Department of Nursing and Obstetrics, Guanajuato University, C. Pedro Lascurain de Retana, Calzada de Guadalupe, 36700, Guanajuato, Gto, Mexico.
Department of Health Sciences, Public University of Navarre (UPNA), Avda. Barañain S/n, 31008, Pamplona, Navarra, Spain; IdiSNA, Navarra Institute for Health Research, Irunlarrea, 3, 31008, Pamplona, Navarra, Spain.
Eur J Oncol Nurs. 2024 Jun;70:102614. doi: 10.1016/j.ejon.2024.102614. Epub 2024 May 22.
To identify, analyze and describe the available scientific evidence about the influence of social determinants of health on cancer survivors.
A scoping review was outlined according to the steps described by the Joanna Brigs Institute Reviewer's Manual: selection of studies, data mapping, and results grouping, synthesis and report, was conducted. PubMed, CINAHL, Scopus and LILACS databases were searched from 2011 to 2023.
Out of a total of 1783 papers initially screened, only 19 studies met the inclusion criteria for the scoping review, focusing on the primary social determinants impacting the health of cancer survivors. These studies were categorized into six main themes: a) employment (challenges in work reintegration and work-place difficulties); b) variations among different ethnic groups; c) disparities based on sex; d) barriers and facilitators in accessing health and social security services; e) the role of support networks and social environments; and f) socioeconomic lever (influence of income and socioeconomic status).
Understanding the impact of social determinants on the post-treatment quality of life for cancer survivors is crucial. Comprehensive survivorship care should address not just medical needs but also holistic aspects like social support, education, overall well-being, and improvements in physical and social environments. This multifaceted approach ensures the well-rounded support needed for optimal survivorship outcomes.
识别、分析和描述社会健康决定因素对癌症幸存者的影响的现有科学证据。
根据乔安娜·布里格斯研究所评论员手册中描述的步骤进行了范围综述：研究选择、数据映射和结果分组、综合和报告。从 2011 年到 2023 年，在 PubMed、CINAHL、Scopus 和 LILACS 数据库中进行了检索。
在最初筛选的 1783 篇论文中，只有 19 项研究符合范围综述的纳入标准，重点关注影响癌症幸存者健康的主要社会决定因素。这些研究分为六个主要主题：a）就业（重返工作岗位的挑战和工作场所的困难）；b）不同种族群体之间的差异；c）基于性别的差异；d）获得健康和社会安全服务的障碍和促进因素；e）支持网络和社会环境的作用；f）社会经济杠杆（收入和社会经济地位的影响）。
了解社会决定因素对癌症幸存者治疗后生活质量的影响至关重要。综合生存护理不仅应满足医疗需求，还应涵盖社会支持、教育、整体幸福感以及改善身体和社会环境等整体方面。这种多方面的方法确保了最佳生存结果所需的全面支持。
