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老年病医生、初级保健医生、护士的角色以及在为老年人提供癌症治疗过程中与肿瘤医生的合作:文献综述。

Role of the geriatrician, primary care practitioner, nurses, and collaboration with oncologists during cancer treatment delivery for older adults: A narrative review of the literature.

机构信息

Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.

Ingram School of Nursing, McGill University/Jewish General Hospital, Montreal, Canada.

出版信息

J Geriatr Oncol. 2018 Jul;9(4):398-404. doi: 10.1016/j.jgo.2018.04.008. Epub 2018 May 8.

Abstract

Cancer is a disease that mostly affects older adults. With the aging of the population there will be a considerable increase in the number of older adults with cancer. Optimal care of the older adult with cancer requires the involvement of many types of health care providers, including oncologists, nurses, primary care practitioners, and geriatricians. In this narrative review, the literature for evidence relating to the roles of and collaboration between geriatricians, primary care practitioners, nurses, and the oncology team during cancer treatment delivery to older adults was examined. Relevant abstracts were reviewed by all team members. The full texts were reviewed to identify common themes related to roles and collaboration. The results showed that primary care practitioners felt underutilized and that the communication and collaboration between oncologists and primary care practitioners is challenging due to lack of clarity about roles and lack of timely communication/sharing of all relevant information. Furthermore, some of oncology staff, but not all, saw a need for greater collaboration between oncologists and geriatricians. The lack of availability of geriatricians limited the collaboration. Geriatric oncology nurses perceived themselves as having an important role in geriatric assessment and management, but there was no data on their collaboration with these medical specialists. There is a clear need for improvement of collaboration to improve patient outcomes. In conclusion, further research is needed to examine the impact of geriatric oncology team collaboration on the quality of cancer care, in particular, the role of nurses in supporting quality of care during treatment.

摘要

癌症是一种主要影响老年人的疾病。随着人口老龄化,癌症患者中老年人的数量将大幅增加。为癌症老年患者提供最佳护理需要涉及许多类型的医疗保健提供者,包括肿瘤学家、护士、初级保健医生和老年病学家。在这篇叙述性评论中,我们检查了有关老年病学家、初级保健医生、护士以及肿瘤团队在为老年患者提供癌症治疗过程中角色和协作的文献。所有团队成员都审查了相关摘要。全文回顾以确定与角色和协作相关的共同主题。结果表明,初级保健医生感到未被充分利用,由于角色不明确以及缺乏及时沟通/分享所有相关信息,肿瘤医生和初级保健医生之间的沟通和协作具有挑战性。此外,一些肿瘤科工作人员(但不是全部)认为肿瘤医生和老年病学家之间需要更多的协作。老年病学家的缺乏限制了协作。老年肿瘤护士认为自己在老年评估和管理方面具有重要作用,但没有关于他们与这些医学专家合作的数据。显然需要改进协作以改善患者的预后。总之,需要进一步研究以检查老年肿瘤团队协作对癌症护理质量的影响,特别是护士在治疗期间支持护理质量的作用。

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