Relationship between Needs of Supportive Care with Quality of Life among Breast Cancer Patients in Dr. Wahidin Sudirohusodo Makassar (original) (raw)
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Factors That Relevant to the Quality of Life of Breast Cancer Patients
Journal of Maternity Care and Reproductive Health, 2018
Breast cancer is a health problem since so many years ago especially to women. In 2013, Basic Health Research (Riskesdas) showed that the number of national breast cancer prevalence was the second most numerous patients in the world especially attacked women in Indonesia. The common problems experienced by breast cancers patients is the decrease of life quality of the patients. The purpose of this research was to identify factors related to the life quality of the breast cancers patients in Bandung city. This research used cross sectional method. The determination of life quality based on Quality of Life Cancer Survivor Version (QOL-CSV). Accidental sampling was used to choose samples. This research was taken place in four rumah singgah (shelters) of breast cancer located in Bandung city. There were 30 women involved in this study. Inclusive criterion in this research was the patients of breast cancers who are undergoing medications such as surgery, chemotherapy, or radiotherapy, wh...
Health and Quality of Life Outcomes, 2016
Background: Addressing breast cancer patients' unmet supportive care needs in the early stage of their survivorship have become a prime concern because of its significant association with poor quality of life (QOL), which in turn increases healthcare utilization and costs. There is no study about unmet supportive care needs of breast cancer patients in Malaysia. This study aims to assess the most prevalent unmet supportive care needs of Malaysian breast cancer patients and the association between QOL and patients' characteristics, and their unmet supportive care needs. Methods: A cross-sectional study was conducted at the Surgery and Oncology Clinic between May 2014 and June 2014 in a tertiary hospital in Malaysia. A total of 117 patients out of 133 breast cancer patients recruited by universal sampling were interviewed using a structured questionnaire consisted of three parts: participants' sociodemographic and disease characteristics, Supportive Care Needs Survey-Short Form Questionnaire (SCNS-SF34) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30). Results: The highest unmet supportive care needs were observed in the psychological domain (Mean 53.31; SD ± 21.79), followed by physical domain (Mean 38.16; SD ± 27.15). Most prevalent unmet supportive care needs were uncertainty about the future (78.6 %), fears about the cancer spreading (76.1 %), feelings of sadness (69.2 %), feelings about death and dying (68.4 %), concerns about those close to the patient (65.0 %) and feeling down or depressed (65.0 %). Multivariate linear analysis showed that early breast cancer survivors diagnosed at an advanced stage and with greater physical and psychological needs were significantly (p < 0.05) associated with poorer QOL. Conclusion: Most prevalent unmet needs among Malaysian breast cancer patients were found in the psychological domain. Early breast cancer survivors with late stage diagnosis who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.
International Journal of Women's Health and Reproduction Sciences
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 analysi...
Assessment of Supportive Care Needs, Satisfaction, and Quality of Life among Breast Cancer Survivors
The Egyptian Family Medicine Journal
Background: Supportive care needs are significantly associated with poor quality of life. Satisfaction with care theoretically implies fulfillment of expectations which may be affected by the nature, number, or seriousness of patient's health needs. Objectives:1) To assess the types and levels of unmet needs among breast cancer patients, QOL domains, and patient satisfaction with health care at Zagazig University hospitals. 2) To identify the impact of unmet needs on different QOL domains and patients satisfaction. Methods: This is a cross sectional study; 259 survivors of breast cancer attending the clinical oncology outpatient clinics in Zagazig University Hospital were interviewed (from June 2020 to end of the year). Validated edition of the Supportive Care Needs Short Form Survey (SCNS-SF34), EORTC QLQ-C30, cancer in-patient satisfaction questionnaire (The EORTC IN-PATSAT32), and EORTC QLQ-BR23 (the Arabic versions) were used to assess the quality of life of cancer patients. Results: 54.8% of participants reported that they have unmet needs. The highest unmet supportive care needs were observed in the psychological domain. The total satisfaction rate reached 56.4%. A significant difference was observed between patients having unmet and no needs and different QOL domains. High satisfaction scores were observed among patients with no needs. Conclusion: Psychological needs were the most common unmet needs. The level of perceived needs influences the level of QOL and degree of patients' satisfaction.
