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“我知道我必须掌控自己的人生轨迹”:患者及医疗保健专业人员对改善向罕见癌症幸存者提供信息的看法。

'I knew I had to drive my own bus': perspectives of patients and healthcare professionals on improving information provision to rare cancer survivors.

作者信息

Farrugia Tamsin, Duijts Saskia F A, Cockburn Christine, Hemming Laura, Wilson Carlene, Spelten Evelien

机构信息

Violet Vines Marshman Centre for Rural Health Research, Rural Health School, La Trobe University, Bendigo, VIC, Australia.

Rare Cancers Australia, Bowral, NSW, Australia.

出版信息

J Cancer Surviv. 2025 Sep 19. doi: 10.1007/s11764-025-01896-0.

Abstract

PURPOSE

People diagnosed with a rare cancer report a high need for information. Research on rare cancer survivors' preferences for, and challenges in, accessing information is scarce. The aims of this study were to explore the following: (1) rare cancer patients' preferences for information content and delivery mode and (2) the experiences of healthcare professionals in delivering information to this patient group.

METHODS

Interviews with rare cancer survivors and healthcare professionals were conducted between October 2023 and June 2024. Semi-structured interview guides were developed for both survivors and professionals. Interviews were recorded, transcribed verbatim and analysed using thematic analysis.

RESULTS

A total of 32 interviews (20 survivors and 12 healthcare professionals) were undertaken. Four themes were generated: (1) 'Questions need to be addressed regardless of information availability', (2) 'Information seeking is a fundamental part of the rare cancer experience' , (3) 'Healthcare professionals are responsible for information sharing' and (4) 'Tailoring information to patient preferences is a balancing act'.

CONCLUSION

This study highlights the importance of providing tailored, relevant information to rare cancer survivors in a face-to-face format, despite there being a paucity of information available on many rare cancers. Survivors highlighted the importance of their role in sourcing information and advocating for themselves, whereas health professionals identified their responsibility for providing tailored information to their patients.

IMPLICATIONS FOR CANCER SURVIVORS

The findings suggest a need to improve how information is structured and delivered to rare cancer survivors to ensure their unique needs and questions are adequately addressed.

摘要

目的

被诊断患有罕见癌症的患者表示对信息有很高的需求。关于罕见癌症幸存者在获取信息方面的偏好和挑战的研究很少。本研究的目的是探讨以下内容:(1)罕见癌症患者对信息内容和传递方式的偏好;(2)医疗保健专业人员向该患者群体提供信息的经验。

方法

在2023年10月至2024年6月期间,对罕见癌症幸存者和医疗保健专业人员进行了访谈。为幸存者和专业人员分别制定了半结构化访谈指南。访谈进行了录音,逐字转录,并使用主题分析法进行分析。

结果

共进行了32次访谈(20名幸存者和12名医疗保健专业人员)。产生了四个主题:(1)“无论信息是否可得,问题都需要得到解决”;(2)“信息寻求是罕见癌症经历的一个基本组成部分”;(3)“医疗保健专业人员负责信息共享”;(4)“根据患者偏好定制信息是一种平衡行为”。

结论

本研究强调了以面对面的形式向罕见癌症幸存者提供量身定制的相关信息的重要性,尽管许多罕见癌症的可用信息很少。幸存者强调了他们在获取信息和自我倡导方面的重要作用,而卫生专业人员则明确了他们为患者提供量身定制信息的责任。

对癌症幸存者的启示

研究结果表明,需要改进向罕见癌症幸存者构建和传递信息的方式,以确保充分满足他们的独特需求和问题。

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