scholarly journals The Unmet Supportive Care Needs of Omani Women Diagnosed with Breast Cancer

2021 ◽  
Author(s):  
Mohammed Al-Azri ◽  
Khalid Al-Bimani ◽  
Al-Anoud Al-Maqbali ◽  
Hala Al-Riyami ◽  
Al-Kuthar Al-Shabnooti ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Supportive Care ◽  
Health System ◽  
Short Form ◽  
Unmet Need ◽  
Supportive Care Needs ◽  
University Teaching ◽  
Care Process ◽  
Sufficient Information ◽  
Care Needs

Objectives: This study aimed to assess the unmet supportive care needs of Omani women with breast cancer (BC). Methods: This cross-sectional study was conducted from November 2020 to February 2021 among 250 adult Omani women diagnosed with BC at a university teaching hospital in Muscat, Oman. An Arabic version of the 34-item Supportive Care Needs Survey-Short Form tool was used to determine perceived unmet supportive care needs across five domains. Results: A total of 181 women participated in the study (response rate: 72.4%). The domain with the highest mean score per item was health system and information (mean score: 3.33), with the greatest unmet need in this domain being informed about things that the patient could do to help themselves get well (40.9%). The domain with the second highest mean score per item was patient care and support (mean score: 3.04), with the greatest unmet need being for clinicians to be more sincere with the patient (36.5%). Higher total mean scores were reported by women who had visited the hospital four times or more over the past two months (P = 0.045), those with stage 3 or 4 cancer (P = 0.047) and those who had recently undergone radiotherapy or chemotherapy (P = 0.014). Conclusion: Most unmet supportive care needs fell under the health system and information domain. Healthcare providers in Oman should explore patient concerns and provide sufficient information at various stages of the care process in order to decrease the anxiety associated with living with cancer. Keywords: Breast Neoplasms; Needs Assessment; Supportive Care; Women; Oman.

Supportive care needs among Mexican young women with breast cancer.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e21552-e21552
Author(s):  
C. Lizette Galvez ◽  
Cynthia Villarreal-Garza ◽  
Alejandro Mohar
Keyword(s):  
Breast Cancer ◽  
Supportive Care ◽  
Health Systems ◽  
Young Women ◽  
Active Treatment ◽  
Unmet Needs ◽  
Short Form ◽  
Unmet Need ◽  
Supportive Care Needs ◽  
Care Needs

e21552 Background: Despite high rates of breast cancer (BC) in young Mexican women, information about their particular needs and concerns is largely unknown. Understanding the patients individual needs in a population with unique socio-cultural features is essential to guide supportive care and improve their quality of life. We aim to describe the unmet needs of Mexican young women with breast cancer (YWBC). Methods: A cross-sectional study including women with stage I-III BC aged 40 years or younger at diagnosis was conducted at the National Cancer Institute in Mexico City. YWBC were invited to complete the Supportive Care Needs Survey, Short Form-34 (SCNS-SF34), a comprehensive tool that measures the perceived unmet needs of cancer patients. The survey was previously adapted and validated in our population for its use. Results: 81 consecutive patients with median age at diagnosis of 35.09 (SD 3.9) years were included. 45.7% were married and 29.2% completed secondary school. 92.6% had stage II-III BC. 70.4% were undergoing active treatment and 29.6% were either on hormonal therapy or surveillance. From a total standardized score of 100, the health systems and information domain had the highest mean score (39.3), followed by the psychological domain (36.3). The sexuality domain had the lowest mean score (27). The highest ranked items of unmet needs (by mean crude score) were: to be informed about cancer is under control or diminishing (2.9), to be informed about things you can do to help yourself get well (2.8), lack of energy and fatigue (2.7), and fear about the cancer spreading (2.7). Perceived needs among patients undergoing active treatment were greater compared to those in follow-up (z = -2.390 p = 0.017), predominantly in the sexuality domain (z = -2.084 p = 0.037). Conclusions: Mexican YWBC have specific needs that are currently not systematically addressed. The predominant unmet need regarding health systems and information should be a priority. Further research to understand the needs and concerns of this unique and understudied patient population will aid tailor clinical interventions and supportive care.

