Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Eur J Oncol Nurs. 2019 Oct;42:36-41. doi: 10.1016/j.ejon.2019.06.011. Epub 2019 Jul 2.
Men in follow up for prostate cancer represent the largest proportion of patients with the illness. In the United Kingdom, primary care is increasingly involved in caring for these patients. Little is known however regarding the factors that determine men's evaluation of their care and primary healthcare professionals' perceptions of the care they provide. This study aimed to investigate patient and primary care based health professionals' perspectives of what constitutes 'good care' for men with prostate cancer, including limiting or facilitating factors.
Semi-structured interviews were conducted with ten patients and eight primary care based healthcare professionals and thematically analysed in collaboration with a patient representative group.
Good care was identified by patient participants, with aspects of communication, including information, active participation, sensitivity of approach and context being highlighted. Healthcare professionals also prioritised communication as the basis of good care and recognised the benefits of locally based services.
Treatments in prostate and other cancers continue to improve with corresponding increases in survival. To further develop and sustain the good care that patients require to help them cope with diagnosis, treatment and long term adjustment, investment in resources, training and innovative communication systems between patients, generalist and specialist services are required.
接受前列腺癌随访的男性患者是该疾病患者中比例最大的群体。在英国，初级保健越来越多地参与到这些患者的护理中。然而，人们对决定男性对其护理的评价以及初级保健专业人员对其提供的护理的看法的因素知之甚少。本研究旨在调查男性前列腺癌患者和基于初级保健的卫生专业人员对“良好护理”的看法，包括限制或促进因素。
对 10 名患者和 8 名基于初级保健的医疗保健专业人员进行了半结构化访谈，并与患者代表小组合作进行了主题分析。
患者参与者确定了良好的护理，包括沟通方面，如信息、积极参与、敏感性和环境。医疗保健专业人员也将沟通作为良好护理的基础，并认识到基于本地的服务的好处。
前列腺癌和其他癌症的治疗方法不断改进，相应的生存率也在提高。为了进一步发展和维持患者所需的良好护理，以帮助他们应对诊断、治疗和长期调整，需要在资源、培训和患者、全科医生和专科医生服务之间的创新沟通系统方面进行投资。
