Supportive Care Needs in Females With Breast Cancer Under Chemotherapy and Radiotherapy and its Predictors (original) (raw)
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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.
KnE Life Sciences, 2019
Background: The need of supportive care is a care to be given in order to enhance the life quality of the patients with a serious life-threatening disease such as breast cancer. Generally, the patients are really worried and have severe anxiety related to their disease. The quality of life becomes really important in curing the breast cancer. The life quality is the ability to have normal life in accordance with the individual perception about the objective and hope of the breast cancer patients. Method: Thisis anobservationalresearchwithcross-sectionalstudydesign.Thestudywasconducted in 2019 and required as many as 40 respondents. The samples were selected by using purposive sampling technique. The data were gathered by questionnaire then processed by SPSS and analyzed by statistical test of Chi-square with the significance degree of 95% (α=0,05). Result: The result showed that there was significant correlation between the need of supportive care (p<0,000) and the life quality of ...
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.
The Unmet Supportive Care Needs of Omani Women Diagnosed with Breast Cancer
Sultan Qaboos University Medical Journal, 2021
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 Sultan Qaboos University Hospital, 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 information about what 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 r...
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.
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.
Factors associated with supportive care needs of patients under treatment for breast cancer
European Journal of Oncology Nursing, 2013
(1) To gain insight into the psychosocial needs and distress of close relatives of women under treatment for breast cancer and identify how they perceive the interpersonal relationship with the patient and (2) to determine factors associated with the relatives' psychosocial needs. Background. Breast cancer affects patients but also close relatives. Relatives need support themselves but there is still a lack of knowledge about their specific needs. Design. Relatives of women newly diagnosed with breast cancer participated in a cross-sectional survey. Method. Relatives were approached by patients, who were contacted by nurses in two Swiss breast cancer clinics. The patients received the questionnaire for their closest relative, who decided independently of the patient about participation. Standardised questionnaires were completed by 107 relatives. Results. The relatives needed help with access to information and health care professionals. They needed information about the patients' treatment (50AE9%), honest information (41AE6%) and had difficulties with confidence in health care professionals (39AE2%). The majority (61AE0%) suffered from distress, less (26AE1%) from anxiety and depression (10AE9%). Distress, anxiety and conflict in their interpersonal relationship were associated with the relatives' unmet psychosocial needs. Conclusions. The findings increase the knowledge of the psychosocial needs of relatives of patients with breast cancer and provide the basis for purposeful support. Distress, anxiety and conflicts in the relationship are important factors that may identify more vulnerable relatives with unmet needs or a higher demand for support. Relevance to clinical practice. Assessment of the relatives' specific needs, distress and anxiety is important, and the relatives' perception of their relationship should be addressed. Health care professionals are key persons in contact with relatives and should motivate the patients to involve their relatives in the illness and treatment process. Support programmes for relatives of patients with breast cancer should be developed in Swiss cancer clinics.
Care Needs and Symptoms Burden of Breast Cancer Patients in Jordan: A Cross-Sectional Study
International Journal of Environmental Research and Public Health
Breast cancer is the most common malignancy in Jordan. Rigorous needs assessment for breast cancer patients can prioritize both cancer care and palliative care to propose the appropriate services effectively. We conducted a cross-sectional study of breast cancer patients in a cancer center in Jordan. We assessed symptom burden, comorbidities, and performance using the Edmonton Symptom Assessment System (ESAS), the Charlson Comorbidity Index (CCI), and the Australia-modified Karnofsky performance scale (AKPS). Descriptive analysis and regression models to predict the highest symptom burden were used. A total of 233 participants were enrolled: curative vs. palliative intent groups (147 (63%) vs. 86 (37%) patients), respectively. Tiredness was the most reported symptom in 189 patients (81%), while nausea was the least in 61 patients (26.2%). A relationship between the AKPS score and total ESAS was seen (correlation coefficient of −0.487; p < 0.0001). The prevalence of anxiety (p = 0...
Background: Cancer, especially breast cancer, remains a public health problem because of its negative consequences, which require long-term programs to alleviate its devastating effects. This study aimed to examine unmet supportive care needs and health-related quality of life of females with breast cancer. Methods: A cross-sectional study with a mixed-method design was employed. A simple, randomly selected sample of 352 females attending Al-Rantisi and Al-Amal hospitals was included in this study. A validated Arabic version of the Supportive Care Needs Survey (34 items) and The European Organization for Research and Treatment of Cancer Quality of Life (EORTC QLQ-C15-PAL) were used. Moreover, twenty-five semi-structured interviews were performed (13 females, eight husbands, and four healthcare workers). Quantitative data were analysed using descriptive and inferential analysis, whereas thematic analysis was used for qualitative data to highlight main themes. Results: The highest unmet need reported by females with breast cancer was psychological needs (63%), followed by health-related systems and information (62%) and physical and daily life (61%). Pain and fatigue were the most reported symptoms (65.8% and 62.5%, respectively), followed by emotional distress, physical function, and physical symptoms; 55.8%, 54.3%, and 51.5%, respectively. These unmet needs and health-related quality of life-related dimensions were highlighted and elicited by qualitative data analysis. Unmet needs are high among married females, on conservative treatments, young females (< 40 years old), and females in the first year of diagnosis. The presence of chronic diseases did not increase needs. However, health-related quality of life was affected. Six themes are subtracted: availability of anticancer therapy, affordability of healthcare, family and social support, psychological support, health education, and self-image & intimate relationship. Conclusion: Many needs are unmet. Caring for females with breast cancer should be comprehensive to fill gaps, including psychological care, health information and education, physical care and support, and medical care.
BMJ Open, 2021
IntroductionProper assessment of unmet supportive care needs of patients with breast cancer and its influencing factors at different treatment intervals will improve the rehabilitation of patients with breast cancer. Therefore, this study aims to determine the prevalence of unmet supportive care needs, changes of needs over time and associated factors during the treatment period.Methods and analysisThis multicentre, prospective cohort study will be conducted in three governmental hospitals and one tertiary cancer institute in Penang, Malaysia. Adult women diagnosed with primary or recurrent tumour, node, metastases stage I–IV breast cancer based on pathological biopsy will be eligible for this study. At least 281 samples are required for this study. Participants will undergo follow-up at three time intervals: T1 at breast cancer diagnosis; T2 at 3 months after diagnosis and T3 at 6 months after diagnosis. Patients will complete a set of questionnaires at each time. The primary outco...