Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Cancer Control. 2021 Jan-Dec;28:10732748211011957. doi: 10.1177/10732748211011957.
Understanding key elements of the survivorship care planning process, such as patient-centered communication (PCC) and health self-efficacy, are critical for delivering patient-centered survivorship care to cancer survivors with multiple chronic conditions ("complex cancer survivors"). Building upon our team's recent research efforts to examine the survivorship care planning process from a patient-centered lens, this exploratory study leveraged an ongoing quasi-experimental trial to elucidate the experience of complex cancer survivors with survivorship care planning and post-treatment management.
We conducted a hypothesis-generating thematic content analysis on 8 interview transcripts.
Survivors reported positive experiences communicating with their oncology care team but the presence of multiple chronic conditions in addition to cancer creates additional barriers to patient-centered survivorship care.
These findings support the need for further in-depth research aimed at improving PCC across all care teams and enabling self-management by delivering more personalized survivorship care planning that aligns with survivor's needs, values, and preferences.
理解生存护理计划过程中的关键要素,如以患者为中心的沟通(PCC)和健康自我效能,对于为患有多种慢性疾病的癌症幸存者(“复杂癌症幸存者”)提供以患者为中心的生存护理至关重要。基于我们团队最近从以患者为中心的角度研究生存护理计划过程的研究努力,这项探索性研究利用正在进行的准实验性试验来阐明复杂癌症幸存者的生存护理计划和治疗后管理的体验。
我们对 8 份访谈记录进行了假设生成的主题内容分析。
幸存者报告说与肿瘤学护理团队进行沟通的体验是积极的,但除癌症以外的多种慢性疾病的存在给以患者为中心的生存护理带来了额外的障碍。
这些发现支持需要进一步深入研究,旨在通过提供更符合幸存者需求、价值观和偏好的个性化生存护理计划,提高所有护理团队的 PCC 并使自我管理能力,从而改善生存护理计划。