Wieldraaijer T, Duineveld L A M, van Asselt K M, van Geloven A A W, Bemelman W A, van Weert H C P M, Wind J
Department of Primary Care, Academic Medical Centre, Amsterdam, The Netherlands.
Department of Primary Care, Academic Medical Centre, Amsterdam, The Netherlands.
Eur J Surg Oncol. 2017 Jan;43(1):118-125. doi: 10.1016/j.ejso.2016.08.011. Epub 2016 Aug 31.
Colon cancer survivors experience physical and psychosocial problems that are currently not adequately addressed. This study investigated distress in patients after curative surgery for colon cancer and studied how this corresponds with the need for supportive care.
Prospective cohort of patients with stage I-III colon carcinoma, treated with curative intent, currently in follow-up at 6 different hospitals. A survey recorded symptoms, experienced problems, and (un)expressed needs. Satisfaction with supportive care was recorded.
Two hundred eighty four patients were included; 155 males and 129 females, with a mean age of 68 years (range 33-95), and a median follow-up of 7 months. 227 patients completed the survey. Patients experienced a median of 23 symptoms in the week before the survey, consisting of a median of 10 physical, 8 psychological and 4 social symptoms. About a third of these symptoms was felt to be a problem. Patients with physical problems seek supportive care in one in three cases, while patients with psychosocial problems only seek help in one in eight cases. Patients who recently finished treatment, finished adjuvant chemotherapy, or had a stoma, had more symptoms and needed more help in all domains. Patients most frequently consulted general practitioners (GPs) and surgeons, and were satisfied with the help they received.
Colon cancer survivors experience many symptoms, but significantly fewer patients seek help for a psychosocial problem than for a physical problem. Consultations with supportive care are mainly with GPs or surgeons, and both healthcare providers are assessed as providing satisfying care.
结肠癌幸存者面临身体和心理社会问题，目前这些问题未得到充分解决。本研究调查了结肠癌根治性手术后患者的痛苦，并研究其与支持性护理需求的相关性。
对6家不同医院正在接受随访的I - III期结肠癌根治性治疗患者进行前瞻性队列研究。通过一项调查记录症状、经历的问题以及（未）表达的需求。记录对支持性护理的满意度。
纳入284例患者；其中男性155例，女性129例，平均年龄68岁（范围33 - 95岁），中位随访时间7个月。227例患者完成了调查。患者在调查前一周中位经历23种症状，其中包括中位10种身体症状、8种心理症状和4种社会症状。这些症状中约三分之一被认为是问题。身体有问题的患者在三分之一的情况下寻求支持性护理，而心理社会有问题的患者仅在八分之一的情况下寻求帮助。近期完成治疗、完成辅助化疗或有造口的患者在所有方面有更多症状且需要更多帮助。患者最常咨询全科医生（GP）和外科医生，并对所获得的帮助感到满意。
结肠癌幸存者经历多种症状，但因心理社会问题寻求帮助的患者明显少于因身体问题寻求帮助的患者。与支持性护理的咨询主要是与全科医生或外科医生进行，且这两种医疗服务提供者均被评估为提供了令人满意的护理。
