Howell Doris
Princess Margaret Cancer Research Institute, Toronto, Ontario, Canada..
Semin Oncol Nurs. 2025 Aug;41(4):151942. doi: 10.1016/j.soncn.2025.151942. Epub 2025 Jul 10.
To discuss challenges in Patient Reported Outcome Symptom Screening in routine cancer care and the importance of personalized symptom management and patient involvement in care.
In this paper, the extant literature on routine symptom screening and monitoring in cancer care using Patient-Reported Outcome Measures is examined. This paper expands on ideas from a presentation given at the inaugural meeting of the Global Alliance for Symptom Science in Lausanne Switzerland, 2023. Ongoing challenges in measuring and responding effectively to "what matters" in routine screening to reduce symptom burden and quality of life is discussed.
This paper provides a discussion based on key literature to identify key challenges that must be addressed for symptom screening to reduce symptom burden and improve quality of life and potential solutions as follows: (1) measuring what matters from the perspective of the person, (2) responding effectively to screening data from the lens of person-centered care, (3) measuring meaningful symptom improvement and health outcomes from the perspective of patients, and (4) engaging patients (and families) in self-management as co-contributors of symptom and health outcomes.
Patient reported outcomes can improve personalized symptom care, however a quality response to symptom data is essential.
Nurses have long been identified as the cornerstone to effective symptom management; and they play a vital role in promoting a person-centered approach to PROs data and responding to 'what matters' to the person in the context of their daily life. Upskilling of nurses in self-management health coaching will be critical to building patient capacity as co-contributors to health outcomes.
探讨常规癌症护理中患者报告结局症状筛查的挑战，以及个性化症状管理和患者参与护理的重要性。
本文审视了关于使用患者报告结局测量法在癌症护理中进行常规症状筛查和监测的现有文献。本文扩展了在2023年于瑞士洛桑举行的全球症状科学联盟成立大会上所做报告中的观点。讨论了在常规筛查中有效测量和应对“重要事项”以减轻症状负担和提高生活质量方面持续存在的挑战。
本文基于关键文献进行讨论，以确定为减轻症状负担和改善生活质量而进行症状筛查必须解决的关键挑战以及潜在解决方案，如下：（1）从患者角度测量重要事项；（2）以患者为中心的护理视角有效应对筛查数据；（3）从患者角度测量有意义的症状改善和健康结局；（4）让患者（及其家属）作为症状和健康结局的共同贡献者参与自我管理。
患者报告结局可改善个性化症状护理，但对症状数据的高质量回应至关重要。
长期以来，护士一直被视为有效症状管理的基石；他们在促进以患者为中心的患者报告结局数据方法以及在日常生活背景下回应患者“重要事项”方面发挥着至关重要的作用。护士在自我管理健康指导方面的技能提升对于培养患者作为健康结局共同贡献者的能力至关重要。
