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乳腺癌和结直肠癌幸存者向初级保健提供者后续护理过渡的经历:一项关于癌症类型和性别的定性研究。

Breast and colorectal cancer survivors' experience with transition to primary care provider follow-up care : A qualitative study on cancer type and sex.

作者信息

Giguère Lauriane, Mutsaers Brittany, Babiker Dina, Garcia Paola, Langmuir Tori, MacDonald-Liska Carrie, Presseau Justin, Larocque Gail, Harris Cheryl, Chomienne Marie-Hélène, Thavorn Kednapa, Lebel Sophie

机构信息

School of Psychology, University of Ottawa, Ottawa, ON, Canada.

Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.

出版信息

Can Oncol Nurs J. 2025 May 1;35(3):463-481. doi: 10.5737/23688076353463. eCollection 2025.

Abstract

As of 2024, 64% of cancer survivors live five years or longer after their treatment. However, this growing population, with its specific follow-up care needs, has struggled with the transition from active cancer treatment to follow-up in primary care. More information is required on what facilitates or hinders this transition. Potential factors that influence how cancer survivors experience this transition include sex and cancer type. Using secondary thematic and content analysis of 30 colorectal and breast cancer survivors interviews, we examined the impact of sex and cancer type on survivorship experiences. Themes extracted showed that sex and cancer type influenced survivors' experience of transition both intersectionally and separately. Colorectal cancer survivors reported more late and long-term side effects than breast cancer survivors, with differently described and experienced quality of life (QOL) and unmet needs. Males relied more on their wives to manage their follow-up care and were more distant with their healthcare providers, while females took charge of their own follow-up care and reported closeness to their healthcare providers, which favorably impacted their follow-up care transition.

摘要

截至2024年,64%的癌症幸存者在接受治疗后存活了五年或更长时间。然而,这一不断增长的群体有着特定的后续护理需求,在从积极的癌症治疗过渡到初级护理的后续阶段面临困难。关于促进或阻碍这一过渡的因素,还需要更多信息。影响癌症幸存者如何经历这一过渡的潜在因素包括性别和癌症类型。通过对30名结直肠癌和乳腺癌幸存者访谈进行二次主题和内容分析,我们研究了性别和癌症类型对生存经历的影响。提取的主题表明,性别和癌症类型在交叉影响和单独影响方面都对幸存者的过渡经历产生了影响。结直肠癌幸存者报告的晚期和长期副作用比乳腺癌幸存者更多,在生活质量(QOL)和未满足需求方面有不同的描述和体验。男性在后续护理管理上更多地依赖妻子,与医疗服务提供者的关系较为疏远,而女性则负责自己的后续护理,并报告与医疗服务提供者关系密切,这对她们的后续护理过渡产生了积极影响。

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本文引用的文献

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Improved models of care for cancer survivors.针对癌症幸存者的改进护理模式。
Lancet. 2022 Apr 16;399(10334):1551-1560. doi: 10.1016/S0140-6736(22)00306-3.
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Quality of life in "chronic" cancer survivors: a meta-analysis.“慢性”癌症幸存者的生活质量:一项荟萃分析。
J Cancer Surviv. 2020 Aug;14(4):504-517. doi: 10.1007/s11764-020-00869-9. Epub 2020 Mar 11.
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Thematic analysis of qualitative research data: Is it as easy as it sounds?定性研究数据的主题分析:它有听起来那么简单吗?
Curr Pharm Teach Learn. 2018 Jun;10(6):807-815. doi: 10.1016/j.cptl.2018.03.019. Epub 2018 Apr 5.
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Transition to survivorship: can there be improvement?向生存者阶段的转变:能否有所改善?
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