Für Sie gelesen: Küttner S, Wüller J, Pastrana T. How much psychological distress is experienced at home by patients
                    with palliative care needs in Germany? A cross-sectional study using the Distress Thermometer. Palliative and Supportive Care 2017; 15:
                    205–213. DOI:10.1017/S1478951516000560

Background: Proper planning of Palliative Care in nursing homes requires advanced knowledge of the care needs that residents show. The aim of the study was to evaluate Palliative Needs and other conditions such as fragility, complexity, and prognosis and also to suggest new indicators for the establishment of the resident’s advanced chronic condition. Methods: Cross-sectional study conducted in 149 nursing homes Complex Chronic residents evaluated by trained professionals. Palliative Care Needs, assessed by the NECPAL ICO-CCOMS© tool, and fragility, case and palliative complexity and prognosis were evaluate through a comprehensive assessment. Descriptive analyses and association measures were performed setting the statistical significance at 0.05. Results: More than 50% of the residents had positive Surprise Question and other Palliative Needs and were classified as Advanced Chronic Patients. Distress and/or Severe Adaptative Disorder was the most frequent need shown by the residents and significant differences in levels of frailty and other characteristics, were found between the Positive and the Negative Surprise Question Groups. Statistically significant correlations were also found between aspects of both groups. Conclusions: Nursing homes residents show Palliative Needs regardless of the response to the Surprise Question of the NECPAL tool. Other characteristics such as presence of an intermediate level of frailty are suggested as a new perspective to identify advanced chronic patients among nursing homes residents.

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Unmet supportive care needs and predictor of breast cancer patients in Bangladesh: A cross-sectional study

Journal of Oncology Pharmacy Practice ◽

10.1177/10781552211039114 ◽

2021 ◽

pp. 107815522110391

Author(s):

Sujana H Chowdhury ◽

Bilkis Banu ◽

Nasrin Akter ◽

Sarder M Hossain

Keyword(s):

Breast Cancer ◽

Supportive Care ◽

Cancer Patients ◽

Unmet Needs ◽

Cross Sectional Study ◽

Supportive Care Needs ◽

Breast Cancer Patients ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional

Background Breast cancer survivor goes through a period of needs in their post-treatment daily life. Relatively few studies have been conducted to understand the unmet needs among breast cancer survivors in Bangladesh. Recognize and measure patterns and predictors of unmet needs of breast cancer patients was the aim of the study. Objective To identify and measure patterns and predictors of unmet needs of breast cancer patients in Bangladesh. Method A cross-sectional study among 138 breast cancer patients; conveniently selected from two public and two private cancer institutes. Face-to-face interview for data collection and medical record review for checklist was done. Unmet needs have been determined by the supportive care needs survey short form 34 scale. Logistic regression analyses were performed to identify the predictors of unmet needs. Results The study indicated the top 10 moderate-to-high needs; among which the top five needs were from the information need domain. Surprisingly, private cancer treatment centers were identified as a significant predictor for unmet needs. Patients from private cancer institutes reported more explanation needs as well as needs with their physical and daily living and sexuality. Furthermore, the type of treatment like patient receiving combine treatment therapy reported more need for help compared to the patient receiving chemotherapy alone. Moreover, housewives reported the low need for patient care and support systems as a result of their reluctant behavior towards their health. Conclusion Individual’s unmet need assessment should be a part of every treatment protocol of breast cancer for a better treatment outcome.

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Beyond the curriculum: a cross-sectional study of medical student psychological distress, and health care needs, practices and barriers

Social Psychiatry and Psychiatric Epidemiology ◽

10.1007/s00127-019-01771-1 ◽

2019 ◽

Vol 55 (9) ◽

pp. 1215-1221 ◽

Cited By ~ 2

Author(s):

Janet Bartlett ◽

Ken Fowler

Keyword(s):

Health Care ◽

Psychological Distress ◽

Medical Student ◽

Cross Sectional Study ◽

Health Care Needs ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional

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Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study

10.21203/rs.3.rs-15955/v1 ◽

2020 ◽

Author(s):

Jie Yan ◽

Ying Wang ◽

Jingyi Chen ◽

Chunfeng Wang ◽

Yingchun Lin ◽

...

Keyword(s):

Quality Of Life ◽

Supportive Care ◽

Health Systems ◽

Acute Leukaemia ◽

Cross Sectional Study ◽

Supportive Care Needs ◽

Sectional Study ◽

Care Needs ◽

Cross Sectional

Abstract Background: Patients with acute leukaemia (AL) usually require prolonged periods of hospitalisation. The treatment and clinical symptoms may lead to patients’ supportive care needs (SCNs) not being met and impairs their quality of life (QoL). Studies on QoL and SCNs among AL patients are limited. This study aimed to identify the unmet SCNs and its relation to QoL of adult AL patients in China.Methods: This multicentre cross-sectional study recruited 346 participants to complete a self-developed questionnaire, detailing demographic information and disease-related variables. A 34-item Supportive Care Needs Survey (SCNS-SF34) was used to identify unmet SCNs, and the Functional Assessment of Cancer Therapy-Leukaemia (FACT-Leu) questionnaire measured patients’ QoL.Results: Unmet SCN rates for the 34 items ranged from17.6% to 81.7%. Patients’ needs were high for health systems and information, but low in the sexual domain. The results reveal nine factors associated with the unmet SCNs of adult AL patients, including marital status, original residence, age, education, occupation, other diseases, chemotherapy course, disease course, and treatment stage (p <0.05). The total score of the FACT-Leu negatively correlated with the SCNS-SF34 in the physical/daily living (r = - 0.527, p <0.01), psychological (r = - 0.688, p <0.01), sexual (r = - 0.170, p <0.01), patient care and support (r = - 0.352, p <0.01), and health systems and information (r = - 0.220, p <0.01) domains.Conclusions: Adult AL patients exhibit a high demand for unmet SCNs, especially in the domain of health systems and information. There was a significant association between patients’ unmet SCNs and QoL. Future research should develop tailored interventions to address the unmet SCNs of adult AL patients, to further improve their QoL.

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