Hawkins Nikki A, Berkowitz Zahava, Rodriguez Juan, Miller Jacqueline W, Sabatino Susan A, Pollack Lori A
Centers for Disease Control and Prevention in Atlanta, GA.
Oncol Nurs Forum. 2015 May;42(3):233-40. doi: 10.1188/15.ONF.233-240.
PURPOSE/OBJECTIVES: To explore the impact of health professionals' recommendations for medical follow-up among colorectal cancer (CRC) survivors.
Cross-sectional survey.
Mailed surveys and telephone interviews with CRC survivors in California.
593 adults diagnosed with a primary CRC six to seven years before the time of the study.
Participants were identified through California Cancer Registry records and invited to take part in a survey delivered via mail or through telephone interview.
The survey assessed cancer history, current preventive health practices, health status, demographics, and other cancer-related experiences.
More than 70% of CRC survivors received recommendations for routine checkups, surveillance colonoscopy, or other cancer screenings after completing CRC treatment, and 18%-22% received no such recommendations. Recommendations were sometimes given in writing. Receiving a recommendation for a specific type of follow-up was associated with greater adherence to corresponding guidelines for routine checkups, colonoscopy, mammography, and Papanicolaou testing. Receiving written (versus unwritten) recommendations led to greater adherence only for colonoscopy.
Most CRC survivors reported receiving recommendations for long-term medical follow-up and largely adhered to guidelines for follow-up. Receiving a health professional's recommendation for follow-up was consistently associated with patient adherence, and limited evidence showed that recommendations in written form led to greater adherence than unwritten recommendations.
Given the increasingly important role of the oncology nurse in survivorship care, nurses can be instrumental in ensuring appropriate surveillance and follow-up care among CRC survivors. Conveying recommendations in written form, as is done in survivorship care plans, may be particularly effective.
目的/目标：探讨医疗保健专业人员对结直肠癌（CRC）幸存者进行医学随访建议的影响。
横断面调查。
对加利福尼亚州的CRC幸存者进行邮寄调查和电话访谈。
593名在研究前六至七年被诊断为原发性CRC的成年人。
通过加利福尼亚癌症登记处记录确定参与者，并邀请他们参加通过邮件或电话访谈进行的调查。
该调查评估了癌症病史、当前的预防保健措施、健康状况、人口统计学特征以及其他与癌症相关的经历。
超过70%的CRC幸存者在完成CRC治疗后收到了进行常规检查、监测结肠镜检查或其他癌症筛查的建议，18%-22%的幸存者未收到此类建议。建议有时会以书面形式给出。收到针对特定类型随访的建议与更严格遵守常规检查、结肠镜检查、乳房X线摄影和巴氏试验的相应指南相关。仅在结肠镜检查方面，收到书面（而非口头）建议会导致更高的依从性。
大多数CRC幸存者报告收到了长期医学随访的建议，并且在很大程度上遵守了随访指南。收到医疗保健专业人员的随访建议始终与患者的依从性相关，有限的证据表明书面建议比口头建议导致更高的依从性。
鉴于肿瘤护士在幸存者护理中日益重要的作用，护士在确保CRC幸存者获得适当的监测和随访护理方面可以发挥重要作用。像在幸存者护理计划中那样以书面形式传达建议可能特别有效。
