Rachakonda Krishna, George Mathew, Shafiei Mohsen, Oldmeadow Christopher
Mildura Base Hospital, Mildura, VIC, Australia.
Department of Medical Oncology, Northwest Regional Cancer Centre, Tamworth, Australia.
World J Oncol. 2015 Aug;6(4):387-393. doi: 10.14740/wjon928w. Epub 2015 Aug 27.
There is a discernible, often ignored under-evaluated care-management gap in supportive cancer care, where the estimated clinical outcome is seldom translated into patient-centered benefit.
The present research is an exploratory cross-sectional quantitative questionnaire survey study done in rural regions of Australia with the sole purpose of evaluating the care-management gap in terms of the unmet supportive needs of advanced cancer patients to provide baseline data for planning, drafting and implementing innovative and effective supportive care services that will address the specific priorities and unmet needs identified in this vulnerable population in the remote and rural regions.
The questionnaire (NA-ACP) was comprised of 132 questions covering seven domains of supportive care. Three centers in rural regions of Australia were selected for the study. While center 1 had medical and surgical specialties, centers 2 and 3 were outreach oncology clinics with nurse-led chemotherapy units. A total sample of 75 patients getting continuous treatment procedures at these three oncology units was given the NA-ACP questionnaire.
The data from this study can be used to improve and inform care for this population by identifying specific unmet supportive needs.
在支持性癌症护理中存在一个明显的、常常被忽视且评估不足的护理管理差距，即预计的临床结果很少转化为以患者为中心的益处。
本研究是一项探索性横断面定量问卷调查研究，在澳大利亚农村地区开展，其唯一目的是根据晚期癌症患者未满足的支持性需求评估护理管理差距，以便为规划、起草和实施创新且有效的支持性护理服务提供基线数据，这些服务将满足偏远和农村地区这一弱势群体中确定的具体优先事项和未满足的需求。
问卷（NA - ACP）由132个问题组成，涵盖支持性护理的七个领域。澳大利亚农村地区的三个中心被选作研究对象。中心1有医学和外科专科，中心2和3是由护士主导化疗单元的外展肿瘤诊所。这三个肿瘤治疗单元中正在接受持续治疗程序的75名患者被给予了NA - ACP问卷。
本研究的数据可用于通过识别具体未满足的支持性需求来改善和指导对这一人群的护理。
