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探索加拿大大西洋地区男性在前列腺癌初级治疗后接受随访护理的体验:一项定性研究。

Exploring Men's Experiences with Follow-Up Care following Primary Treatment for Prostate Cancer in Atlantic Canada: A Qualitative Study.

机构信息

Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS B3H 4R2, Canada.

Cancer Outcomes Research Program, Nova Scotia Health Authority, Halifax, NS B3H 2Y9, Canada.

出版信息

Curr Oncol. 2023 Nov 25;30(12):10111-10123. doi: 10.3390/curroncol30120735.

Abstract

Prostate cancer is a common and life-altering condition among Canadian men, yet little is known about how follow-up care is provided to those who have completed treatment. Despite improving survival rates, survivors experience ongoing needs and are often not provided with support to manage them. This study sought to investigate the post-treatment experiences and needs of prostate cancer survivors and to determine if and how these needs are being met. Using a qualitative description design, prostate cancer survivors who had completed treatment took part in semi-structured interviews. The interviews were recorded and analyzed thematically. The participants experienced varying levels of satisfaction with their follow-up care. While primary care providers played significant roles, continuity of care and specialist involvement varied. Most participants felt unprepared to manage the long-term effects of their cancer due to a lack of information and resources from their healthcare providers. Instead, participants turned to their peers for support. Ongoing physical and psychosocial needs went unmet and had significant impacts on their daily lives. Participants felt that support for these issues should be automatically integrated into their follow-up care. In summary, this study revealed the importance of integrated, patient-centered follow-up care for prostate cancer in Atlantic Canada.

摘要

前列腺癌是加拿大男性中常见且改变生活的疾病,但对于那些已经完成治疗的患者,其后续护理的提供方式知之甚少。尽管生存率有所提高,但幸存者仍有持续的需求,而且往往无法获得管理这些需求的支持。本研究旨在调查前列腺癌幸存者的治疗后经历和需求,并确定这些需求是否以及如何得到满足。本研究采用定性描述设计,邀请已完成治疗的前列腺癌幸存者参加半结构化访谈。访谈进行了录音,并进行了主题分析。参与者对他们的后续护理满意度存在差异。虽然初级保健提供者发挥了重要作用,但连续性护理和专家参与程度存在差异。大多数参与者感到由于缺乏来自医疗保健提供者的信息和资源,他们无法准备好应对癌症的长期影响。相反,参与者向他们的同行寻求支持。持续的身体和心理社会需求未得到满足,对他们的日常生活产生了重大影响。参与者认为,应该自动将这些问题的支持纳入他们的后续护理中。总之,本研究揭示了在加拿大大西洋地区,前列腺癌的综合、以患者为中心的后续护理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25cb/10742932/e907fd5cfbb1/curroncol-30-00735-g001.jpg

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