Identification of supportive care needs in a sample of Puerto Rican cancer patients with the Supportive Care Needs Survey-34 (SCNS-34)

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20697-e20697
Author(s):  
V. Gonzalez ◽  
M. Velez ◽  
E. Pedro ◽  
C. Cruz ◽  
M. Cotto ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Supportive Care ◽  
Health System ◽  
Puerto Rican ◽  
Cancer Patients ◽  
Clinical Data ◽  
Daily Living ◽  
Supportive Care Needs ◽  
Care Needs ◽  
Perceived Needs

e20697 Background: The assessment of supportive care needs is important in the management of cancer patients. The Supportive Care Needs Survey (SCNS-34) was administered to a population of Puerto Rican cancer patients to assess their perceived needs in five domains (psychological, health system and information, physical and daily living, patient care and support, and sexuality.) Methods: Patients attending the surgical, radiation and medical oncology clinics at the Puerto Rico Medical Center participated in the study. After informed consent, patients completed the Spanish- Puerto Rican translation of the SCNS-34. A second instrument to measure the quality of the SCNS-34 was administered. Demographic and clinical data was obtained from medical records. Descriptive, univariate and multivariate analysis was performed to assess correlation between reported needs and demographic and clinical data. To assess the validity and consistency of the Spanish Puerto Rican translation of the SCNS-34, the Cronbach's alpha test was used. Results: A total of 103 patients participated in the study (female n=66; male n=37). Median age was 54 years. The most common malignancies were breast cancer (29 patients), gynecologic cancers (22 patients), prostate cancer (17 patients) and gastrointestinal cancers (14 patients). The overall internal consistency of the instrument was 0.882. Patients perceived needs were highest in the domains of sexuality (67%), physical and daily living (55.3%), and psychological (38.8%). Logistic regression analysis demonstrated that younger age was an independent predictor of perceived needs in the psychologic domain (p=0.010). Also, a diagnosis of breast cancer was a significant predictor of perceived needs in the health system and information domain (p=0.020). Being a female was correlated with reporting needs in the domain of physical and daily living (p=0.009). Educated patients were more prone to perceive needs in the domains of sexuality (p=0.045). Conclusions: The Spanish- Puerto Rican translation of the Supportive Care Needs Survey (SCNS-34) showed satisfactory internal consistency and validity. The supportive care needs of Puerto Ricans cancer patients seem to be affected by age, gender, and cancer site. No significant financial relationships to disclose.

scholarly journals Supportive Care Needs Among Mexican Breast Cancer Patients: From Diagnosis to Post-Treatment Follow-Up Visit

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 118s-118s
Author(s):  
A. Perez-Fortis ◽  
J. Fleer ◽  
M.J. Schroevers ◽  
P. Alanís López ◽  
J.J. Sánchez Sosa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Depressive Symptoms ◽  
Supportive Care ◽  
Health System ◽  
Cancer Patients ◽  
Supportive Care Needs ◽  
Breast Cancer Patients ◽  
Care Needs ◽  
Disease Trajectory

Background: In Latin America, where 7.8% of worldwide new cancer cases occur, the implementation of supportive care services for cancer patients within public hospitals is not common practice and it is often a low priority. Identifying the priority care needs of these cancer patients is relevant to improve care provision, especially in Mexico, where breast cancer is highly prevalent and it is among the three leading causes of death in Mexican women. Objective: To investigate the course and predictors of supportive care needs among Mexican breast cancer patients for different cancer treatment trajectories. Methods: In this observational longitudinal study data from 172 patients were considered. Participants were assessed after diagnosis, neoadjuvant treatment, surgery, adjuvant treatment and the first posttreatment follow-up visit. The Supportive Care Needs Survey (SCNS-SF34) was used to assess psychological, health system and information, physical and daily living, patient care and support, sexual, and additional care needs dimensions. Linear mixed models with maximum-likelihood estimation were computed. Results: The supportive care needs course was similar across the different cancer treatment trajectories. Supportive care needs declined significantly from diagnosis to the first posttreatment follow-up visit. The highest care needs over time were those from the health system and information dimension. Depressive symptoms and time since diagnosis were the most consistent predictors of changes in development of supportive care needs of these patients. Conclusion: Health system and information care needs of Mexican breast cancer patients need to be addressed with priority because these needs are the least met. Furthermore, patients with high depressive symptoms at the start of the disease trajectory have greater needs for supportive care throughout the disease trajectory.

scholarly journals Supportive Care Needs in Females With Breast Cancer Under Chemotherapy and Radiotherapy and its Predictors

2018 ◽  
Vol 7 (3) ◽  
pp. 366-371
Author(s):  
Fatemeh Mirzaei ◽  
Roghaiyeh Nourizadeh ◽  
Shahla Hemmatzadeh ◽  
Reza Eghdam Zamiri ◽  
Azizeh Farshbaf-Khalili
Keyword(s):  
Breast Cancer ◽  
Linear Regression ◽  
Supportive Care ◽  
Psychological Health ◽  
Short Form ◽  
Linear Regression Analysis ◽  
Multivariate Linear Regression ◽  
Supportive Care Needs ◽  
Multivariate Linear Regression Analysis ◽  
Care Needs

