Author Affiliations: Institute of Biomedical Sciences Abel Salazar of the University of Porto-ICBAS (Mrs Almeida); Imaging Sciences and Radiooncology Department, Portuguese Institute of Oncology of Porto (Mrs Almeida); Nursing School of Porto (Drs Martins and Lima); and Center for Health Technology and Services Research, (CINTESIS@RISE)(Drs Martins and Lima), Porto, Portugal.
Cancer Nurs. 2025;48(1):31-44. doi: 10.1097/NCC.0000000000001250. Epub 2024 Jan 30.
Surgery is used widely for cancer treatment, and in most types, after discharge, patients usually report multiple symptoms, which, if not controlled, can put postoperative recovery at risk. Understanding which patient-reported outcomes (PROs) should be monitored could have a significant impact on reducing the symptom burden associated with cancer and its treatment by playing a pivotal role in developing symptom self-management plans and designing tailored approaches to optimize patients' symptom self-management behaviors.
To map the PROs used for patients' postsurgical symptom self-management after hospital discharge following cancer surgery.
INTERVENTIONS/METHODS: Our scoping review process was guided by the steps for conducting scoping reviews recommended by the Joanna Briggs Institute.
The search identified 97 potentially relevant studies, with 27 articles meeting the inclusion criteria. The most frequently assessed and monitored PROs were problems with surgical wounds, more general physical symptoms, psychological functioning outcomes, and quality of life.
Our results showed an overall uniformity among the PROs selected to be monitored in surgical cancer patients after hospital discharge. Monitoring through electronic platforms is widely used and seems useful to self-manage symptoms and optimize the recovery of cancer patients after discharge following surgery.
This study provides knowledge about PROs that can be applied in oncologic patients after surgery to self-report their symptoms following discharge.
手术被广泛应用于癌症治疗，在大多数情况下，患者出院后通常会报告多种症状，如果这些症状得不到控制，可能会危及术后恢复。了解哪些患者报告的结果（PROs）需要监测，可以通过在制定症状自我管理计划和设计量身定制的方法来优化患者的症状自我管理行为方面发挥关键作用，从而对减轻与癌症及其治疗相关的症状负担产生重大影响。
绘制癌症手术后患者出院后用于术后症状自我管理的 PROs 图谱。
干预措施/方法：我们的范围综述过程遵循了 Joanna Briggs 研究所推荐的进行范围综述的步骤。
搜索确定了 97 项潜在相关研究，其中 27 项文章符合纳入标准。评估和监测最多的 PROs 是手术伤口问题、更一般的身体症状、心理功能结果和生活质量。
我们的研究结果表明，在癌症患者出院后，选择监测的 PROs 总体上具有一致性。通过电子平台进行监测被广泛使用，似乎有助于自我管理症状并优化癌症患者手术后的恢复。
本研究提供了有关可在手术后用于报告出院后症状的肿瘤患者的 PROs 的知识。
