Cancer Survivorship에 대한 이해와 전망
Understanding Cancer Survivorship and Its New Perspectives
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초록
Cancer survivorship에 대한 이슈와 연구, 프로그램 개발등은 비교적 새로운 영역이다. 암 생존자들이 치료 후 겪게 되는 신체적 문제, 불안, 우울, 불확실성 등의 정신적 문제, 직업상실, 관계변화, 경제적 손실 등의 사회적 문제들은 우리가 관심을 가져야 할 영역이다. 암 생존자 관리는 다학제적 팀 접근이 필수적으로 요구되며, 간호사는 이를 이끌어나갈 중요한 위치에 있다. 따라서 간호사는 암 생존자와 그들의 가족에게 최상의 질 높은 의료를 제공하기 위해 다른 건강관리 전문가들과 협력해야 하며, 연구 수행 및 프로그램 개발, 정책개발 등에 적극적으로 참여해야 할 것이다.
Abstract
Purpose: The purpose of this article was to review and discuss the current status, issues, and nursing perspectives of cancer survivorship. Methods: A comprehensive literature review was conducted. Results: The major areas of concern for the survivors included recurrence, secondary malignancies, and long-term treatment sequalae which affect their quality of life. The four essential components of survivorship are prevention, surveillance, intervention, and coordination. Cancer survivorship care plan should address survivor’s long-term care, such as types of cancer, treatment modalities, potential side effects, and recommendations for follow-up. It also needs to include preventive practices, health maintenance and well-being, information on legal protections regarding employment and health insurance, as well as psychosocial services in the community. Survivorship care for cancer patients requires multidisciplinary efforts and team approach. Conclusion:Nurses are uniquely positioned to play a key role in ensuring quality services for cancer survivors and family members. Nurses should review the care plans for cancer survivorship with patients and families by instructing them when to seek medical treatment, promoting any recommended surveillance protocols, and encouraging healthy life styles for health promotion and quality of life.
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