既往残疾与癌症幸存者之间的交集：一项叙述性综述。
The intersection between pre-existing disability and cancer-survivorship: A narrative review.
作者信息
Kennedy Winston, Thomas Jafra D, Almatkyzy Gullaiim, Hockert Regina F
机构信息
Department of Physical Therapy Movement and Rehabilitation Sciences, Bouve College of Health Sciences, Northeastern University, Boston, MA, USA.
Department of Kinesiology and Public Health, California Polytechnic State University, San Luis Obispo, CA, USA.
出版信息
Health Promot Perspect. 2025 May 6;15(1):37-43. doi: 10.34172/hpp.025.43001. eCollection 2025 May.
BACKGROUND
Previous research shows people with pre-existing disabilities face unique societal barriers to health services. The purpose of this review is to promote a better understanding of ways pre-existing disability affects access to cancer-related care through a critical commentary of the research literature.
METHODS
Systematic search procedures were used to locate articles for inclusion in a narrative review of the research literature. A priori search terms were used to systematically search for eligible articles, using four online databases. These authors thematically analyzed trends in the research findings using a descriptive-interpretive paradigm.
RESULTS
Thirteen articles were included in the final narrative review. Four themes were identified: (1) low screening rates, (2) barriers to cancer screening, (3) pre-existing disability moderates cancer incidence, treatment, and survival, and (4) recommendations for supporting improved HRQoL in cancer survivors with pre-existing disability.
CONCLUSION
Our findings illustrate a need for interdisciplinary research focused on ways pre-existing disability intersects with cancer-related healthcare.
背景
先前的研究表明，已有残疾的人群在获取医疗服务时面临独特的社会障碍。本综述的目的是通过对研究文献的批判性评论，促进对已有残疾影响癌症相关护理可及性的方式有更好的理解。
方法
采用系统检索程序来查找纳入研究文献叙述性综述的文章。使用先验检索词，通过四个在线数据库系统检索符合条件的文章。这些作者采用描述性解释范式对研究结果中的趋势进行了主题分析。
结果
最终的叙述性综述纳入了13篇文章。确定了四个主题：（1）筛查率低；（2）癌症筛查的障碍；（3）已有残疾影响癌症的发病率、治疗和生存率；（4）关于支持改善已有残疾的癌症幸存者健康相关生活质量的建议。
结论
我们的研究结果表明，需要开展跨学科研究，关注已有残疾与癌症相关医疗保健的交叉方式。
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