scholarly journals Analysis of Supportive Care Needs and Related Factors of Colorectal Cancer Patients in China

Author(s):  
Bei Dong ◽  
Yang Yuan ◽  
Lu Lin ◽  
Daoxia Guo ◽  
Yishu Qi ◽  
...  

Abstract Background: This study aimed to clarify the supportive care needs and related factors of colorectal cancer (CRC) patients in China through investigation and study, and then provide a reference for the formulation of relevant interventions and ultimately improve their quality of life.Methods: A cross-sectional survey was conducted in the oncology and radiotherapy departments of four first-class hospitals in Suzhou from January 2020 to September 2020. The survey tools included the general information questionnaire, Comprehensive Needs Assessment Tool in cancer for patients, M.D. Anderson Symptom Inventory, Hospital Anxiety Depression Scale, and Social Support Rating Scale. Spearman correlation analysis, univariate analysis, and multiple stepwise linear regression analysis were adopted to explore the influencing factors of supportive care needs.Results: A total of 403 CRC patients were included, with an average age of 58.83±10.86 years, including 257 males (63.77%); the average score of supportive care needs was 39.56±18.58, the scores of health care staff need and information needs ranked the top two. Spearman correlation analysis showed that the supportive care needs were positively correlated with symptom severity, symptom interference, anxiety, and depression. Univariate analysis displayed higher levels of supportive care needs among female, single/divorced/widowed, rectal cancer, and palliative care patients. Multiple stepwise regression analysis combining the results of correlation analysis and univariate analysis found that anxiety, symptom interference, symptom severity, and cancer type all affected the supportive care needs of CRC patients. The differences were significant, which can explain 35% of the variation.Conclusions: In the supportive care needs management of colorectal cancer patients, it is necessary to attach great importance to health care staff and information needs, focus on female, single/divorced/widowed, rectal cancer, and palliative care patients, and pay great attention to reducing the symptom burden, anxiety, and depression when formulating intervention strategies.

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034178
Author(s):  
Gek Phin Chua ◽  
Hiang Khoon Tan

ObjectivesTo qualitatively interpret the information and supportive care needs perceived by cancer patients undergoing treatment in order to get a deeper appreciation of patients’ needs and concerns. The intended outcome is to provide baseline knowledge for improving patient-centred strategies to better meet the information and supportive needs of patients.DesignA qualitative research approach, based on conventional content analysis, was used throughout the research process. The three open-ended questions obtained from a previous quantitative study guided the researchers to explore the information and supportive care needs of patients. Data from patients’ responses were analysed and coded in themes.Participants and settingPatients attending the Ambulatory Treatment Unit of the National Cancer Centre Singapore were invited to participate in the study. We determined from these subjects the type of information that cancer patients need, and to measure the extent to which these information needs are met by measuring patients’ level of satisfaction. Included in the quantitative study were three open-ended questions designed to gain a deeper understanding of their needs and concerns. All subjects were aged 21 years and above and able to understand and communicate in English/Mandarin. They were also aware of their diagnosis, they were not cognitively impaired and were not at the end-of-life situation.ResultsA variety of information and supportive care needs were identified, and three specific areas of concerns were identified: (1) psychosocial and supportive care needs, (2) information needs and (3) information delivery by professionals.ConclusionThe information and supportive care needs expressed were consistent with issues of cancer patients undergoing treatment. The strategies to improve patients’ coping abilities through patient-centred care are discussed. Further studies assessing the barriers of information provision by healthcare professionals should provide more detailed knowledge about unmet information needs.


2016 ◽  
Vol 23 (11) ◽  
pp. 1464-1475 ◽  
Author(s):  
Brooke Swash ◽  
Nick Hulbert-Williams ◽  
Ros Bramwell

Despite high levels of psychological distress, there is a scarcity of research on unmet supportive care needs in haematological cancer patients. This qualitative study used an in-depth interpretative phenomenological approach to investigate the needs reported by six non-Hodgkin’s lymphoma patients and explored how these needs consequently shaped the patient experience. Emergent themes included the following: concerns for family, information needs and the need for psychological support. Participants reported feeling different to other cancer patients. Lack of understanding of their diagnosis by friends and family and lack of access to relevant support services are notable unmet needs that differ from previous findings.


2011 ◽  
Vol 13 (12) ◽  
pp. 1400-1406 ◽  
Author(s):  
J. D. Harrison ◽  
J. M. Young ◽  
S. Auld ◽  
L. Masya ◽  
M. J. Solomon ◽  
...  

2011 ◽  
Vol 20 (6) ◽  
pp. 1275-1281 ◽  
Author(s):  
Mikaela L. Jorgensen ◽  
Jane M. Young ◽  
James D. Harrison ◽  
Michael J. Solomon

2013 ◽  
Vol 41 (1) ◽  
pp. E3-E11 ◽  
Author(s):  
Shiow-Ching Shun ◽  
Kun-Huei Yeh ◽  
Jin-Tung Liang ◽  
John Huang ◽  
Shing-Chia Chen ◽  
...  

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masako Okamura ◽  
Maiko Fujimori ◽  
Ayako Sato ◽  
Yosuke Uchitomi

Abstract Background Young adult cancer patients often face unique challenges and have potential unmet needs. This study aimed (1) to describe unmet supportive care needs among young adults with cancer in Japan, and (2) to identify its associated factors. Methods In a cross-sectional web-based survey, 206 young adults with cancer were assessed for supportive care needs. Multiple regression analysis examined whether demographics, clinical variables and social support were associated with unmet supportive care needs. Results A total of 206 patients (180 female) with a mean age of 33.7 years (SD = 4.3, range: 22–39) participated. One hundred and fifty-eight participants (76.7%) reported at least one unmet supportive care needs. The top 20 unmet needs included 9 of the 10 psychological needs, 3 of the 5 physical and daily living needs, 8 of the 11 health system and information needs and 1 of the 5 sexuality needs. Multiple regression analysis revealed that perceived poorer PS, experience of change in work/school after a cancer diagnosis and poor social support were significantly associated with higher supportive care needs. The total score of supportive care needs was significantly associated with both psychological distress and QOL. Conclusions More than 70% of young adult cancer patients reported unmet supportive care needs and most of those were psychological needs. The findings suggest potential opportunities for intervention in addressing psychological needs rather than physical and information needs.


Sign in / Sign up

Export Citation Format

Share Document