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绘制食管胃交界癌患者及其主要支持者在诊断、治疗和生存轨迹上的信息需求图谱:一项回顾性调查。

Mapping Information Needs over the Diagnosis, Treatment, and Survivorship Trajectory for Esophago-gastric Cancer Patients and Their Main Supporters: a Retrospective Survey.

机构信息

Flinders Centre for Innovation in Cancer, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.

National Centre for Education and Training on Addiction (NCETA), Flinders University, Bedford Park, South Australia, Australia.

出版信息

J Cancer Educ. 2022 Jun;37(3):655-661. doi: 10.1007/s13187-020-01862-7.

Abstract

This study reports preliminary data about the information needs of esophago-gastric cancer survivors and their supporters across diagnosis and treatment by identifying time-specific needs and whether the information provided aligned with the needs at each time point. Survivors (n = 26) and supporters (n = 15) were recruited from a public teaching hospital in South Australia. Both groups provided recall data describing personal information domain challenges at 6 clinically significant time points ranging from diagnosis to > 2 years post diagnosis. Responses were analyzed using descriptive statistics for non-normally distributed data. Needs relating to communication, tests, disease, and the physical effects information domains were consistently high across time and in groups. Supporters' overall needs were greater than those of survivors, particularly at times of high need. At times of low need, both groups reported information overload. Our results confirm that survivors and supporters require information throughout the cancer trajectory, up to 2 years after diagnosis, and supporters' needs are likely to be even greater. Results highlight the importance of timely and relevant information provision and provide a basis for the development of resources to empower survivors and supporters to identify and articulate their personal information needs. Patient navigators may provide an avenue to facilitate this approach.

摘要

本研究通过确定特定时间的需求以及所提供的信息是否与每个时间点的需求一致,报告了有关食管胃交界癌患者及其支持者在诊断和治疗过程中的信息需求的初步数据。从南澳大利亚的一家公立教学医院招募了 26 名患者和 15 名支持者。这两个群体都提供了回忆数据,描述了在 6 个具有临床意义的时间点(从诊断到诊断后>2 年)个人信息领域的挑战。使用非正态分布数据的描述性统计方法对响应进行了分析。与沟通、检查、疾病和身体影响信息领域相关的需求在整个时间和各个群体中都保持较高水平。支持者的整体需求大于幸存者,特别是在需求较高的时期。在需求较低的时期,两组都报告了信息过载。我们的结果证实,患者及其支持者在癌症治疗过程中,包括诊断后 2 年内,都需要信息,而支持者的需求可能更大。结果强调了及时提供相关信息的重要性,并为开发资源提供了依据,以增强患者及其支持者识别和表达个人信息需求的能力。患者导航员可能为促进这种方法提供了途径。

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