不列颠哥伦比亚省农村社区乳腺癌女性患者支持性护理体验的决定因素。

Determinants of supportive care experiences for women living with breast cancer in rural communities of British Columbia.

作者信息

D'Souza Melba Sheila, Gidda Ruby, Karkada Subrahmanya N, Nairy Ashwin

机构信息

Associate Professor, Nursing and Population Health, Thompson Rivers University, British Columbia, Canada V2C 0C8, Email:

Executive Director, BC Cancer Abbotsford & Provincial Professional Practice (Nursing & Allied Health), Adjunct Faculty, School of Nursing, University of British Columbia. BC Cancer Abbotsford, British Columbia, V2S 0C2, E-mail:

出版信息

Can Oncol Nurs J. 2025 May 1;35(3):413-445. doi: 10.5737/23688076353413. eCollection 2025.

Abstract

BACKGROUND

Enabling women with breast cancer to actively participate in their care requires a better understanding of the interplay between contextual factors and mediators. This research explored the determinants of supportive care experiences for women living with breast cancer in rural communities of British Columbia.

METHODS

The study used a quantitative, descriptive, cross-sectional design. A survey regarding demographic, health, decision support, and breast cancer supportive care experiences was administered to 100 participants.

RESULTS

The combination of being less than 40 years old, having an undergraduate education, and being three to five years post-diagnosis is associated with higher (more positive) total survey scores. A linear combination of undergraduate school and health problems post-treatment showed higher medical treatment scores, with R = 23%.

CONCLUSION

The findings emphasize the growing need for psychosocial and emotional supportive care for cancer survivors. The results highlight the potential benefits of informed decision-support tools to fortify supportive care, emphasizing the need to facilitate better supportive care services for women battling breast cancer.

RECOMMENDATION

Supportive care plays a crucial role in guiding individuals' experiences with cancer through the healthcare system. Increasing supportive care centres, especially in rural areas, could improve patient-reported outcomes, and experiences, and ensure timely access to care.

摘要

背景

让乳腺癌患者能够积极参与自身护理,需要更好地理解情境因素与调解因素之间的相互作用。本研究探讨了不列颠哥伦比亚省农村社区乳腺癌患者支持性护理体验的决定因素。

方法

本研究采用定量、描述性横断面设计。对100名参与者进行了一项关于人口统计学、健康状况、决策支持和乳腺癌支持性护理体验的调查。

结果

年龄小于40岁、拥有本科学历且诊断后三至五年的组合与较高(更积极)的总调查得分相关。本科院校和治疗后健康问题的线性组合显示出较高的医疗治疗得分,R = 23%。

结论

研究结果强调了对癌症幸存者提供心理社会和情感支持性护理的需求日益增长。结果突出了明智的决策支持工具对加强支持性护理的潜在益处,强调了为与乳腺癌作斗争的女性提供更好的支持性护理服务的必要性。

建议

支持性护理在指导个人在医疗系统中应对癌症的体验方面起着至关重要的作用。增加支持性护理中心,尤其是在农村地区,可以改善患者报告的结果和体验,并确保及时获得护理。

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