Department of Applied Health Research, University College London (UCL), 1-19 Torrington Place, London, WC1E 7HB, UK.
Instituto de Ciencias Antropológicas, Sección Antropología Social, Facultad de Filosofía y Letras, Universidad de Buenos Aires, CONICET, Puan 480, 1420, Buenos Aires, Argentina.
Support Care Cancer. 2018 Sep;26(9):2973-2982. doi: 10.1007/s00520-018-4266-2. Epub 2018 May 23.
Traveling for cancer care is difficult as patients might be suffering from the side effects of treatment, need to cover additional costs, and face disruption of daily life. The aim of this review was to synthesize the evidence on travel needs and experiences during cancer treatment from the point of view of patients and their families.
This is a systematic review of the literature. The PRISMA statement was used to guide the reporting of the methods and findings. We searched for peer-reviewed articles in MEDLINE, CINAHL PLUS, and Web of Science and selected articles based on the following criteria: focused on patients and their families; presented findings from empirical studies; and examined travel and transport experiences for cancer screening, treatment, and related care. The MMAT was used to assess the quality of the studies.
A total of 16 articles were included in the review. Most of the studies used a qualitative design, were carried out in high-income countries and were conducted more than 10 years ago. Several problems were reported regarding travel and relocation: social and physical demands of transport, travel, and relocation; life disruption and loss of daily routines; financial impact; and anxieties and support needs when returning home.
Patients and carers consistently reported lack of support when traveling, relocating, and returning home. Future research needs to explore patient experiences under current treatment protocols and healthcare delivery models, in a wider range of geographical contexts, and different stages of the patient pathway.
由于患者可能正在遭受治疗副作用的折磨、需要承担额外费用以及面临日常生活的中断，因此癌症治疗期间的出行较为困难。本综述的目的是从患者及其家属的角度综合癌症治疗期间出行需求和经历方面的证据。
这是一项文献系统综述。采用 PRISMA 声明来指导方法和发现的报告。我们在 MEDLINE、CINAHL PLUS 和 Web of Science 中搜索同行评审文章，并根据以下标准选择文章：聚焦于患者及其家属；呈现来自实证研究的结果；并检查癌症筛查、治疗和相关护理方面的旅行和交通体验。使用 MMAT 评估研究质量。
综述共纳入 16 篇文章。大多数研究采用定性设计，在高收入国家进行，且开展于 10 多年前。关于旅行和搬迁，报道了几个问题：交通、旅行和搬迁的社会和身体需求；生活中断和日常作息的丧失；经济影响；以及返回家园时的焦虑和支持需求。
患者和护理人员在旅行、搬迁和返回家园时一致报告缺乏支持。未来的研究需要在更广泛的地理背景和患者路径的不同阶段，根据当前治疗方案和医疗服务提供模式来探索患者的体验。
