Johnston Grace M, Park Grace, Urquhart Robin, Walsh Gordon, McCallum Meg, Rigby Krista
Cancer Registry and Analytics, Nova Scotia Cancer Care Program, Nova Scotia Health Authority, and School of Health Administration, Faculty of Health, Dalhousie University, Halifax, NS.
Faculty of Medicine, Dalhousie University, Halifax, NS.
Can Oncol Nurs J. 2019 Feb 1;29(1):17-24. doi: 10.5737/236880762911724. eCollection 2019 Winter.
Cancer patient navigation in Canada began in 2002 in Nova Scotia with oncology nurses providing support to patients from diagnosis up to and including end of life. This novel study was carried out to determine navigation frequency and palliative care contact rates, and variations in these rates among adults who were diagnosed with cancer, navigated, and then died between 2011 and 2014. Among the 2,532 study subjects, 56.7% were navigated for more than one month and 30.6% had palliative care contact reported. Variations were observed by geographic area, cancer stage, time from diagnosis to death, and whether the person died of cancer. Further study of the role of navigation is advised for persons at end of life.
加拿大的癌症患者导航服务始于2002年，在新斯科舍省开展，肿瘤护士为患者提供从诊断直至生命终结的支持。这项新研究旨在确定导航服务的频率和姑息治疗接触率，以及在2011年至2014年间被诊断患有癌症、接受导航服务并随后死亡的成年人中这些比率的差异。在2532名研究对象中，56.7%的人接受导航服务超过一个月，30.6%的人有接受姑息治疗的记录。研究发现，这些比率在地理区域、癌症阶段、从诊断到死亡的时间以及患者是否死于癌症等方面存在差异。建议对临终患者的导航服务作用进行进一步研究。