Objectives: The present study aimed to determine the unfulfilled needs of patients with breast cancer and the predictors of this disease in order to plan for appropriate interventions based on these needs. Materials and Methods: This cross-sectional study was conducted on 190 females with breast cancer in Arak-Iran, who were selected by the convenience sampling method. Patients were evaluated by Socio-demographic and Disease Questionnaire, Perceived Illness Questionnaire, and Supportive Care Needs Survey Short Form. Data were analysed using SPSS, one-way ANOVA, chi-square, independent t test, the Pearson correlation coefficient, and multivariate linear regression. Results: Based on the results, the average number of supportive care needs was 100 (31.9). In addition, the greatest needs of patients were related to psychological, health-information, and physical sub-scales with a mean of 31.3 (12.5), 36.0 (12.5), 14.9 (5.8), respectively. Finally, multivariate linear regression analysis showed that family income and the perception of illness were among the predictors of supportive care needs. Conclusion: In general, health attention providers are required to pay particular attention to the psychological, health, witting, and physical needs of females with mamma cancer and the related predictive factors of this disease.

scholarly journals Supportive Care Needs of Patients with Cervical Cancer in the Northeast of Thailand

2021 ◽  
Vol 18 (9) ◽  
Author(s):  
Supan UNJAI ◽  
Busaba SOMJAIVONG ◽  
Allison BOYES
Keyword(s):  
Cervical Cancer ◽  
Supportive Care ◽  
Health System ◽  
Cancer Patients ◽  
Unmet Need ◽  
Supportive Care Needs ◽  
Care Staff ◽  
Care Needs ◽  
Written Information ◽  
Information Domain

In this study, a descriptive design was used to explain the supportive care needs of cervical cancer patients in the Northeast of Thailand. The purposive sample was recruited from inpatient and outpatient departments of a university hospital. A total of 144 patients with cervical cancer in stage I - IV or recurrent stage completed the Thai version of the Supportive Care Needs Survey-Short Form 34 (SCNSF-34 Thai version). Descriptive statistics were used to identify the domains and items of the greatest unmet need. Results showed that standardized five domain scores indicated that participant’s unmet needs were highest in the health system and information domain ( = 2.95, S.D. = 1.15), and lowest in the sexuality domain ( = 1.63, S.D. = 0.94). The five most frequently endorsed items of moderate to high unmet need were all from the health system and information domain as follows: receiving information about things can do to help in recovering from illness (74.3 %), receiving information from documents, charts, or paintings about illness management and side effects that may occur at home (66 %), receiving information about cancer which is under control or in remission (63.2 %), support from at least one health care staff that can discuss illness, treatment, and follow up (63.2 %), receiving written information about the essential aspects of care (59.7 %), and receiving written information about the importance of care (59.7 %). It was clear that a large proportion of cervical cancer patients in Thailand reported unmet supportive care needs. Therefore, nurses should design nursing care services that are consistent with the supportive care needs.

Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey

2009 ◽  
Vol 27 (36) ◽  
pp. 6172-6179 ◽  
Author(s):  
Jo Armes ◽  
Maggie Crowe ◽  
Lynne Colbourne ◽  
Helen Morgan ◽  
Trevor Murrells ◽  
...  
Keyword(s):  
Negative Affect ◽  
Supportive Care ◽  
Unmet Needs ◽  
Unmet Need ◽  
Hormone Treatment ◽  
Longitudinal Survey ◽  
Supportive Care Needs ◽  
Fear Of Recurrence ◽  
Care Needs ◽  
Prospective Longitudinal

Purpose To estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need. Patients and Methods A multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1). Results Of 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments. Conclusion Most patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.

Identification of Breast Cancer Survivors’ Side Effects and Supportive Care Needs

2018 ◽  
Vol 18 (6) ◽  
pp. e1237
Author(s):  
Christina Kozul ◽  
Lesley Stafford ◽  
Chad Bousman ◽  
Allan Park ◽  
Kerry Shanahan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Side Effects ◽  
Supportive Care ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Supportive Care Needs ◽  
Care Needs

scholarly journals Course and predictors of supportive care needs among Mexican breast cancer patients: A longitudinal study

2018 ◽  
Vol 27 (9) ◽  
pp. 2132-2140 ◽  
Author(s):  
Adriana Pérez-Fortis ◽  
Joke Fleer ◽  
Maya J. Schroevers ◽  
Patricia Alanís López ◽  
Juan José Sánchez Sosa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Longitudinal Study ◽  
Supportive Care ◽  
Cancer Patients ◽  
Supportive Care Needs ◽  
Breast Cancer Patients ◽  
Care Needs

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

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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