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Care Processes and Quality-of-Life Outcomes Affecting the Gynecologic Cancer Survivorship Experience
Anne M Reb1, Denice Economou1, Diane G Cope2
1City of Hope National Medical Center.
Oncology Nursing Forum
|September 7, 2023
Summary
Gynecologic cancer survivors often experience unmet needs like stress and fear of recurrence. Addressing these through improved communication and support can enhance their quality of life and self-management.
Area of Science:
- Oncology
- Gynecologic Oncology
- Cancer Survivorship
Background:
- Gynecologic cancer survivors face unique physical and psychosocial challenges post-treatment.
- Effective survivorship care is crucial for managing long-term effects and improving quality of life.
Purpose of the Study:
- To describe and assess physical and psychosocial concerns in gynecologic cancer survivors.
- To evaluate care processes, including survivorship care plan implementation and supportive care referrals.
- To identify barriers to receiving adequate care.
Main Methods:
- A descriptive mixed-methods approach was employed.
- 44 gynecologic cancer survivors were enrolled.
- Data collected via questionnaires (quality of life, unmet needs) and qualitative assessments over nine months.
Main Results:
- Common unmet needs included stress reduction, side effect management, and fear of cancer recurrence (FCR).
- Key themes identified were communication, care coordination, FCR, financial distress, and need for information.
- Survivors reported challenges with care team communication and coordination.
Conclusions:
- Nurses are vital in coordinating care and addressing survivors' psychosocial needs.
- Education and coaching empower survivors for self-management and improved self-efficacy.
- Targeted interventions addressing communication and psychosocial support are essential for gynecologic cancer survivors.
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