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促进和阻碍生存支持获取的因素:一项对德克萨斯州直肠癌幸存者经历的定性研究。

Facilitators and barriers to survivorship support access: a qualitative study of rectal cancer survivors' experiences in Texas.

机构信息

School of Information, The University of Texas at Austin, Austin, Texas, USA.

Silberman School of Social Work, Hunter College City University of New York, New York, New York, USA.

出版信息

BMJ Open. 2024 Nov 20;14(11):e085597. doi: 10.1136/bmjopen-2024-085597.

DOI:10.1136/bmjopen-2024-085597
PMID:39572092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11580240/
Abstract

OBJECTIVE

This qualitative study aimed to analyse rectal cancer survivors' lived experiences to identify facilitators and barriers to support access.

DESIGN

We conducted one-on-one semi-structured interviews and employed thematic analysis to identify key themes and insights.

SETTING/PARTICIPANTS: Participants included eight rectal cancer survivors and three caregivers recruited at Texas Colorectal Collaborative sites.

RESULTS

Results showed that adequate hospital resources, high health literacy and close connections with clinicians and peers who share similar experiences facilitate survivors' access to social support. Conversely, ineffective healthcare team communication, financial challenges and low self-motivation hindered access.

CONCLUSION

Survivorship experiences were shaped by varying degrees of social support access, influenced by internal and external factors. We aim to establish a cross-institutional survivorship support network to address these factors, ensuring equitable access to support services and enhancing survivorship experiences.

摘要

目的

本定性研究旨在分析直肠癌幸存者的生活体验,以确定支持获取的促进因素和障碍。

设计

我们进行了一对一的半结构化访谈,并采用主题分析来确定关键主题和见解。

地点/参与者:参与者包括在德克萨斯州结直肠协作站点招募的 8 名直肠癌幸存者和 3 名护理人员。

结果

结果表明,充足的医院资源、较高的健康素养以及与具有相似经验的临床医生和同行的密切联系,有助于幸存者获得社会支持。相反,医疗团队沟通不畅、经济困难和低自我激励阻碍了获得支持。

结论

生存体验受到社会支持获取程度的不同影响,这些影响受到内部和外部因素的影响。我们旨在建立一个跨机构的生存支持网络,以解决这些因素,确保公平获得支持服务并提高生存体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f22/11580240/3c23c2111a54/bmjopen-14-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f22/11580240/3c23c2111a54/bmjopen-14-11-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f22/11580240/3c23c2111a54/bmjopen-14-11-g001.jpg

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本文引用的文献

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Information needs preferences of Chinese colorectal cancer patients receiving chemotherapy: A discrete choice experiment.接受化疗的中国结直肠癌患者的信息需求偏好:一项离散选择实验
Asia Pac J Oncol Nurs. 2024 Jul 1;11(9):100551. doi: 10.1016/j.apjon.2024.100551. eCollection 2024 Sep.
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Treatment trajectories of individuals diagnosed with rectal cancer: an interpretative phenomenological study.诊断为直肠癌患者的治疗轨迹:解释性现象学研究。
Br J Nurs. 2024 Jun 6;33(11):505-514. doi: 10.12968/bjon.2023.0250.
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"I Wish There had been Resources": A Photo-Elicitation Study of Rectal Cancer Survivorship Care Needs.
“要是有资源就好了”:一项基于照片的直肠癌生存者护理需求研究。
Ann Surg Oncol. 2023 Jun;30(6):3530-3537. doi: 10.1245/s10434-022-13042-6. Epub 2023 Feb 27.
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A Rectal Cancer Surgical Decision Aid Is Not Enough: A Qualitative Study.直肠癌症手术决策辅助工具还不够:一项定性研究。
Dis Colon Rectum. 2022 Dec 1;65(12):1483-1493. doi: 10.1097/DCR.0000000000002444. Epub 2022 Aug 22.
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Course and predictors of psychological distress among colorectal cancer survivors with ostomies: A longitudinal study.造口术后结直肠癌幸存者心理困扰的过程和预测因素:一项纵向研究。
Eur J Oncol Nurs. 2022 Aug;59:102170. doi: 10.1016/j.ejon.2022.102170. Epub 2022 Jul 4.
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Cancer treatment and survivorship statistics, 2022.2022 年癌症治疗和生存统计。
CA Cancer J Clin. 2022 Sep;72(5):409-436. doi: 10.3322/caac.21731. Epub 2022 Jun 23.
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Patient activation and treatment decision-making in the context of cancer: examining the contribution of informal caregivers' involvement.癌症背景下的患者激活和治疗决策:检验非正规照护者参与的贡献。
J Cancer Surviv. 2022 Oct;16(5):929-939. doi: 10.1007/s11764-021-01085-9. Epub 2021 Sep 12.
8
'Because Everybody is so Different': a qualitative analysis of the lived experiences and information needs of rectal cancer survivors.“因为每个人都如此不同”:对直肠癌幸存者的生活经历和信息需求的定性分析。
BMJ Open. 2021 May 19;11(5):e043245. doi: 10.1136/bmjopen-2020-043245.
9
Patient-reported outcomes and experiences from the perspective of colorectal cancer survivors: meta-synthesis of qualitative studies.从结直肠癌幸存者角度看患者报告的结局与经历:定性研究的元整合
J Patient Rep Outcomes. 2020 Apr 25;4(1):27. doi: 10.1186/s41687-020-00195-9.
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Colorectal Cancer in the Adolescent and Young Adult Population.青少年和青年人群中的结直肠癌。
JCO Oncol Pract. 2020 Jan;16(1):19-27. doi: 10.1200/JOP.19.00153.