PDF(Pubmed)
Abstract：
OBJECTIVE: Recognizing unmet care needs among cancer patients is crucial for improving a person-centered and tailored approach to survivorship care. This study aimed to explore the prevalence of unmet supportive care needs, pinpointing entity-specific areas of burden, and to identify factors associated with unmet needs within a diverse sample of cancer patients.
METHODS: In this cross-sectional sub-study of a large multicenter study, 944 adult cancer patients reported supportive care needs via the well-validated SCNS. Most frequent diagnoses included breast (n = 276), prostate (n = 237), hematological (n = 90) and gynecological cancer (n = 74), which were analyzed for entity-specific care needs.
RESULTS: Across most cancer entities, health system and information, and psychological needs were most commonly reported, with fear of the cancer spreading and information regarding cancer control/diminishment ranking as the most prevalent individual concerns. Notable differences in entity-specific needs emerged for gynecological cancer patients, who exhibited more psychological (p = 0.007, OR = 2.01) and physical needs (p = 0.005, OR = 2.02), and prostate cancer patients, who showed higher sexuality needs (p < 0.001, OR = 2.95) but fewer psychological (p < 0.001, OR = 0.55), physical (p < 0.001, OR = 0.31) and patient care needs (p = 0.006, OR = 0.62). Non-distressed participants had fewer supportive care needs in each domain (all p < 0.001). Patients with functional impairments and female respondents reported increased unmet needs across most domains.
CONCLUSIONS: The high prevalence of patients feeling inadequately informed about their disease and care aspects, particularly among those with functional impairments, reflects a key challenge in the healthcare system. Specific interventions and improvements in patient-doctor communication are essential to address cancer entity-specific care needs.
METHODS: In this cross-sectional sub-study of a large multicenter study, 944 adult cancer patients reported supportive care needs via the well-validated SCNS. Most frequent diagnoses included breast (n = 276), prostate (n = 237), hematological (n = 90) and gynecological cancer (n = 74), which were analyzed for entity-specific care needs.
RESULTS: Across most cancer entities, health system and information, and psychological needs were most commonly reported, with fear of the cancer spreading and information regarding cancer control/diminishment ranking as the most prevalent individual concerns. Notable differences in entity-specific needs emerged for gynecological cancer patients, who exhibited more psychological (p = 0.007, OR = 2.01) and physical needs (p = 0.005, OR = 2.02), and prostate cancer patients, who showed higher sexuality needs (p < 0.001, OR = 2.95) but fewer psychological (p < 0.001, OR = 0.55), physical (p < 0.001, OR = 0.31) and patient care needs (p = 0.006, OR = 0.62). Non-distressed participants had fewer supportive care needs in each domain (all p < 0.001). Patients with functional impairments and female respondents reported increased unmet needs across most domains.
CONCLUSIONS: The high prevalence of patients feeling inadequately informed about their disease and care aspects, particularly among those with functional impairments, reflects a key challenge in the healthcare system. Specific interventions and improvements in patient-doctor communication are essential to address cancer entity-specific care needs.
摘要：
目的：认识到癌症患者未满足的护理需求对于改善以人为本和量身定制的生存护理方法至关重要。这项研究旨在探讨未满足的支持性护理需求的患病率，精确定位特定实体的负担领域，并在不同的癌症患者样本中确定与未满足的需求相关的因素。
方法：在这项大型多中心研究的横断面子研究中，944名成年癌症患者通过经过充分验证的SCNS报告了支持性护理需求。最常见的诊断包括乳腺（n=276），前列腺（n=237），血液学（n=90）和妇科癌症（n=74），针对特定实体的护理需求进行了分析。
结果：在大多数癌症实体中，卫生系统和信息，心理需求是最常见的报道，担心癌症扩散和关于癌症控制/减少的信息排名是最普遍的个人问题。妇科癌症患者在实体特异性需求方面出现了显著差异，谁表现出更多的心理（p=0.007，OR=2.01）和身体需求（p=0.005，OR=2.02），前列腺癌患者，表现出较高的性需求（p<0.001，OR=2.95），但较少的心理需求（p<0.001，OR=0.55），身体（p<0.001，OR=0.31）和患者护理需求（p=0.006，OR=0.62）。非痛苦参与者在每个领域的支持性护理需求较少(所有p<0.001)。患有功能障碍的患者和女性受访者报告说，大多数领域的未满足需求增加。
结论：患者对其疾病和护理方面的了解不足的患病率很高，特别是那些有功能障碍的人，反映了医疗保健系统中的一个关键挑战。特定干预措施和改善患者与医生的沟通对于解决癌症实体特定的护理需求至关重要。
方法：在这项大型多中心研究的横断面子研究中，944名成年癌症患者通过经过充分验证的SCNS报告了支持性护理需求。最常见的诊断包括乳腺（n=276），前列腺（n=237），血液学（n=90）和妇科癌症（n=74），针对特定实体的护理需求进行了分析。
结果：在大多数癌症实体中，卫生系统和信息，心理需求是最常见的报道，担心癌症扩散和关于癌症控制/减少的信息排名是最普遍的个人问题。妇科癌症患者在实体特异性需求方面出现了显著差异，谁表现出更多的心理（p=0.007，OR=2.01）和身体需求（p=0.005，OR=2.02），前列腺癌患者，表现出较高的性需求（p<0.001，OR=2.95），但较少的心理需求（p<0.001，OR=0.55），身体（p<0.001，OR=0.31）和患者护理需求（p=0.006，OR=0.62）。非痛苦参与者在每个领域的支持性护理需求较少(所有p<0.001)。患有功能障碍的患者和女性受访者报告说，大多数领域的未满足需求增加。
结论：患者对其疾病和护理方面的了解不足的患病率很高，特别是那些有功能障碍的人，反映了医疗保健系统中的一个关键挑战。特定干预措施和改善患者与医生的沟通对于解决癌症实体特定的护理需求至关重要。
