Wells M, Semple C J, Lane C
NMAHP Research Unit, University of Stirling, Stirling, UK.
Cancer Services, South Eastern Health and Social Care Trust, Belfast, UK.
Eur J Cancer Care (Engl). 2015 Nov;24(6):873-83. doi: 10.1111/ecc.12285. Epub 2015 Jan 23.
Patterns of follow-up and survivorship care are changing in response to growing numbers of cancer survivors and an increasing recognition that traditional models are unsustainable and result in unmet needs. Clinicians have shown reluctance in changing conventional follow-up practices for patients with head and neck cancer. This study aimed to explore nurses' and allied health professionals' views and practices in relation to follow-up, holistic needs assessment and survivorship care in this patient group. An online survey of members of the British Association of Head and Neck Oncology Nurses was undertaken. The response rate was 43% (74 of 174). Findings revealed a range of existing models of follow-up, rehabilitation and support for people with head and neck cancer across the UK. Specialist staff were open to new models of care and to more responsibility, with adequate training and supervision. There were some gaps in the provision of comprehensive survivorship care and some specific areas of practice in which nurses lacked confidence, knowledge and skills, such as managing medications and complex symptoms. Further research is needed to develop and evaluate effective models of follow-up and support for a growing population of head and neck cancer survivors who have diverse and complex needs.
随着癌症幸存者数量的增加，以及人们越来越认识到传统模式不可持续且导致需求未得到满足，后续跟进和生存护理模式正在发生变化。临床医生在改变头颈癌患者的传统后续跟进做法方面表现出不情愿。本研究旨在探讨护士和专职医疗人员对于该患者群体的后续跟进、整体需求评估和生存护理的看法及做法。对英国头颈肿瘤护理协会的成员进行了一项在线调查。回复率为43%（174人中的74人）。研究结果揭示了英国各地针对头颈癌患者的一系列现有的后续跟进、康复和支持模式。专业工作人员愿意接受新的护理模式并承担更多责任，前提是有足够的培训和监督。在提供全面的生存护理方面存在一些差距，并且在一些特定的实践领域，护士缺乏信心、知识和技能，例如管理药物和复杂症状。需要进一步开展研究，以开发和评估针对需求多样且复杂的越来越多的头颈癌幸存者的有效后续跟进和支持模式。
