生存护理计划与未满足的信息需求、生活质量、护理满意度以及参与和就诊随访护理的意愿之间的关系。
Relationship between survivorship care plans and unmet information needs, quality of life, satisfaction with care, and propensity to engage with, and attend, follow-up care.
机构信息
Discipline of Paediatrics & Child Health, School of Clinical Medicine, University of New South Wales (UNSW) Medicine and Health, UNSW Sydney, Randwick, New South Wales, Australia.
Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, New South Wales, Australia.
出版信息
Cancer. 2023 Dec 1;129(23):3820-3832. doi: 10.1002/cncr.34984. Epub 2023 Aug 11.
BACKGROUND
The impact of survivorship care plans (SCPs) on the proximal and distal outcomes of adult and childhood cancer survivors, and parent proxies, is unclear. This study aimed to determine the relationship between SCP receipt and these outcomes.
METHODS
A cross-sectional survey of adult and childhood cancer survivors (and parent proxies for survivors aged younger than 16 years) across Australia and New Zealand was conducted. Multivariate regression models were fitted to measure the impact of SCP receipt on proximal (unmet information needs and propensity to engage with, and attend, cancer-related follow-up care) and distal outcomes (quality of life and satisfaction with cancer-related follow-up care) with control for cancer history and sociodemographic factors.
RESULTS
Of 1123 respondents, 499 were adult cancer survivors and 624 were childhood cancer survivors (including 222 parent proxies). We found that SCP receipt was predictive of greater attendance at, and awareness of, cancer-related follow-up care (adult: odds ratio [OR], 2.46; 95% CI, 1.18-5.12; OR, 2.38; 95% CI, 1.07-5.29; child/parent: OR, 2.61; 95% CI, 1.63-4.17; OR, 1.63; 95% CI, 1.06-2.50; respectively). SCP receipt also predicted fewer unmet information needs related to "follow-up care required" and "possible late effects" (adult: OR, 0.44; 95% CI, 0.20-0.96; OR, 0.29; 95% CI, 0.13-0.64; child/parent: OR, 0.46; 95% CI, 0.30-0.72; OR, 0.57; 95% CI, 0.38-0.85; respectively). In terms of distal outcomes, SCP receipt predicted a better global quality of life for adult cancer survivors (β, 0.08; 95% CI, -0.01-7.93), proxy-reported health-related quality of life (β, 0.15; 95% CI, 0.44-7.12), and satisfaction with follow-up care for childhood cancer survivors (OR, 2.93; 95% CI, 1.64-5.23).
CONCLUSIONS
Previous studies have shown little impact of SCPs on distal end points. Results suggest that SCPs may be beneficial to cancer survivors' proximal and distal outcomes.
背景
生存护理计划（SCPs）对成年和儿童癌症幸存者及其父母代理人的近期和远期结局的影响尚不清楚。本研究旨在确定 SCP 接受情况与这些结局之间的关系。
方法
对澳大利亚和新西兰的成年和儿童癌症幸存者（以及年龄小于 16 岁的幸存者的父母代理人）进行了横断面调查。使用多变量回归模型来衡量 SCP 接受情况对近期（未满足的信息需求和参与、接受癌症相关随访护理的倾向）和远期结局（生活质量和对癌症相关随访护理的满意度）的影响，并控制癌症史和社会人口因素。
结果
在 1123 名受访者中，499 名是成年癌症幸存者，624 名是儿童癌症幸存者（包括 222 名父母代理人）。我们发现，SCP 的接受情况与癌症相关随访护理的更高出勤率和意识有关（成人：比值比 [OR]，2.46；95%CI，1.18-5.12；OR，2.38；95%CI，1.07-5.29；儿童/父母：OR，2.61；95%CI，1.63-4.17；OR，1.63；95%CI，1.06-2.50；分别）。SCP 的接受情况还预测了与“随访护理需求”和“可能的晚期效应”相关的较少未满足的信息需求（成人：OR，0.44；95%CI，0.20-0.96；OR，0.29；95%CI，0.13-0.64；儿童/父母：OR，0.46；95%CI，0.30-0.72；OR，0.57；95%CI，0.38-0.85；分别）。就远期结局而言，SCP 的接受情况预测了成年癌症幸存者的整体生活质量（β，0.08；95%CI，-0.01-7.93）、代理人报告的健康相关生活质量（β，0.15；95%CI，0.44-7.12）和儿童癌症幸存者对随访护理的满意度（OR，2.93；95%CI，1.64-5.23）。
结论
之前的研究表明 SCP 对远期终点的影响很小。结果表明，SCP 可能有益于癌症幸存者的近期和远期结局。
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