Esser Peter, Mehnert-Theuerkauf Anja
Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Deutschland.
Onkologe (Berl). 2021;27(8):766-770. doi: 10.1007/s00761-021-00945-4. Epub 2021 Apr 23.
Survivorship care programs (SCP) are increasingly being implemented in order to ensure long-term and comprehensive care of physical and psychosocial cancer-related sequelae among survivors. In this article, we provide a short overview of SCP and the importance of health-related self-management.
The broad definition of "survivorship" and the high diversity of impairments among cancer survivors warrants a personalized and multidimensional approach. This in turn requires both interdisciplinary and integrated care. To date, the state of knowledge on the efficacy of SCP is limited. A central aim of SCP is to increase health-related self-management, which in turn requires the ability to correctly evaluate and apply health-related information in order to resolve health-related problems (health literacy). Due to the technological developments, additional skills are needed to stay health literate (digital health literacy).
Further research on the efficacy of SCP is warranted. Both advantages and risks of digital health programs need to be carefully weighed to avoid inequalities in health care ("digital divide"). Specific education programs to improve digital health literacy may help to minimize such risks.
为确保癌症幸存者长期、全面地护理身体和心理社会方面与癌症相关的后遗症，越来越多地实施幸存者护理计划（SCP）。在本文中，我们简要概述了SCP以及与健康相关的自我管理的重要性。
“幸存者”的宽泛定义以及癌症幸存者中损伤的高度多样性需要一种个性化和多维度的方法。这反过来又需要跨学科和综合护理。迄今为止，关于SCP疗效的知识状况有限。SCP的一个核心目标是增强与健康相关的自我管理能力，这反过来又需要能够正确评估和应用与健康相关的信息以解决与健康相关的问题（健康素养）。由于技术发展，要保持健康素养还需要额外的技能（数字健康素养）。
有必要对SCP的疗效进行进一步研究。需要仔细权衡数字健康计划的优点和风险，以避免医疗保健中的不平等（“数字鸿沟”）。提高数字健康素养的特定教育计划可能有助于将此类风险降至最低。
