Welch-McCaffrey D, Hoffman B, Leigh S A, Loescher L J, Meyskens F L
Arizona Cancer Center, Tucson.
Ann Intern Med. 1989 Sep 15;111(6):517-24. doi: 10.7326/0003-4819-111-6-517.
To address the psychosocial implications of surviving adult cancers by a comprehensive review of the literature.
An English-language literature search using MEDLINE (1970 to 1988). Index Medicus (1970 to 1988), and bibliographic reviews of textbooks and review articles.
Of 103 originally identified articles, 58 that specifically addressed the stated purpose were selected.
Four authors reviewed and critiqued the literature extrapolating the major themes on this topic.
There is little information on the many psychosocial variables that affect an adult's long-term cancer survival trajectory. Collation of data identified the following significant psychosocial themes: fear of recurrence and death, relationships with the health care team, adjustment to physical compromise, alterations in customary social support, isolationism, psychosocial reorientation, and employment and insurance problems.
The continuation of a rehabilitation effort begun around the initial diagnosis of cancer would be instrumental in providing post-therapy evaluation and guidance needed by adult long-term survivors of cancer. Education, research, and support interventions need to be mobilized for this population of adults with a history of cancer.
通过对文献的全面综述来探讨成年癌症幸存者的心理社会影响。
使用MEDLINE（1970年至1988年）进行英文文献检索。《医学索引》（1970年至1988年），以及教科书和综述文章的书目综述。
在最初识别的103篇文章中，选择了58篇专门论述既定目的的文章。
四位作者对文献进行了回顾和批判，推断出该主题的主要主题。
关于影响成年人长期癌症生存轨迹的许多心理社会变量的信息很少。数据整理确定了以下重要的心理社会主题：对复发和死亡的恐惧、与医疗团队的关系、对身体损伤的适应、习惯社会支持的改变、孤立主义、心理社会重新定位以及就业和保险问题。
在癌症初步诊断时开始的康复努力的持续，将有助于为成年癌症长期幸存者提供所需的治疗后评估和指导。需要为有癌症病史的成年人群体开展教育、研究和支持干预措施。
