Специализированное обучение повысит эффективность планов выживаемости для онкопациентов

More targeted education about survivorship care plans (SCPs) ensures cancer survivors understand the purpose of SCPs and their own role in follow-up care to get the most benefit from the SCP. These study results were published in the Canadian Oncology Nursing Journal. According to previous research, SCPs have mixed support due to a wide variation in the content, format, and delivery, as well as questions about their effectiveness as transition tools for cancer survivors. Hoping to learn more about the barriers and enablers of SCPs for survivors of breast and colorectal cancers, a research team interviewed 30 survivors who had been discharged from a cancer center to primary care for posttreatment care. The researchers interviewed 11 female breast cancer survivors, 5 female colorectal cancer survivors, and 14 male colorectal cancer survivors who had received an SCP from the Wellness Beyond Cancer Program (WBCP), a survivorship program in Ottawa, Canada. Study participants had been discharged to their primary care provider for follow-up care at least 12 months prior to the interview.  Three themes emerged from the interviews:  How survivors are using their SCP Participants reported that their SCP is a resource about their cancer history, provides direction, ensures continuity of care, and is a communication tool. Survivors need to be engaged in follow-up care Participants perceived themselves as active members of their healthcare team, but felt they needed more education on how to use their SCP. Some offered suggestions for improving SCPs. Practical, social, and emotional factors influence the use of SCPs Some participants reported misplacing their SCPs, financial limitations, distance from the cancer center, lack of transportation were barriers to SCP use. Understanding the importance of adhering to the SCP and a desire to be healthy were facilitators to use for some participants. Interview responses revealed that barriers to SCP use included patients’ struggles to cope with the emotional toll of cancer treatment and difficulties accepting discharge to primary care from the cancer center, as well as logistical and practical factors.  Improvements the participants suggested included creating an updatable electronic version of the SCP that could be part of the participant’s electronic medical record. They also expressed a wish for more resources for peer and psychological support, individualized approaches to SCPs and tools, and ongoing periodic access to cancer specialists.  “ Clinically, these findings highlight the importance of clearly communicating the purpose of SCPs, ensuring survivors can access them when needed, and reinforcing their role during follow-up in primary care. Tailored SCPs can serve as a valuable tool to support both patient autonomy and continuity of care; however, the researchers noted that implementation issues such as greater consistency in content, format, and method of delivery need to be addressed. They also suggested studies on barriers and facilitators experienced by other stakeholders, such as cancer specialists and primary care providers, could improve understanding and use of SCPs.  “Clinically, these findings highlight the importance of clearly communicating the purpose of SCPs, ensuring survivors can access them when needed, and reinforcing their role during follow-up in primary care,” the researchers wrote.  Disclosures: This research was supported by the Canadian Institutes of Health Research. No conflicts of interest were declared. References: Mutsaers B, Langmuir T, MacDonald-Liska C, et al. What are the barriers and enablers of survivorship care plan use by breast and colorectal cancer survivors? Can Oncol Nurs J. 2026;36(2):176-184. doi:10.5737/23688076362176.