Research Institute of Nursing, Musashino University, 3-3-3, Ariake, Koto-ku, Tokyo, 135-8181, Japan.
Former Division of Healthcare Delivery, Survivorship and Policy Research, Institute of Cancer Control, National Cancer Center, 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
J Cancer Surviv. 2024 Dec;18(6):2008-2021. doi: 10.1007/s11764-023-01439-5. Epub 2023 Aug 2.
To synthesize published studies regarding Japanese cancer survivors' needs/unmet needs of care/support, change of unmet needs over time, and preferred care/support providers.
A mixed-method systematic review was conducted. MEDLINE, PsycINFO, CINAHL, and Ichu-shi were searched from inception to May 2022. Quantitative and qualitative studies were separately analyzed using narrative synthesis and meta-ethnography. Each finding was synthesized using a line of argument.
Twenty-four studies (13 quantitative and 11 qualitative studies) were included. Six quantitative studies reported unmet needs in survivors of adolescent and young adult (n=1) and adulthood (n=5) cancer. No longitudinal studies regarding changes in unmet needs were identified. One study reported that adults preferred care/support providers. The quantitative studies identified more help in physical (48.2-51.0%, n=2) and psychological issues (17.4-78.8%, n=5), information (27.9-58.0%, n=3), and healthcare services (25.3-67.1%, n=2) among adults. The qualitative studies emphasized more tailor-made information about life events for young cancer survivors. More empathic and trustworthy interactions with surrounding people, including healthcare professionals, were demanded, regardless of age. A line of argument illustrated that cancer survivors had insufficient resources for activities and empowerment to face life with cancer at all phases.
Japanese cancer survivors' unmet needs are diverse. More information and resources for psychological care/support and local healthcare services post-treatment are needed, which may hinder the optimal transition to survivorship.
The synthesized evidence should be utilized to implement a comprehensive care/support system in practice and educate people surrounding cancer survivors, regardless of age.
综合已发表的研究，探讨日本癌症幸存者的护理/支持需求/未满足需求、随时间变化的未满足需求变化以及他们偏好的护理/支持提供者。
进行了一项混合方法系统综述。从建库到 2022 年 5 月，在 MEDLINE、PsycINFO、CINAHL 和 Ichu-shi 中进行了检索。使用叙述性综合和元民族学分别对定量和定性研究进行分析。使用论证线对每个发现进行综合。
纳入了 24 项研究（13 项定量研究和 11 项定性研究）。6 项定量研究报告了青少年和年轻成人（n=1）和成年癌症幸存者（n=5）的未满足需求。没有发现关于未满足需求变化的纵向研究。一项研究报告称，成年人更喜欢护理/支持提供者。定量研究确定了更多在身体（48.2-51.0%，n=2）和心理问题（17.4-78.8%，n=5）、信息（27.9-58.0%，n=3）和医疗保健服务（25.3-67.1%，n=2）方面的帮助。定性研究强调了为年轻癌症幸存者提供更多与生活事件相关的定制信息。无论年龄大小，都需要与周围人（包括医疗保健专业人员）进行更有同理心和更值得信赖的互动。论证线表明，癌症幸存者在所有阶段都缺乏面对癌症生活的活动和赋权所需的资源。
日本癌症幸存者的未满足需求是多样化的。治疗后需要更多的心理护理/支持信息和当地医疗保健资源，这可能会阻碍他们顺利过渡到生存者阶段。
综合证据应在实践中用于实施全面的护理/支持系统，并对癌症幸存者周围的人进行教育，无论其年龄大小。
