Abstract：
Advanced gynecological cancer patients endure numerous symptoms resulting from both the disease itself and the treatments they undergo. This symptom burden significantly impacts the quality of life for both patients and their caregivers, as well as escalating medical costs. Palliative care presents a solution to alleviate these challenges. However, in Korea, there exists a low level of awareness regarding palliative care and consequently, a low utilization rate. Providing timely palliative care to advanced gynecological cancer patients in Korea necessitates a comprehensive understanding of their symptom burden, palliative care knowledge, and palliative care needs. However, no previous studies have addressed this critical issue. The purpose of this study is to determine the impact of advanced gynecological cancer on palliative care needs in Korea according to patient demographic and clinical characteristics, symptom burden, and palliative care knowledge. This study was a descriptive cross-sectional study of data from 115 participants with stage III or IV gynecological cancer, collected through an online questionnaire. The main variables were symptom burden (Functional Assessment of Cancer Therapy-General), palliative care knowledge (Palliative Care Knowledge Scale), and palliative care needs (Problems and Needs in Palliative Care questionnaire-short version). Multiple hierarchical regression analyses were used to determine the relationships between variables. Palliative care needs were divided into perceived problems and requests for professional support. The most common perceived problems were financial problems, psychological issues, and physical symptoms, and the most frequent requests for professional support were financial problems, psychological issues, and the need for information. The perceived problem score increased with age, not having surgical experience, and significant symptom burden. Additionally, the requests for professional support score rose in cases of ovarian cancer, not having surgical history, substantial symptom burden, and limited palliative care knowledge. Advanced gynecological cancer patients have palliative care needs that differ according to patient characteristics, symptom burden, and palliative care knowledge. Identifying factors influencing palliative care needs can aid clinicians in identifying target groups in need of palliative care and providing them with professional palliative care.
摘要：
晚期妇科癌症患者忍受由疾病本身和他们所接受的治疗引起的许多症状。这种症状负担显著影响患者及其护理人员的生活质量。以及不断升级的医疗费用。姑息治疗提供了缓解这些挑战的解决方案。然而,在韩国,人们对姑息治疗的认识水平很低，因此，利用率低。为韩国晚期妇科癌症患者提供及时的姑息治疗需要全面了解他们的症状负担，姑息治疗知识，和姑息治疗的需要。然而,以前没有研究解决这个关键问题.本研究的目的是根据患者的人口统计学和临床特征，确定晚期妇科癌症对韩国姑息治疗需求的影响，症状负担，和姑息治疗知识。这项研究是对115名III或IV期妇科癌症患者的描述性横断面研究，通过在线问卷收集。主要变量是症状负担(癌症治疗的功能评估-一般)，姑息治疗知识（姑息治疗知识量表），和姑息治疗需求(姑息治疗问卷中的问题和需求-简短版本)。使用多重层次回归分析来确定变量之间的关系。姑息治疗需求分为感知问题和专业支持请求。最常见的问题是财务问题，心理问题,和身体症状，最常见的专业支持请求是财务问题，心理问题,以及对信息的需求。感知到的问题分数随着年龄的增长而增加，没有手术经验,和显著的症状负担。此外,卵巢癌患者对专业支持评分的要求上升，没有手术史,严重的症状负担，和有限的姑息治疗知识。晚期妇科癌症患者的姑息治疗需求根据患者特征而有所不同，症状负担，和姑息治疗知识。确定影响姑息治疗需求的因素可以帮助临床医生确定需要姑息治疗的目标群体，并为他们提供专业的姑息治疗。
