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Colorectal cancer patients’ preferences for type of caregiver during survivorship care

机译:大肠癌患者在生存护理期间对看护者类型的偏好

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Purpose: Colorectal cancer (CRC) survivors are currently included in a secondary care-led survivorship care programme. Efforts are underway to transfer this survivorship care to primary care, but met with some reluctance by patients and caregivers. This study assesses (1) what caregiver patients prefer to contact for symptoms during survivorship care, (2) what patient factors are associated with a preferred caregiver, and (3) whether the type of symptom is associated with a preferred caregiver. Methods: A cross-sectional study of CRC survivors at different time points. For 14 different symptoms, patients reported if they would consult a caregiver, and who they would contact if so. Patient and disease characteristics were retrieved from hospital and general practice records. Results: Two hundred and sixty patients participated (response rate 54%) of whom the average age was 67, 54% were male. The median time after surgery was seven months (range 0–60 months). Patients were divided fairly evenly between tumour stages 1–3, 33% had received chemotherapy. Men, patients older than 65 years, and patients with chronic comorbid conditions preferred to consult their general practitioner (GP). Women, patients with stage 3 disease, and patients that had received chemotherapy preferred to consult their secondary care provider. For all symptoms, patients were more likely to consult their GP, except for (1) rectal blood loss, (2) weight loss, and (3) fear that cancer had recurred, in which case they would consult both their primary and secondary care providers. Patients appreciated all caregivers involved in survivorship care highly; with 8 out of 10 points. Conclusions: CRC survivors frequently consult their GP in the current situation, and for symptoms that could alarm them to a possible recurrent disease consult both their GP and secondary care provider. Patient and tumour characteristics influence patients’ preferred caregiver.
机译:目的:大肠癌(CRC)幸存者目前包括在二级保健主导的幸存者护理计划中。正在努力将这种幸存护理转移到初级护理,但患者和护理人员对此有些不愿。这项研究评估(1)在生存护理期间,哪些护理人员希望接触症状,(2)哪些患者因素与首选护理人员相关,以及(3)症状类型是否与首选护理人员相关。方法:在不同时间点对CRC幸存者进行横断面研究。对于14种不同的症状,患者报告他们是否会咨询护理人员,以及是否会与谁联系。从医院和一般执业记录中检索患者和疾病特征。结果:260例患者(有效率54%)参与其中,平均年龄为67岁,男性为54%。手术后中位时间为七个月(0-60个月)。患者在1-3期肿瘤之间平均分配,其中33%接受了化疗。男性,65岁以上的患者以及患有慢性合并症的患者最好咨询他们的全科医生。女性,患有3期疾病的患者以及接受过化疗的患者更愿意咨询二级保健提供者。对于所有症状,患者更可能会咨询他们的全科医生,除了(1)直肠失血,(2)体重减轻和(3)担心癌症已复发,在这种情况下,他们将同时咨询他们的一级和二级保健提供者。患者高度赞赏参与生存护理的所有护理人员; 10分中有8分。结论:CRC幸存者在当前情况下经常咨询其GP,而对于可能使他们警觉到可能复发疾病的症状,请咨询其GP和二级护理提供者。患者和肿瘤的特征会影响患者的首选护理人员。

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