Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College St, Suite 130, Toronto, Ontario, Canada, M5T 1P8; Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College St, Suite 130, Toronto, Ontario, Canada, M5T 1P8.
Eur J Oncol Nurs. 2021 Oct;54:102040. doi: 10.1016/j.ejon.2021.102040. Epub 2021 Sep 14.
Quality supportive care during cancer survivorship contributes to positive physical and psychosocial health. However, the potential positive impacts are influenced by survivors' perceptions of and ability to access the supportive care services that they deem important to their well-being. The purpose of this integrative review was to examine cancer survivors' preferences for the organization and delivery of supportive care services in the post-treatment period.
We conducted a systematic search for relevant quantitative, qualitative and mixed methods studies. Included studies were analyzed using directed content analysis, focused on models of care and type of provider, site of care, specialized services, structural supports through transitions, and sources of information.
Sixty-nine studies were included. Overall, survivors' preferences are not static and fluctuate over time based on their perceived health needs, concerns and points of transition in care. While specialist supportive care led by consultant oncologists is often identified as the preferred model of care, survivors' also express preferences for integrated and shared models of care, involving oncology nurses, primary care and multidisciplinary professionals to optimise coordination and impact of supportive care. Flexibility in care delivery, leveraging technology and expertise, was preferred to ensure convenient and timely access to supportive care.
Cancer survivors express preferences for the organization and delivery of supportive care in the post-treatment phase that fluctuate based on their perceived health needs. The development of novel survivorship health services must consider survivors' preferences and allow flexibility in care delivery to facilitate engagement, uptake, and effectiveness.
癌症生存者在癌症康复期间接受高质量的支持性护理有助于促进其身体和心理的健康。然而，这些支持性护理服务的潜在积极影响受到生存者对其认为对自身福祉重要的支持性护理服务的看法和获取能力的影响。本综述的目的是探讨癌症生存者在治疗后阶段对支持性护理服务的组织和提供方式的偏好。
我们对相关的定量、定性和混合方法研究进行了系统搜索。使用有针对性的内容分析对纳入的研究进行分析，重点关注护理模式和提供者类型、护理地点、专门服务、通过过渡提供的结构支持以及信息来源。
共纳入 69 项研究。总体而言，生存者的偏好不是静态的，而是根据其感知到的健康需求、关注点和护理过渡点的变化而波动。虽然由肿瘤专家主导的专科支持性护理通常被认为是首选的护理模式，但生存者也表达了对整合和共享护理模式的偏好，涉及肿瘤护士、初级保健和多学科专业人员，以优化支持性护理的协调和效果。护理提供的灵活性，利用技术和专业知识，更便于获得支持性护理。
癌症生存者在治疗后阶段对支持性护理的组织和提供方式表达了偏好，这些偏好会根据其感知到的健康需求而波动。新的生存者健康服务的发展必须考虑到生存者的偏好，并允许护理提供的灵活性，以促进参与、接受和效果。
