肿瘤学中的支持性护理模式。
Models of supportive care in oncology.
机构信息
Department of Palliative Care, Rehabilitation and Integrative Medicine, MD Anderson Cancer Center, Houston, Texas, USA.
出版信息
Curr Opin Oncol. 2021 Jul 1;33(4):259-266. doi: 10.1097/CCO.0000000000000733.
PURPOSE OF REVIEW
Supportive care services have evolved overtime to meet the growing supportive care need of patients with cancer and their families. In this review, we summarize existing definitions of supportive care, highlight empiric studies on supportive care delivery, and propose an integrated conceptual framework on supportive cancer care.
RECENT FINDINGS
Supportive care aims at addressing the patients' physical, emotional, social, spiritual, and informational needs throughout the disease trajectory. Interdisciplinary teams are needed to deliver multidimensional care. Oncology teams have an important role providing supportive care in the front lines and referring patients to supportive care services such as palliative care, social work, rehabilitation, psycho-oncology, and integrative medicine. However, the current model of as needed referral and siloed departments can lead to heterogeneous access and fragmented care. To overcome these challenges, we propose a conceptual model in which supportive care services are organized under one department with a unified approach to patient care, program development, and research. Key features of this model include universal referral, systematic screening, tailored specialist involvement, streamlined care, collaborative teamwork, and enhanced outcomes.
SUMMARY
Further research is needed to develop and test innovative supportive care models that can improve patient outcomes.
目的综述
随着癌症患者及其家属对支持性护理需求的不断增长，支持性护理服务也在不断发展。在这篇综述中，我们总结了现有的支持性护理定义，强调了支持性护理提供的实证研究，并提出了一个综合的癌症支持性护理概念框架。
最近的发现
支持性护理旨在满足患者在疾病全程中的身体、情感、社会、精神和信息需求。需要多学科团队提供多维护理。肿瘤团队在提供一线支持性护理方面发挥着重要作用，并将患者转介到支持性护理服务，如姑息治疗、社会工作、康复、心理肿瘤学和整合医学。然而，目前按需转诊和部门孤立的模式可能导致服务获取的不均等和护理的碎片化。为了克服这些挑战，我们提出了一个概念模型，即将支持性护理服务组织在一个部门下，采用统一的方法进行患者护理、项目开发和研究。该模型的主要特点包括普遍转诊、系统筛查、量身定制的专家参与、简化护理、协作团队和增强的结果。
总结
需要进一步研究以开发和测试能够改善患者结局的创新支持性护理模式。
Zotero 插件