Modern Care Journal
Background and Aim: The prevalence of breast cancer is increasing among Iranian women. Breast cancer and its treatments can affect ones quality of life. The aim of this study was to assess the quality of life and its contributing factors among patients with breast cancer. Methods: This descriptive-analytical study was conducted in 2014-2015 on 108 women who had been diagnosed with breast cancer in 2008-2014 and had received cancer treatments for at least 3 months before recruitment to the study. Initially, a list of all eligible women was created based on the data available from the cancer record center in South Khorasan, Iran. Then, eligible women were contacted over the telephone and were invited to the study. The 30-item EORTC core quality of life questionnaire and the 23-item EORTC Breast cancer quality of life questionnaire were completed for participants through face-to-face interviews. Collected data were entered into the SPSS software (v. 16.0), where the two-way analysis of variance was conducted for data analysis at a significance level of less than 0.05. Results: The total mean score of quality of life was 2.01 ± 0.47. Around 85.2% of participants had low quality of life, 13.9% had medium quality of life, and 0.9% had high quality of life. Quality of life had significant relationships with marital status and income (P < 0.05). The highest-scored dimensions of the functional and the symptom scales of the Core quality of life questionnaire were global health status (2.67 ± 0.78) and financial difficulties (2.8 ± 1.07), respectively. On the other hand, the highest-scored dimensions of the functional and the symptom scales of the breast cancer quality of life questionnaire were future perspective (2.62 ± 0.97) and systematic therapy side effects (2.11 ± 0.73), respectively. Conclusions: Only 0.9% of breast cancer patients have high quality of life and more than 85% of them have low quality of life. Women are at the heart of families and communities. Therefore, educational interventions and governmental support are needed for improving the quality of life among women with breast cancer.
Family Support and Quality of Life in Breast Cancer Patients
Health Notions, 2020
Introduction: In these days, one of the terrifying cancers for women throughout the world is breast cancer. The treatment of cancer should be holistic. Patients need family support to create a good quality of life. The purpose of this study was to determine the relationship between family support and quality of life in breast cancer patients at the Chemotherapy Unit of Abdul Wahab Sjahranie Hospital Samarinda. Methods: Quantitative research with analytical study and cross-sectional design. Sampling was done with a total sample of 76 respondents. The instruments used in this research were family support standards and the Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) for quality of life. The data were analyzed using the Chi-Square test. Results: The p-value was 0.003, OR = 4.090, indicating that there was a relationship between family support and quality of life in breast cancer patients. Conclusion: There is a relationship between family support and quality of life in breast ...
Factors Predictive of Quality of Life among Breast Cancer Patients
Asian Pacific Journal of Cancer Prevention : APJCP, 2018
Background: Due to progress in medical care, the number of survivors from cancer has increased significantly during recent years and this raises the question of the quality of life (QoL), especially of the many women treated for a breast cancer. This paper focuses on correlations of QoL with anxiety and depression on the one hand and with socio demographic, anatomo-clinical and therapeutic parameters on the other. Methods: In this cross-sectional study, seventy patients were enrolled and filled in two auto-questionnaires, both in validated Arabic versions: The SF-36 for assessment of QoL and the Hospital Anxiety and Depression Scale (HAD-S) for evaluation of anxiety and depression. The statistical approaches used to determine predictive factors were bivariate correlations to determine relationships between quantitative variables, and T-tests and one-way Anova to analyze links between qualitative and quantitative variables. Results: The QoL of patients was altered with an SF-36 mean ...
Vojnosanitetski pregled
Background/Aim. As significant advances in cancer treatment have occurred over the past decades, the crucial questions in oncology nowadays are not related only to the treatment of the illness but also to the quality of life (QOL) of patients. The aim of our study was to explore which set of determinants (clinical, functional, affective, or social) has the greatest impact on explaining QOL in women who live with the diagnosis of breast cancer. Methods. The research was conducted on 64 women (with a mean age of 58.36 ? 11.30) while undergoing radiation therapy at the Oncology Institute of Vojvodina, Serbia. Quality of Life Instrument ? Breast Cancer Patient Version (QOL-BC) questionnaire was used for evaluation of physical, psychological, social, spiritual, and general well-being, the Upper Extremity Functional Index (UEFI) was applied for the assessment of the upper extremity function, the Depression, Anxiety, and Stress Scale-21 Items (DASS-21) was used for measuring symptoms of de...
Psycho-Oncology, 2013
Objective: The assessment of supportive care needs is a crucial step in the development of appropriate interventions that may improve the quality of life of cancer patients. This review describes and analyzes the prevalence and predictors of the unmet supportive care needs of breast cancer (BC) patients and survivors and suggests paths for further research. Method: Multiple databases were searched, considering only quantitative studies using validated needs assessment instruments and focusing uniquely on women diagnosed with BC. Results: Out of 761 hits, 23 studies answered to all eligibility criteria. Nineteen were cross-sectional, and the remaining four were longitudinal. Most included patients at different moments along the BC trajectory, from diagnosis to decades into survivorship, with the major proportion of patients under treatment. Only five concentrated on the posttreatment phase into extended survivorship. The concerns of women diagnosed with BC clustered around psychological and information needs, with the top concern being 'fear of the cancer returning'. Predictors of higher levels of needs included advanced disease stage, greater symptom burden, shorter time since diagnosis, higher levels of distress, and younger age. Prevalence differed between cultures with Asian women reporting greater information needs and lower psychological needs compared with Western women. Conclusions: Revealing which needs BC patients consider most urgent and the factors related to greater needs will permit the development of improved and targeted supportive care. Future research should comprise longitudinal designs concentrating on women at specific moments along the BC trajectory for a dynamic understanding of these needs.
Un-met supportive care needs of Iranian breast cancer patients
Background: Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors. Materials and Methods: A descriptivecorrelational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality. Results: Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality. Conclusions: The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.