Hebdon Megan, Abrahamson Kathy, McComb Sara, Sands Laura
School of Nursing, Purdue University, West Lafayette, IN.
Oncol Nurs Forum. 2014 Nov 1;41(6):615-25. doi: 10.1188/14.ONF.615-625.
Problem Identification: In 2005, the Institute of Medicine (IOM) released a seminal report on cancer survivorship that discussed the goals and structure of cancer survivorship care with the recommendation to use a survivorship care plan (SCP). However, the manner in which these recommendations are operationalized and their relationship to patient outcomes are unknown.
A systematic literature search was conducted using PubMed, CINAHL®, and the Cochrane Database. Articles were selected if they included a provider-mediated intervention and were published after 2005, for a total of nine articles.Data Evaluation: The studies were evaluated according to the purposes of survivorship care, the use of an SCP, and models of care recommended by the IOM.
The outcomes of the studies were not conclusive in supporting a specific model of survivorship care or the use of a SCP. Two of the nine studies adhered to the IOM goals of survivorship care and SCP recommendations in their interventions.
The design and testing of nurse-led survivorship programs is imperative, as nurses may be effective in ensuring consistent, patient-centered education for cancer survivors.
问题识别：2005年，医学研究所（IOM）发布了一份关于癌症幸存者的开创性报告，讨论了癌症幸存者护理的目标和结构，并建议使用幸存者护理计划（SCP）。然而，这些建议的实施方式及其与患者预后的关系尚不清楚。
使用PubMed、CINAHL®和Cochrane数据库进行了系统的文献检索。如果文章包括提供者介导的干预措施且于2005年后发表，则被选中，共九篇文章。
根据幸存者护理的目的、SCP的使用以及IOM推荐的护理模式对研究进行评估。
研究结果在支持特定的幸存者护理模式或SCP的使用方面并不具有决定性。九项研究中有两项在其干预措施中遵循了IOM的幸存者护理目标和SCP建议。
由护士主导的幸存者计划的设计和测试势在必行，因为护士可能在确保为癌症幸存者提供一致的、以患者为中心的教育方面发挥有效作用。
