Cancer survivors' needs during various treatment phases after multimodal treatment for colon cancer - is there a role for eHealth?

被引：39

作者：

den Bakker, C. M. ^{[1
,2
]}

Schaafsma, F. G. ^{[1
]}

Huirne, J. A. F. ^{[3
]}

Consten, E. C. J. ^{[4
]}

Stockmann, H. B. A. C. ^{[5
]}

Rodenburg, C. J. ^{[6
]}

de Klerk, G. J. ^{[7
]}

Bonjer, H. J. ^{[2
]}

Anema, J. R. ^{[1
]}

机构：

[1] Vrije Univ Amsterdam Med Ctr, Amsterdam Publ Hlth Inst, Dept Occupat & Publ Hlth, Van Boechorststr 7, NL-1081 BT Amsterdam, Netherlands

[2] Vrije Univ Amsterdam Med Ctr, Dept Surg, Amsterdam, Netherlands

[3] Vrije Univ Amsterdam Med Ctr, Dept Gynecol, Amsterdam, Netherlands

[4] Meander Med Ctr, Dept Surg, Amersfoort, Netherlands

[5] Spaarne Gasthuis, Dept Surg, Hoofddorp, Netherlands

[6] Meander Med Ctr, Dept Med Oncol, Amersfoort, Netherlands

[7] Spaarne Gasthuis, Dept Med Oncol, Hoofddorp, Netherlands

来源：

BMC CANCER | 2018年 / 18卷

关键词：

Colon cancer; Multimodal treatment; Recovery; Patient reported outcomes; Cancer care; eHealth; SUPPORTIVE CARE NEEDS; SELF-MANAGEMENT; LONG-TERM; E-HEALTH; QUALITY; ISSUES; INTERVENTION; INTERVIEWS; RECOVERY; SURGERY;

D O I：

10.1186/s12885-018-5105-z

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BackgroundMore colon cancer patients are expected to fully recover after treatment due to earlier detection of cancer and improvements in general health- and cancer care. The objective of this study was to gather participants' experiences with full recovery in the different treatment phases of multimodal treatment and to identify their needs during these phases. The second aim was to propose and evaluate possible solutions for unmet needs by the introduction of eHealth.MethodsA qualitative study based on two focus group discussions with 22 participants was performed. The validated Supportive Care Needs Survey and the Cancer Treatment Survey were used to form the topic list. The verbatim transcripts were analyzed with Atlas.ti. 7th version comprising open, axial and selective coding. The guidelines of the consolidated criteria for reporting qualitative research (COREQ) were used.ResultsExperiences with the treatment for colon cancer were in general positive. Most important unmet needs were receiving information about the total duration of side effects', receiving information about the minimum amount of chemo needed to overall survival' and receiving a longer aftercare period(with additional attention for psychological guidance)'. More provision of information online, a chat function with the oncological nurse specialist via a website, and access to scientific articles regarding the optimal dose of chemotherapy were often mentioned as worthwhile additions to the current health care for colon cancer.ConclusionsMany of the unmet needs of colon cancer survivors occur during the adjuvant treatment phase and thereafter. To further optimize recovery and cancer care, it is necessary to have more focus on these unmet needs. More attention for identifying patients' problems and side-effects during chemotherapy; and identifying patients' supportive care needs after finishing chemotherapy are necessary. For some of these needs, eHealth in the form of blended care will be a possible solution.

引用

页数：12

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