Gonthier Catherine, Pelletier Sylvie, Gagnon Pierre, Marin Ana, Chiquette Jocelyne, Gagnon Bruno, Roy Louis, Cléophat Jude Emmanuel, Joly Yann, Dorval Michel
Centre de recherche du CHU de Québec - Université Laval, Hôpital du Saint-Sacrement, 1050 Chemin Sainte-Foy, Quebec, QC, G1S 4L8, Canada.
Faculté de pharmacie, Université Laval, Quebec, QC, Canada.
Fam Cancer. 2018 Apr;17(2):303-307. doi: 10.1007/s10689-017-0021-y.
Addressing the concerns of end-of-life patients or their relatives about their family history of cancer could benefit patients and family members. Little is known about how palliative care providers respond to these concerns. The purpose of this pilot study was to assess palliative care providers' knowledge about familial and hereditary cancers and explore their exposure to patients' and relatives' concerns about their family history of cancer, and their self-perceived ability to deal with such concerns. A cross-sectional survey was conducted in the Quebec City (Canada) catchment area among palliative care professionals. Fifty-eight palliative care professionals working in hospice, home care and hospital-based palliative care units completed the questionnaire. All physicians and 63% of nurses occasionally addressed concerns of patients and relatives about their family history of cancer, but they reported a low confidence level in responding to such concerns. They also showed knowledge gaps in defining features of a significant family history of cancer, and most (78%) would welcome specific training on the matter. Our findings highlight the relevance of offering education and training opportunities about familial cancers and associated risks to palliative care providers. The needs and concerns of end-of-life patients and their families need to be explored to ensure palliative care providers can adequately assist patients and their relatives about their family history of cancer. Ethical implications should be considered.
解决临终患者或其亲属对癌症家族史的担忧可能会使患者和家庭成员受益。关于姑息治疗提供者如何回应这些担忧，人们了解得很少。这项试点研究的目的是评估姑息治疗提供者对家族性和遗传性癌症的了解，探讨他们接触到的患者及其亲属对癌症家族史的担忧，以及他们自我感知的处理此类担忧的能力。在加拿大魁北克市的集水区对姑息治疗专业人员进行了一项横断面调查。在临终关怀机构、家庭护理机构和医院姑息治疗病房工作的58名姑息治疗专业人员完成了问卷。所有医生和63%的护士偶尔会处理患者及其亲属对癌症家族史的担忧，但他们表示在回应此类担忧时信心不足。他们在界定重大癌症家族史的特征方面也存在知识空白，大多数人（78%）欢迎就此问题提供具体培训。我们的研究结果凸显了为姑息治疗提供者提供有关家族性癌症及相关风险的教育和培训机会的重要性。需要探索临终患者及其家属的需求和担忧，以确保姑息治疗提供者能够充分协助患者及其亲属了解癌症家族史。应考虑伦理影响。
