Drury Amanda, Payne Sheila, Brady Anne-Marie
School of Nursing & Midwifery, Faculty of Health Sciences, Trinity College Dublin, Dublin 2, Ireland.
International Observatory on End of Life Care, Division of Health Research, Lancaster University, Lancaster, UK.
Eur J Oncol Nurs. 2017 Aug;29:135-147. doi: 10.1016/j.ejon.2017.06.006. Epub 2017 Jul 10.
PURPOSE: Previous conceptualizations of cancer survivorship have focused on heterogeneous cancer survivors, with little consideration of the validity of conclusions for homogeneous tumour groups. This paper aims to examine the concept of cancer survivorship in the context of colorectal cancer (CRC). METHOD: Rodgers' (1989) Evolutionary Method of Concept Analysis guided this study. A systematic search of PUBMED, CINAHL, PsycINFO and The Cochrane Library was conducted in November 2016 to identify studies of CRC survivorship. The Braun and Clarke (2006) framework guided the analysis and interpretation of data extracted from eighty-five publications. RESULTS: Similar to general populations of cancer survivors, CRC survivors experience survivorship as an individual, life-changing process, punctuated by uncertainty and a duality of positive and negative outcomes affecting quality of life. However, CRC survivors experience specific concerns arising from the management of their disease. The concept of cancer survivorship has evolved over the past decade as the importance of navigating the healthcare system and its resources, and the constellation of met and unmet needs of cancer survivors are realised. CONCLUSIONS: The results highlight core similarities between survivorship in the context of CRC and other tumour groups, but underlines issues specific to CRC survivorship. Communication and support are key issues in survivorship care which may detrimentally affect CRC survivors' well-being if they are inadequately addressed. Healthcare professionals (HCP's) therefore have a duty to ensure cancer survivors' health, information and supportive care needs are met in the aftermath of treatment.
目的:以往对癌症幸存者的概念化界定主要集中在异质性癌症幸存者群体上,很少考虑针对同质性肿瘤群体得出的结论的有效性。本文旨在探讨结直肠癌(CRC)背景下的癌症幸存者概念。 方法:本研究以罗杰斯(1989年)的概念分析进化方法为指导。2016年11月对PubMed、CINAHL、PsycINFO和考科蓝图书馆进行了系统检索,以确定关于CRC幸存者的研究。布劳恩和克拉克(2006年)的框架指导了对从85篇出版物中提取的数据的分析和解释。 结果:与一般癌症幸存者群体相似,CRC幸存者将生存视为一个改变个人生活的过程,充满不确定性,且积极和消极结果的双重性会影响生活质量。然而,CRC幸存者会因疾病管理而产生特定的担忧。随着人们认识到在医疗系统及其资源中导航的重要性以及癌症幸存者已满足和未满足的需求的总和,癌症幸存者的概念在过去十年中不断演变。 结论:研究结果突出了CRC背景下的幸存者与其他肿瘤群体之间的核心相似之处,但也强调了CRC幸存者特有的问题。沟通和支持是幸存者护理中的关键问题,如果处理不当,可能会对CRC幸存者的幸福感产生不利影响。因此,医疗保健专业人员有责任确保癌症幸存者在治疗后的健康、信息和支持性护理需求得到满足。
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