改善癌症幸存者的护理模式
Michael Jefford1, Doris Howell2, Qiuping Li3
1Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
Lancet (London, England)
|April 17, 2022
概括
癌症幸存者护理模式正在发展. 包括初级护理和护理为主导的替代方法在改善生活质量和有效管理幸存者的需求方面具有前景.
科学领域:
- 癌症学
- 医疗管理
- 患者护理
背景情况:
- 越来越多的癌症幸存者给当前的医疗保健系统带来了挑战.
- 现有的护理模式往往无法满足癌症幸存者的多样化和复杂需求.
- 需要可持续有效的癌症生存护理模式.
研究的目的:
- 审查和评估癌症幸存者的替代护理模式.
- 确定影响个人幸存者的适当护理模式的因素.
- 为未来的癌症生存护理策略提出改进建议.
主要方法:
- 对研究替代护理模式的众多试验进行了审查.
- 分析患者层面的因素,当地服务和医疗保健政策.
- 考虑疫情带来的医疗保健服务变化.
主要成果:
- 另类护理模式 (主要护理,共享护理,护士带领) 与专家带领的护理一样有效.
- 这些模型适用于广泛的癌症幸存者.
- 患者因素,当地资源和政策影响模型的选择.
结论:
- 更广泛的实施需要对非瘤学家提供支持和团队认可.
- 未来的模型应该优先考虑生活质量,功能结果和患者体验,而不是仅仅检测复发.
- 研究应扩展到不同的医疗环境和癌症类型.
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