Department of Psychosocial and Spiritual Resources, Cross Cancer Institute, Edmonton, AB. ; Department of Oncology, Palliative Care Division, University of Alberta, Edmonton, AB.
Department of Oncology, Division of Psychosocial Oncology, University of Calgary, Calgary, AB. ; Psychosocial Resources, Tom Baker Cancer Centre, Calgary, AB.
Curr Oncol. 2014 Feb;21(1):e18-28. doi: 10.3747/co.21.1698.
Survivorship care plans (scps) have been recommended as a way to ease the transition from active cancer treatment to follow-up care, to reduce uncertainty for survivors in the management of their ongoing health, and to improve continuity of care. The objective of the demonstration project reported here was to assess the value of scps for cancer survivors in western Canada.
The Alberta CancerBridges team developed, implemented, and evaluated scps for 36 breast and 21 head-and-neck cancer survivors. For the evaluation, we interviewed 12 of the survivors, 9 nurses who delivered the scps, and 3 family physicians who received the scps (n = 24 in total). We asked about satisfaction, usefulness, emotional impact, and communication value. We collected written feedback from the three groups about positive aspects of the scps and possible improvements (n = 85). We analyzed the combined data using qualitative thematic analysis.
Survivors, nurses, and family physicians agreed that scps could ease the transition to survivorship partly by enhancing communication between survivors and care providers. Survivors appreciated the individualized attention and the comprehensiveness of the plans. They described positive emotional impacts, but wanted a way to ensure that their physicians received the scps. Nurses and physicians responded positively, but expressed concern about the time required to implement the plans. Suggestions for streamlining the process included providing survivors with scp templates in advance, auto-populating the templates for the nurses, and creating summary pages for physicians.
The results suggest ways in which scps could help to improve the transition to cancer survivorship and provide starting points for larger feasibility studies.
生存护理计划（SCPs）已被推荐为一种缓解从积极的癌症治疗到后续护理的过渡的方式，以减少幸存者在管理其持续健康方面的不确定性，并改善护理的连续性。本报告所述示范项目的目的是评估 SCPs 对加拿大西部癌症幸存者的价值。
艾伯塔省癌症桥梁团队为 36 名乳腺癌和 21 名头颈部癌症幸存者制定、实施和评估了 SCPs。为了进行评估，我们采访了 12 名幸存者、9 名提供 SCPs 的护士和 3 名接受 SCPs 的家庭医生（总共 24 人）。我们询问了他们对满意度、有用性、情绪影响和沟通价值的看法。我们从三组人员那里收集了关于 SCPs 的积极方面和可能改进的书面反馈（共 85 人）。我们使用定性主题分析对综合数据进行了分析。
幸存者、护士和家庭医生都认为，SCPs 可以通过增强幸存者和护理提供者之间的沟通，部分缓解向生存者的过渡。幸存者赞赏个性化的关注和计划的全面性。他们描述了积极的情绪影响，但希望有一种方法可以确保他们的医生收到 SCPs。护士和医生的反应积极，但对实施计划所需的时间表示关注。简化流程的建议包括提前为幸存者提供 SCP 模板、为护士自动填充模板以及为医生创建摘要页面。
研究结果表明，SCPs 可以帮助改善癌症生存者的过渡，并为更大规模的可行性研究提供起点。
