M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, PA, USA.
Nurs Forum. 2021 Apr;56(2):421-428. doi: 10.1111/nuf.12558. Epub 2021 Feb 26.
This concept analysis aims to formulate a unique theoretical definition of the term remission as used in cancer survivorship.
Inadequate communication between healthcare providers and cancer survivors is a shared burden affecting survivor well-being. Healthcare providers regularly use the term remission in cancer prognosis, treatment, and long-term cancer management; yet, how healthcare providers and cancer survivors define and interpret the concept of remission is less understood.
The Walker and Avant method of concept analysis was applied to define the term remission within the domain of cancer survivorship. DATA SOURCE: Three health sciences databases were chosen for the literature search, including PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Ovid Medline. REVIEW METHODS: Included research articles were evaluated to define the antecedents, attributes, consequences, and empirical referents of the term remission.
A cancer diagnosis is the most commonly cited antecedent to cancer remission. During remission, most cancer patients are free of measurable or symptomatic disease; however, the remission milestone is complemented by multiple physical and psychological symptoms. More specific cancer remission attributes include anxiety, recurrence fears, self-perseverance, and loss of social support. Both positive and negative outcomes accompany cancer remission, including acceptance of the treatment journey, appreciation for life, hope, persistent anxiety, personal relief, and triggered memories.
This concept analysis reviewed numerous publications to understand remission in the context of cancer survivorship. Advanced practice and registered nurses have a continued opportunity to improve the communication methods of patient-centered teaching and care planning for cancer patients in remission.
本概念分析旨在为癌症生存者中使用的缓解一词制定独特的理论定义。
医疗保健提供者与癌症幸存者之间沟通不足是一个共同的负担，影响着幸存者的幸福感。医疗保健提供者经常在癌症预后、治疗和长期癌症管理中使用缓解一词；然而，医疗保健提供者和癌症幸存者如何定义和解释缓解的概念了解甚少。
应用沃克和奥范特的概念分析方法来定义癌症生存者领域中的缓解一词。
选择了三个健康科学数据库进行文献检索，包括 PubMed、 Cumulative Index to Nursing and Allied Health Literature 和 Ovid Medline。
评估纳入的研究文章，以定义缓解一词的前因、属性、后果和经验参考。
癌症诊断是缓解的最常见前因。在缓解期间，大多数癌症患者没有可测量或有症状的疾病；然而，缓解里程碑伴随着多种身体和心理症状。更具体的癌症缓解属性包括焦虑、复发恐惧、自我坚持和失去社会支持。癌症缓解伴随着积极和消极的结果，包括接受治疗过程、珍惜生命、希望、持续的焦虑、个人解脱和触发的记忆。
本概念分析审查了许多出版物，以了解癌症生存者背景下的缓解。高级实践和注册护士有机会继续改进以患者为中心的教学和护理计划的沟通方法，为缓解期的癌症患者提供服务。
