Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
Support Care Cancer. 2011 Nov;19(11):1743-51. doi: 10.1007/s00520-010-1014-7. Epub 2010 Oct 15.
The purpose of this study was to examine the level of symptoms, psychological distress, and supportive care needs and factors related to five unmet need domains in lung cancer patients.
A cross-sectional study of 152 lung cancer patients at a medical center in Taiwan assessed their symptoms, psychological distress, and unmet supportive needs in five major care domains. Logistic regression was applied to examine the related factors of unmet supportive care needs.
In general, patients had mild-to-moderate levels of symptoms and high prevalence of psychological distress. Regardless of their treatment status, they reported high levels of supportive care needs. The top three need domains were: (1) health system and information, (2) psychological, and (3) patient care and support. Levels of symptoms, anxiety, and depression were the most significant factors in unmet supportive care needs.
The effect of symptoms and psychological distress on unmet supportive care needs is substantial. Therefore, a systematic assessment of patients' distress and care needs is important for clinical lung cancer care. Further intervention consisting of symptom management, continuing counseling, and preparation for transition from active treatment to the follow-up stages are essential in improving quality of care.
本研究旨在探讨肺癌患者的症状水平、心理困扰、以及五个未满足的需求领域的支持性护理需求，以及相关因素。
对台湾一家医疗中心的 152 名肺癌患者进行横断面研究，评估他们在五个主要护理领域的症状、心理困扰和未满足的支持性需求。应用逻辑回归分析未满足支持性护理需求的相关因素。
总体而言，患者的症状处于轻度至中度水平，心理困扰发生率较高。无论其治疗状况如何，他们都报告了高水平的支持性护理需求。需求领域排名前三的是：（1）卫生系统和信息，（2）心理，（3）患者护理和支持。症状、焦虑和抑郁程度是未满足支持性护理需求的最显著因素。
症状和心理困扰对未满足的支持性护理需求有显著影响。因此，对患者的痛苦和护理需求进行系统评估对临床肺癌护理至关重要。进一步的干预措施包括症状管理、持续咨询以及为从积极治疗过渡到随访阶段做好准备，对于改善护理质量至关重要。
