Steele Rose, Fitch Margaret I
School of Nursing, Faculty of Health, York University, Toronto, ON, Canada.
Cancer Nurs. 2008 Jul-Aug;31(4):284-91. doi: 10.1097/01.NCC.0000305743.64452.30.
Gynecologic cancers often place a heavy emotional and physical burden on patients. However, there is a lack of information about the types of supportive care needs that these patients have, the services that are available, and whether patients want help with their needs. The aims of this cross-sectional, descriptive study were to (1) identify the supportive care needs (physical, emotional, social, spiritual, psychological, informational, and practical) of women with gynecologic cancer who attended a comprehensive, outpatient cancer center in Ontario, Canada, and (2) determine if patients wanted assistance in meeting those needs. A total of 103 patients participated in this study by completing a self-report questionnaire. Sixty-five of the women were no longer on treatment at the time of completing the survey. Eight of the top 10 most frequently reported needs were non physical, such as fears about the cancer returning or spreading. The data indicated that a range of needs remained unmet for this patient group. However, identifying the presence of a need did not necessarily mean that a patient wanted to have assistance with the need. Suggestions for practice and future research are offered to assist healthcare professionals in providing care to these patients.
妇科癌症常常给患者带来沉重的身心负担。然而,对于这些患者所需要的支持性护理类型、现有的服务以及患者是否希望满足其需求方面的帮助,相关信息却很匮乏。这项横断面描述性研究的目的是:(1)确定在加拿大安大略省一家综合性门诊癌症中心就诊的妇科癌症女性患者的支持性护理需求(身体、情感、社会、精神、心理、信息和实际需求);(2)确定患者是否希望在满足这些需求方面得到帮助。共有103名患者通过填写一份自我报告问卷参与了本研究。在完成调查时,65名女性已不再接受治疗。最常报告的前10项需求中有8项是非身体方面的,比如担心癌症复发或扩散。数据表明,该患者群体的一系列需求仍未得到满足。然而,确定存在某种需求并不一定意味着患者希望在该需求方面获得帮助。文中提供了实践建议和未来研究方向,以帮助医疗保健专业人员为这些患者提供护理。