研究、临床实践发展和护理领导力提供了参考意见。我们特别关注头颈部癌症患者，这是一个在文献中研究和报道较少的群体。这些患者在癌症及其潜在治疗副作用方面有特定的信息和教育需求，以及对长期心理社会支持和实际建议的特殊需求。
