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首页> 外文期刊>Journal of Clinical Medicine Research >Lack of Needs Assessment in Cancer Survivorship Care and Rehabilitation in Hospitals and Primary Care Settings
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Lack of Needs Assessment in Cancer Survivorship Care and Rehabilitation in Hospitals and Primary Care Settings

机译：在医院和基层医疗机构中缺乏对癌症幸存者护理和康复的需求评估

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Background: Formalized and systematic assessment of survivorship care and rehabilitation needs is prerequisite for ensuring cancer patients sufficient help and support through their cancer trajectory. Patients are often uncertain as to how to express and address their survivorship care and rehabilitation needs, and little is known about specific, unmet needs and the plans necessary to meet them. There is a call for both ensuring survivorship care and rehabilitation for cancer patients in need and further for documenting the specific needs related to the cancer disease and its treatment. Thus the aim of this study was to describe specific survivorship care and rehabilitation needs and plans as stated by patients with cancer at hospitals when diagnosed and when primary care survivorship care and rehabilitation begins.Methods: Needs assessment forms from cancer patients at two hospitals and two primary care settings were analyzed. The forms included stated needs and survivorship care and rehabilitation plans. All data were categorized using the International Classification of Functioning, Disability and Health (ICF).Results: Eighty-nine patients at hospitals and 99 in primary care, stated their needs. Around 50% of the patients completed a survivorship care and rehabilitation plan. In total, 666 (mean 7.5) needs were stated by hospital patients and 836 (mean 8.0) by those in primary care. The needs stated were primarily within the ICF component “body functions and structure”, and the most frequent needs were (hospitals/primary care) fatigue (57%/67%), reduced muscle strength (55%/67%) and being worried (37%/36%).Conclusions: The results underpin an urgent need for a systematic procedure to assess needs in clinical practice where cancer patients are being left without survivorship care and rehabilitation needs assessment. Gaining knowledge on needs assessment and the detailed description of needs and plans can facilitate targeted interventions. The findings indicate an urgent need to change the practice culture to be systematic in addressing and identifying survivorship care needs among patients with cancer. Further the findings call for considering the development of a new needs assessment form with involvement of both patients and healthcare professionals.J Clin Med Res. 2017;9(10):864-871doi: https://doi.org/10.14740/jocmr3160w
机译：背景：对生存护理和康复需求进行正式和系统的评估是确保癌症患者通过其癌症轨迹获得充分帮助和支持的前提。患者通常不确定如何表达和解决其生存护理和康复需求，对具体的，未满足的需求以及满足他们的必要计划知之甚少。呼吁既确保有需要的癌症患者的生存护理和康复，又要进一步记录与癌症及其治疗有关的特殊需求。因此，本研究的目的是描述特定的幸存者护理和康复需求和计划，如癌症患者在诊断时以及开始进行初级护理时所制定的计划。方法：来自两家医院和两家医院的癌症患者的需求评估表分析了初级保健机构。表格包括已陈述的需求以及生存护理和康复计划。所有数据均使用国际功能，残疾与健康分类（ICF）进行了分类。结果：陈述了他们的需求，其中有89名住院患者和99名初级保健患者。大约50％的患者完成了生存护理和康复计划。总体而言，医院患者表示需要666（平均7.5），初级保健患者表示836（平均8.0）。陈述的需求主要在ICF的“身体功能和结构”部分中，最常见的需求是（医院/初级保健）疲劳（57％/ 67％），肌肉力量下降（55％/ 67％）和担心（37％/ 36％）。结论：迫切需要一种系统的程序来评估临床实践中的需求，在这些实践中，癌症患者被遗弃而没有幸存护理和康复需求评估。获得有关需求评估的知识以及对需求和计划的详细描述可以促进有针对性的干预。研究结果表明，迫切需要改变实践文化，以便系统地解决和确定癌症患者的生存护理需求。进一步的发现要求在患者和医疗保健专业人员的参与下考虑开发新的需求评估表。JClin Med Res。 2017; 9（10）：864-871doi：https://doi.org/10.14740/jocmr3160w

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