School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, ON K7L 3N6, Canada.
Division of Cancer Care and Epidemiology, Queen's Cancer Research Institute, Kingston, ON K7L 3N6, Canada.
Curr Oncol. 2021 Jun 9;28(3):2134-2145. doi: 10.3390/curroncol28030198.
(1) Background: One in two Canadians will be diagnosed with cancer in their lifetime, but as a result of the progress in diagnosis and treatment, more individuals are surviving cancer than ever before. However, the impact of cancer does not end with treatment. The objectives of this review are to (1) provide a broad overview of the supportive care interventions and models of care that have been researched to support Canadian post-treatment cancer survivors; and (2) analyze how these supportive care interventions and/or care models align with the practice recommendations put forth by Cancer Care Ontario (CCO) and the Canadian Association of Psychosocial Oncology/Canadian Partnership Against Cancer (CAPO/CPAC). (2) Methods: An electronic search was completed in MEDLINE, Embase, PsycINFO, and CINAHL in January 2021. Included studies described supportive care interventions or models of care utilized by adult Canadian cancer survivors. (3) Results: Forty-two articles were included. Survivors utilized a multitude of supportive care interventions, with peer support and physical activity programs being most frequently cited. Four models of follow-up care were identified: primary care, oncology care, shared-care, and transition clinics. The supportive care interventions and models of care variably aligned with the recommendations set by CCO and CAPO/CPAC. The most commonly followed recommendation was the promotion of self-management and quality resources for patients. (4) Conclusions: Results indicate an inconsistency in access to supportive care interventions and the delivery of survivorship care for cancer survivors across Canada. Current efforts are being made to implement the recommendations by CCO and CAPO/CPAC; however, provision of these guidelines remains varied.
(1) 背景：每两个加拿大人中就有一个人在其一生中会被诊断出患有癌症，但由于诊断和治疗方面的进展，现在比以往任何时候都有更多的人能够从癌症中存活下来。然而，癌症的影响并不会随着治疗的结束而结束。本次综述的目的是：(1) 对已研究用于支持加拿大治疗后癌症幸存者的支持性护理干预措施和护理模式进行广泛概述；以及 (2) 分析这些支持性护理干预措施和/或护理模式如何与安大略癌症护理 (CCO) 和加拿大心理肿瘤学协会/加拿大癌症伙伴关系 (CAPO/CPAC) 提出的实践建议保持一致。(2) 方法：2021 年 1 月，在 MEDLINE、Embase、PsycINFO 和 CINAHL 中进行了电子检索。纳入的研究描述了加拿大成年癌症幸存者所使用的支持性护理干预措施或护理模式。(3) 结果：共纳入 42 篇文章。幸存者使用了多种支持性护理干预措施，其中同伴支持和体育活动项目被引用最多。确定了四种随访护理模式：初级保健、肿瘤学护理、共享护理和过渡诊所。支持性护理干预措施和护理模式与 CCO 和 CAPO/CPAC 制定的建议不一致。最常遵循的建议是促进患者的自我管理和提供优质资源。(4) 结论：结果表明，加拿大各地癌症幸存者获得支持性护理干预措施和提供生存护理的机会不一致。目前正在努力实施 CCO 和 CAPO/CPAC 的建议；然而，这些指南的提供仍然存在差异。
