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生活中心:一种创新的乳腺癌幸存者护理开放获取模式。

The living centre: an innovative open-access model of breast cancer survivorship care.

作者信息

Haywood Darren, Kelly Jamie, Sova Natalie, Lederman Oscar, Huang Bo-Huei, Dauer Evan, Joseph Jordan, Hendel Irene, Hendel David, Hart Nicolas H

机构信息

Human Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney (UTS), Sydney, NSW, Australia.

Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.

出版信息

Support Care Cancer. 2024 Dec 20;33(1):42. doi: 10.1007/s00520-024-09088-9.

DOI:10.1007/s00520-024-09088-9
PMID:39702799
Abstract

People affected by breast cancer experience a multitude of toxicities and unmet needs across physical, cognitive, psychosocial, and economic domains that adversely impact their quality of life. High-quality and diverse supportive care is required to improve outcomes and rehabilitation for people affected by breast cancer. However, the availability and access to high-quality supportive care services is limited due to factors including cost and demand. As such, many people affected by breast cancer do not receive optimal supportive care. The Think Pink Foundation facilitates free-of-charge supportive care services to breast cancer survivors, their families, and caregivers through 'The Living Centre'. Think Pink seeks to provide a high-quality survivorship care model that overcomes barriers associated with the economic burden of cancer. Within its suite of services, The Living Centre offers ongoing exercise classes, creative therapy, support groups, specialist breast cancer nurse consultations, wellness services, and education support through face-to-face and online service provision. This paper outlines the development, model of care, service provision, and planning for future outcomes and economic evaluation of The Living Centre as a supportive care model for others to consider establishing in their local context. This paper may therefore directly inform the development of cancer survivorship care services globally to increase equitable access to optimal supportive care.

摘要

乳腺癌患者在身体、认知、心理社会和经济等领域会经历多种毒性反应和未满足的需求,这些都会对他们的生活质量产生不利影响。为改善乳腺癌患者的治疗效果和康复情况,需要高质量、多样化的支持性护理。然而,由于成本和需求等因素,高质量支持性护理服务的可获得性和可及性有限。因此,许多乳腺癌患者无法获得最佳的支持性护理。“粉红关怀基金会”通过“生活中心”为乳腺癌幸存者、他们的家人和护理人员提供免费的支持性护理服务。“粉红关怀”旨在提供一种高质量的生存护理模式,克服与癌症经济负担相关的障碍。在其一系列服务中,“生活中心”通过面对面和在线服务提供持续的健身课程、创意疗法、支持小组、乳腺癌专科护士咨询、健康服务和教育支持。本文概述了“生活中心”作为一种支持性护理模式的发展、护理模式、服务提供情况以及未来成果规划和经济评估,供其他地区考虑在当地建立类似模式时参考。因此,本文可能会直接为全球癌症生存护理服务的发展提供参考,以增加获得最佳支持性护理的公平性。

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本文引用的文献

1
Breast cancer survivorship care: a narrative review of challenges and future directions.乳腺癌生存护理:挑战与未来方向的叙述性综述
Ann Palliat Med. 2024 Nov;13(6):1502-1512. doi: 10.21037/apm-24-78. Epub 2024 Oct 18.
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Sexual health after breast cancer: a clinical practice review.乳腺癌患者的性生活健康:临床实践综述。
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Protocol for the Development and Initial Validation of the COG-IMPACT Tool: A Purpose-Built Unmet Needs Assessment for Cancer-Related Cognitive Impairment.
COG-IMPACT工具的开发与初步验证方案:针对癌症相关认知障碍的专门未满足需求评估
Methods Protoc. 2024 Jul 10;7(4):54. doi: 10.3390/mps7040054.
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Reconceptualizing mental health in cancer survivorship.重新概念化癌症生存者的心理健康。
Trends Cancer. 2024 Aug;10(8):677-686. doi: 10.1016/j.trecan.2024.05.008. Epub 2024 Jun 17.
5
World Health Organization package of interventions for rehabilitation for cancer: a MASCC-endorsed resource for global action to address unmet rehabilitation needs of people affected by cancer.世界卫生组织癌症康复干预措施包:一项获多国癌症支持治疗协会认可的资源,用于采取全球行动,满足癌症患者未得到满足的康复需求。
Support Care Cancer. 2024 Jun 7;32(7):417. doi: 10.1007/s00520-024-08569-1.
6
Is it time to discard the Diagnostic and Statistical Manual of Mental Disorders (DSM) in psycho-oncology?是时候摒弃精神疾病诊断与统计手册(DSM)在心理肿瘤学中的应用了吗?
Cancer Lett. 2024 May 1;589:216818. doi: 10.1016/j.canlet.2024.216818. Epub 2024 Mar 28.
7
"Is My Brain Ever Going to Work Fully Again?": Challenges and Needs of Cancer Survivors with Persistent Cancer-Related Cognitive Impairment.“我的大脑还能完全恢复正常运转吗?”:患有持续性癌症相关认知障碍的癌症幸存者面临的挑战与需求
Cancers (Basel). 2023 Nov 8;15(22):5331. doi: 10.3390/cancers15225331.
8
Financial Toxicity in Cancer Care: Implications for Clinical Care and Potential Practice Solutions.癌症治疗中的经济毒性:对临床护理的影响及潜在的实践解决方案。
J Clin Oncol. 2023 Jun 1;41(16):3051-3058. doi: 10.1200/JCO.22.01799. Epub 2023 Apr 18.
9
Financial Toxicity Among Patients With Breast Cancer Worldwide: A Systematic Review and Meta-analysis.全球乳腺癌患者的财务毒性:系统评价和荟萃分析。
JAMA Netw Open. 2023 Feb 1;6(2):e2255388. doi: 10.1001/jamanetworkopen.2022.55388.
10
Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review.未满足的晚期癌症患者及其照护者的支持性护理需求:系统范围界定综述。
Crit Rev Oncol Hematol. 2022 Aug;176:103728. doi: 10.1016/j.critrevonc.2022.103728. Epub 2022 Jun 1.