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一项关于淋巴瘤幸存者治疗后经历及支持需求的定性研究。

A qualitative study of the post-treatment experiences and support needs of survivors of lymphoma.

作者信息

Monterosso Leanne, Taylor Karen, Platt Violet, Lobb Elizabeth, Krishnasamy Meinir, Musiello Toni, Bulsara Caroline, Stratton Kendall, Joske David

机构信息

School of Nursing and Midwifery, University of Notre Dame Australia, Fremantle, Western Australia, Australia; St John of God Murdoch Hospital, Western Australia, Australia; School of Nursing, Edith Cowan University Joondalup, Western Australia, Australia.

School of Nursing and Midwifery, University of Notre Dame Australia, Fremantle, Western Australia, Australia; Western Australia Cancer and Palliative Care Network, Perth, Australia.

出版信息

Eur J Oncol Nurs. 2017 Jun;28:62-68. doi: 10.1016/j.ejon.2017.03.002. Epub 2017 Mar 28.

Abstract

PURPOSE

To explore the post-treatment experiences and preferences for follow-up support of lymphoma survivors.

METHODS

Two focus groups were conducted with 17 participants to explore informational, psychological, emotional, social, practical and physical needs, 6-30 months post-treatment for lymphoma. Perceptions regarding a potential model of survivorship care were also elicited.

RESULTS

Thematic content analysis revealed five key themes: Information; Loss and uncertainty; Family, support and post-treatment experience; Transition, connectivity and normalcy, and Person-centred post-treatment care. Participants described a sense of loss as they transitioned away from regular interaction with the hospital at the end of treatment, but also talked about the need to find a "new normal". Establishing post-treatment support structures that can provide individualised information, support, reassurance and referrals to community and peer support were identified as a helpful way to navigate the transition from patient to post-treatment survivor.

CONCLUSIONS

Participants in our study articulated a need for a flexible approach to survivorship care, providing opportunities for individuals to access different types of support at different times post-treatment. Specialist post-treatment nurse care coordinators working across acute and community settings may offer one effective model of post-treatment support for survivors of haematological malignancies.

摘要

目的

探讨淋巴瘤幸存者治疗后的经历以及对后续支持的偏好。

方法

对17名参与者进行了两个焦点小组讨论,以探究淋巴瘤治疗后6至30个月期间在信息、心理、情感、社交、实际生活及身体方面的需求。同时,还征集了关于潜在生存护理模式的看法。

结果

主题内容分析揭示了五个关键主题:信息;失落与不确定性;家庭、支持与治疗后经历;过渡、联系与恢复正常,以及以人为本的治疗后护理。参与者描述了在治疗结束后与医院的定期互动减少时所产生的失落感,但也谈到了寻找“新的正常状态”的必要性。建立能够提供个性化信息、支持、安心感以及转介至社区和同伴支持的治疗后支持结构,被认为是帮助从患者过渡到治疗后幸存者的有效方式。

结论

我们研究中的参与者明确表示需要一种灵活的生存护理方法,为个体提供在治疗后不同时间获取不同类型支持的机会。在急性和社区环境中工作的专科治疗后护士护理协调员,可能为血液系统恶性肿瘤幸存者提供一种有效的治疗后支持模式。

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