Zhao Yan, Brettle Alison, Qiu Ling
Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510230, CN.
School of Nursing and Midwifery, University of Salford, Salford, Greater Manchester, M5 4WT, UK.
Int J Integr Care. 2018 Oct 12;18(4):2. doi: 10.5334/ijic.3954.
To determine whether the shared care model during the follow-up of cancer survivors is effective in terms of patient-reported outcomes, clinical outcomes, and continuity of care.
Using systematic review methods, studies were searched from six electronic databases-MEDLINE (n = 474), British Nursing Index (n = 320), CINAHL (n = 437), Cochrane Library (n = 370), HMIC (n = 77), and Social Care Online (n = 210). The review considered all health-related outcomes that evaluated the effectiveness of shared care for cancer survivors.
Eight randomised controlled trials and three descriptive papers were identified. The results showed the likelihood of similar effectiveness between shared care and usual care in terms of quality of life, mental health outcomes, unmet needs, and clinical outcomes in cancer survivorship. The reviewed studies indicated that shared care overall is highly acceptable to cancer survivors and primary care practitioners, and shared care might be cheaper than usual care.
The results from this review suggest that the patient satisfaction of shared care is higher than usual care, and the effectiveness of shared care is similar to usual care in cancer survivorship. Interventions that formally involve primary care and improve the communication between primary care and hospital care could support the PCPs in the follow-up.
确定癌症幸存者随访期间的共享护理模式在患者报告结局、临床结局及护理连续性方面是否有效。
采用系统评价方法，从六个电子数据库进行检索——医学索引数据库（n = 474）、英国护理索引数据库（n = 320）、护理学与健康领域数据库（n = 437）、考克兰图书馆（n = 370）、英国健康与社会保健管理数据库（n = 77）以及社会护理在线数据库（n = 210）。该评价纳入了所有评估癌症幸存者共享护理有效性的健康相关结局。
共识别出八项随机对照试验和三篇描述性论文。结果显示，在癌症幸存者的生活质量、心理健康结局、未满足需求及临床结局方面，共享护理与常规护理的有效性可能相似。经审查的研究表明，总体而言，共享护理受到癌症幸存者和初级保健从业者的高度认可，且共享护理可能比常规护理成本更低。
本评价结果表明，在癌症幸存者护理中，共享护理的患者满意度高于常规护理，且共享护理的有效性与常规护理相似。正式纳入初级保健并改善初级保健与医院护理之间沟通的干预措施，可在随访中为初级保健医生提供支持。
