Recklitis Christopher J, Syrjala Karen L
Perini Family Survivors' Center, Dana Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Biobehavioral Sciences Department, Fred Hutchinson Cancer Research Center and University of Washington School of Medicine, Seattle, WA, USA.
Lancet Oncol. 2017 Jan;18(1):e39-e50. doi: 10.1016/S1470-2045(16)30659-3.
Meeting the psychosocial needs of patients with cancer has been recognised as a priority within oncology care for several decades. Many approaches that address these needs have been developed and described; however, until recently much of this work had focused on patients during treatment and end-of-life care. With continued improvement in therapies, the population of cancer survivors who can expect to live for 5 or more years after cancer diagnosis has increased dramatically, as have associated concerns about how to meet their medical, psychosocial, and health behaviour needs after treatment. Guidelines and models for general survivorship care routinely address psychosocial needs, and similar guidelines for psychosocial care of patients with cancer are being extended to address the needs of survivors. In this Series paper, we summarise the existing recommendations for the provision of routine psychosocial care to survivors, as well as the challenges present in providing this care. We make specific recommendations for the integration of psychosocial services into survivorship care.
几十年来，满足癌症患者的心理社会需求一直被视为肿瘤护理的优先事项。已经开发并描述了许多满足这些需求的方法；然而，直到最近，这项工作的大部分都集中在治疗期间和临终护理的患者身上。随着治疗方法的不断改进，癌症诊断后有望存活5年或更长时间的癌症幸存者人数大幅增加，同时人们也越来越关注如何满足他们治疗后的医疗、心理社会和健康行为需求。一般生存护理的指南和模式通常会涉及心理社会需求，针对癌症患者心理社会护理的类似指南也在不断扩展，以满足幸存者的需求。在本系列论文中，我们总结了为幸存者提供常规心理社会护理的现有建议，以及提供这种护理所面临的挑战。我们就将心理社会服务纳入生存护理提出了具体建议。
