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初次治疗结束时妇科癌症幸存者的需求:一项范围综述及指导临床讨论的建议模型

The needs of gynecological cancer survivors at the end of primary treatment: A scoping review and proposed model to guide clinical discussions.

作者信息

Galica Jacqueline, Saunders Stephanie, Romkey-Sinasac Claudia, Silva Amina, Ethier Josée-Lyne, Giroux Janet, Jull Janet, Maheu Christine, Ross-White Amanda, Stark Debora, Robb Kathleen

机构信息

Queen's University School of Nursing, Kingston, Ontario, Canada; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology, Kingston, Ontario, Canada.

Queen's University School of Nursing, Kingston, Ontario, Canada.

出版信息

Patient Educ Couns. 2022 Jul;105(7):1761-1782. doi: 10.1016/j.pec.2021.11.020. Epub 2021 Nov 25.

Abstract

OBJECTIVE

Gynecological cancer (GC) survivors have unmet needs when they complete primary cancer treatment. Despite this, no known research has summarized these needs and survivors' suggestions to address them. We conducted a scoping review to fill these gaps and develop a model useful to guide clinical discussions and/or interventions.

METHODS

English, full length, and accessible primary studies describing the needs of GC survivors were included. No restrictions on date nor country of publication were applied. Two reviewers screened and extracted data, which was verified by a third reviewer.

RESULTS

Seventy-one studies met the inclusion criteria for data extraction. Results were thematically grouped into seven dimensions: physical needs, sexuality-related concerns, altered self-image, psychological wellbeing, social support needs, supporting the return to work, and healthcare challenges and preferences. After consulting with a stakeholder group (a GC survivor, clinicians, and researchers), the dimensions were summarized into a proposed model to guide clinical assessments and/or interventions.

CONCLUSION

Results illuminate the diverse needs of GC survivors as they complete primary cancer treatment and their recommendations for care to meet these needs.

PRACTICE IMPLICATIONS

The resulting model can be used to guide assessments, discussions and/or interventions to optimally prepare GC survivors for transition out of primary cancer treatment.

摘要

目的

妇科癌症(GC)幸存者在完成原发性癌症治疗后存在未得到满足的需求。尽管如此,尚无已知研究总结这些需求以及幸存者为解决这些需求所提出的建议。我们进行了一项范围综述以填补这些空白,并开发一个有助于指导临床讨论和/或干预措施的模型。

方法

纳入描述GC幸存者需求的英文、全文且可获取的原发性研究。对发表日期和国家不设限制。两名评审员筛选并提取数据,由第三名评审员进行核实。

结果

71项研究符合数据提取的纳入标准。结果按主题分为七个维度:身体需求、性相关问题、自我形象改变、心理健康、社会支持需求、支持重返工作岗位以及医疗保健挑战和偏好。在与一个利益相关者群体(一名GC幸存者、临床医生和研究人员)协商后,这些维度被总结为一个拟议模型,以指导临床评估和/或干预措施。

结论

研究结果揭示了GC幸存者在完成原发性癌症治疗时的各种需求以及他们对满足这些需求的护理建议。

实践意义

由此产生的模型可用于指导评估、讨论和/或干预措施,以便为GC幸存者顺利过渡出原发性癌症治疗做好最佳准备。

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