Ng Terence, Toh Ming Ren, Cheung Yin Ting, Chan Alexandre
Department of Pharmacy, Faculty of Science, National University of Singapore, Block S4A, Level 3, 18 Science Drive 4, Singapore, 117543, Singapore.
Support Care Cancer. 2015 Nov;23(11):3193-200. doi: 10.1007/s00520-015-2700-2. Epub 2015 Mar 21.
The aim of this study is to evaluate the perspectives of Asian oncology practitioners on the physical and psychosocial issues experienced by breast cancer survivors (BCS), current survivorship care practices, and the barriers to follow-up care.
This was a cross-sectional survey study. Oncology practitioners were recruited from a major cancer center in Singapore and through two regional cancer meetings that took place in Singapore and Malaysia in 2013.
A total of 126 oncology practitioners from various Southeast Asian countries, mostly nurses (58.7 %) and physicians (37.3 %), were recruited. The majority of the respondents agreed that fatigue (78.4 %) and anxiety (69.1 %) were the most common physical and psychosocial problems experienced by BCS. Monitoring for physical and treatment-related adverse effects (80.7 %) and reviewing patients' noncancer medical history (65.3 %) were the most practiced aspects of follow-up care. Compared with the other practitioners, the physicians were more likely to communicate with other healthcare professionals (adjusted OR = 4.24, 95 % CI 1.54 to 11.72; p = 0.005). Most of the respondents also agreed that patient-specific barriers were the main impediments to follow-up care.
This study provides insights into the various aspects of breast cancer survivorship care from the perspectives of oncology practitioners and shows that survivorship care is relatively inadequate in Asia. There is a need for new survivorship care models to meet the needs of Asian BCS and to complement the unique healthcare systems of Asia.
本研究旨在评估亚洲肿瘤学从业者对乳腺癌幸存者所经历的身体和心理社会问题、当前的生存护理实践以及后续护理障碍的看法。
这是一项横断面调查研究。从新加坡的一家主要癌症中心以及2013年在新加坡和马来西亚举行的两次地区癌症会议上招募肿瘤学从业者。
共招募了来自东南亚各国的126名肿瘤学从业者，其中大多数是护士（58.7%）和医生（37.3%）。大多数受访者认为疲劳（78.4%）和焦虑（69.1%）是乳腺癌幸存者最常见的身体和心理社会问题。监测身体和与治疗相关的不良反应（80.7%）以及审查患者的非癌症病史（65.3%）是后续护理中最常实施的方面。与其他从业者相比，医生更有可能与其他医疗保健专业人员沟通（调整后的比值比 = 4.24，95%置信区间1.54至11.72；p = 0.005）。大多数受访者还认为患者特有的障碍是后续护理的主要障碍。
本研究从肿瘤学从业者的角度提供了对乳腺癌生存护理各个方面的见解，并表明亚洲的生存护理相对不足。需要新的生存护理模式来满足亚洲乳腺癌幸存者的需求，并补充亚洲独特的医疗保健系统。
