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乳腺癌:探索治疗期间及治疗后的事实与整体需求。

Breast Cancer: Exploring the Facts and Holistic Needs during and beyond Treatment.

作者信息

Ng Zhi Xuan, Ong Mei Shan, Jegadeesan Tamilarasi, Deng Shuo, Yap Celestial T

机构信息

Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore.

National University Cancer Institute, Singapore 1192288, Singapore.

出版信息

Healthcare (Basel). 2017 May 24;5(2):26. doi: 10.3390/healthcare5020026.

Abstract

UNLABELLED

Breast cancer patients face challenges throughout the journey of diagnosis, treatment, post-treatment, and recovery. The breast cancer patient is exposed to a multidisciplinary team including doctors, nurses, therapists, counselors, and psychologists. While the team assembled together aims to address multiple facets in breast cancer care, the sub-specialized nature of individual professional practices may constrain the overview of patients' holistic needs and a comprehensive approach to cancer management. This paper aims to provide an overview of the holistic needs of breast cancer patients at each stage of their cancer journey, addressing their complex physical, psychological, and social needs. As every patient is different, cancer care has to be tailored to each patient based on a holistic needs assessment. This paper also explores how support can be provided from the perspectives of the healthcare providers, family members and caretakers. Examples of general practices at healthcare institutions worldwide as well as supportive care provided by support groups are discussed. The needs of breast cancer patients extend beyond the resolution of cancer as a disease, and the restoration of health as far as possible is a critical component of healing. Understanding the complex issues involved in the journey of breast cancer will aid healthcare providers to be better equipped to sensitively address their concerns and focus on healing the patient holistically.

METHODOLOGY

This paper provides a literature review of validated practices in different countries and elaborates on the holistic needs of patients at various stages of recovery. This review is based on more than a decade of publications sourced from multiple resources including PubMed journal articles; books and official websites of breast cancer organizations.

摘要

未标注

乳腺癌患者在诊断、治疗、治疗后及康复的整个过程中都面临挑战。乳腺癌患者会接触到一个多学科团队,包括医生、护士、治疗师、顾问和心理学家。虽然组建的团队旨在解决乳腺癌护理的多个方面,但各个专业实践的亚专业性质可能会限制对患者整体需求的全面了解以及癌症管理的综合方法。本文旨在概述乳腺癌患者在其癌症病程各阶段的整体需求,解决他们复杂的身体、心理和社会需求。由于每个患者都不同,癌症护理必须基于整体需求评估为每个患者量身定制。本文还从医疗保健提供者、家庭成员和护理人员的角度探讨了如何提供支持。讨论了世界各地医疗机构的一般做法示例以及支持团体提供的支持性护理。乳腺癌患者的需求不仅仅是解决癌症这一疾病,尽可能恢复健康是康复的关键组成部分。了解乳腺癌病程中涉及的复杂问题将有助于医疗保健提供者更好地敏感地解决患者的担忧,并专注于全面治愈患者。

方法

本文对不同国家的有效做法进行了文献综述,并阐述了患者在不同康复阶段的整体需求。本综述基于十多年来从包括PubMed期刊文章在内的多种资源、书籍和乳腺癌组织的官方网站获取的出版物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4e9/5492029/3cc54261e6b4/healthcare-05-00026-g001.jpg

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