Chao Yu-Huan, Lee Tzu-I, Sheu Shuh-Jen
MSN, RN, Lecturer, Department of Nursing, Hung Kuang University, and Doctoral Candidate, School of Nursing, National Yang-Ming University, Taiwan, ROC.
MSN, RN, Doctoral Candidate, School of Nursing, National Yang-Ming University, Taiwan, ROC.
Hu Li Za Zhi. 2018 Feb;65(1):83-89. doi: 10.6224/JN.201802_65(1).11.
Breast cancer significantly threatens the life of women, while the adverse effects of cancer treatment degrade quality of life and psychological well-being. The quality of transitional care following the completion of treatment significantly affects the ability of breast cancer patients to transition successfully into survivorship. This paper introduces multiple theoretical perspectives and provides an overview of the tenets of each in order to identify the positions of breast cancer survivors and to highlight the factors and strategies that influence their transitional care. The theoretical perspectives that are introduced include the social-ecological model, transition theory, and the strengths perspective. In order to improve the holistic care of women with breast cancer, factors relevant to transition are categorized into the individual, interpersonal, organizational, community, and policy levels. Furthermore, empirical interventions, which are based on the respective advantages of the various levels of the social-ecological model, are proposed in order to conform to the sociocultural context and clinical practices. Healthcare providers should leverage the strengths and resources at each level to develop feasible strategies and to provide quality of care in order to assist breast cancer patients to transition successfully from treatment to survivorship and to holistically improve their subsequent quality of life and function.
乳腺癌严重威胁着女性的生命，而癌症治疗的副作用会降低生活质量和心理健康水平。治疗结束后的过渡性护理质量会显著影响乳腺癌患者成功过渡到康复期的能力。本文介绍了多种理论观点，并概述了每种观点的原则，以便确定乳腺癌幸存者的立场，并突出影响其过渡性护理的因素和策略。所介绍的理论观点包括社会生态模型、过渡理论和优势视角。为了改善对乳腺癌女性的整体护理，与过渡相关的因素被分为个人、人际、组织、社区和政策层面。此外，基于社会生态模型各层面的各自优势，提出了实证干预措施，以符合社会文化背景和临床实践。医疗保健提供者应利用各层面的优势和资源来制定可行的策略，并提供优质护理，以帮助乳腺癌患者成功从治疗过渡到康复期，并全面改善其后续的生活质量和功能。
