Clothier Zoe, Harris Jenny, Kehinde Agnieszka, Mumford Victoria, Upshon Kate, Williamson Clare, MacArthur Rachel, Stevenson Rachel, Otter Sophie, Teoh May, Armes Jo
Faculty of Health and Medical Sciences, School of Health Sciences, University of Surrey, Guildford, UK.
Royal Surrey Cancer Centre, Royal Surrey NHS Foundation Trust, Guildford, UK.
Cancer Control. 2025 Jan-Dec;32:10732748251356320. doi: 10.1177/10732748251356320. Epub 2025 Aug 13.
IntroductionA cancer diagnosis often impacts emotional wellbeing, with patients frequently reporting unmet psychosocial needs throughout their care pathway. Needs-based support can help address these challenges, but barriers exist that limit its uptake by patients and its provision by health care professionals (HCPs). Identifying key aspects of psychosocial support and tailoring this to meet the preferences and priorities of the individual can enhance the patient-centredness of care, improving both patient outcomes and HCP job satisfaction.AimThis study aimed to explore what cancer patients and HCPs consider to be the core priorities in relation to psychosocial cancer care.MethodSemi-structured interviews were conducted with cancer patients and HCPs at a single UK cancer centre to explore the research question. Interview transcripts were analysed using Framework Analysis to identify and interpret key themes.ResultsA total of 21 interviews (10 with patients, 11 with HCPs) were analysed. Six cross-cutting themes were generated from the data: and . HCP-specific themes were and ConclusionPsychosocial care is pivotal to cancer patients' wellbeing and positively influences their perceptions of health, especially when this aligns with their individual needs and preferences. Cross-cutting themes highlighted the importance of holistic approaches addressing the multifaceted needs of patients and indicated alignment between patient and HCP care priorities. Supporting HCPs' own wellbeing and providing appropriate training and skill development may further enhance the quality of psychosocial care delivery. Implementing a stepped-care approach may enable practitioners to better support their patients which in turn will improve their job satisfaction and patient outcomes.
引言
癌症诊断往往会影响情绪健康,患者在整个治疗过程中经常报告心理社会需求未得到满足。基于需求的支持有助于应对这些挑战,但存在一些障碍,限制了患者对其的接受程度以及医疗保健专业人员(HCPs)的提供。确定心理社会支持的关键方面并使其符合个人的偏好和优先事项,可以提高以患者为中心的护理水平,改善患者的治疗效果和HCPs的工作满意度。
目的
本研究旨在探讨癌症患者和HCPs认为心理社会癌症护理的核心优先事项是什么。
方法
在英国的一个癌症中心对癌症患者和HCPs进行了半结构化访谈,以探讨该研究问题。使用框架分析法对访谈记录进行分析,以确定和解释关键主题。
结果
共分析了21次访谈(10次患者访谈,11次HCPs访谈)。从数据中生成了六个贯穿各领域的主题:[此处原文缺失具体主题内容]。特定于HCPs的主题是[此处原文缺失具体主题内容]
结论
心理社会护理对癌症患者的健康至关重要,并积极影响他们对健康的认知,特别是当这与他们的个人需求和偏好相一致时。贯穿各领域的主题强调了采用整体方法满足患者多方面需求的重要性,并表明患者和HCPs的护理优先事项是一致的。支持HCPs自身的健康并提供适当的培训和技能发展可能会进一步提高心理社会护理的质量。实施分级护理方法可能使从业者能够更好地支持他们的患者,进而提高他们的工作满意度和患者的治疗效果。