National Resource Center for Late Effects, Department of Oncology, Oslo University Hospital, University of Oslo, Norway.
Acta Oncol. 2011 Feb;50(2):212-22. doi: 10.3109/0284186X.2010.531050.
To examine cancer patients' needs for rehabilitation services and factors associated with such needs, and secondly identify unmet needs for rehabilitation services and related factors.
In 2008 persons aged 25-60 years, diagnosed in 2005/2006 with the ten most prevalent cancers in Norway were identified through the Cancer Registry of Norway. These patients were contacted by their treating hospital receiving a mailed questionnaire. Main outcomes for the present study were measured by two questions assessing a) needs for rehabilitation services and b) rehabilitation services offered/used. For each question seven services were listed; physical therapy, physical training, psychological counseling, consultations with social worker, occupational therapy, supportive group sessions and admittance to a convalescent home. The respondents then rated to what extent they had experienced needs and if they had been offered and used each service. Those who reported need for a service that not had been offered were defined as having unmet need. Associations between demographic, health-related and outcome variables were analyzed by multivariate logistic and linear regression analyses.
Among the 1 325 respondents, the mean age was 52 years and 70% were women. Sixty-three percent reported need for at least one rehabilitation service. Need for physical therapy was most frequently reported (43%), followed by physical training (34%), psychological counseling (27%), supportive group sessions (24%), admittance to a convalescent home (24%), consultation with social worker (19%) and occupational therapy (6%). Changes in employment status and ongoing or previous chemotherapy were associated with reporting needs for all rehabilitation services. Forty percent reported unmet needs, which most frequently was reported among persons living alone, who had changed their employment status, receiving or had received chemotherapy or reported comorbidities.
The majority reported need for at least one rehabilitation service, and 40% reported unmet needs. Prospective studies are recommended in order to better understand needs for rehabilitation services, such as needs in relation to time since treatment, extent of disease and treatment intensity.
调查癌症患者对康复服务的需求以及与其相关的因素，其次是确定未满足的康复服务需求及其相关因素。
2008 年，通过挪威癌症登记处，确定了 2005/2006 年间被诊断出挪威十种最常见癌症的 25-60 岁人群。这些患者通过他们治疗的医院收到邮寄问卷进行联系。本研究的主要结果通过两个问题进行衡量：a）康复服务需求和 b）提供/使用的康复服务。对于每个问题，列出了七项服务；物理治疗、体能训练、心理咨询、社会工作者咨询、职业治疗、支持小组会议和疗养院入住。然后，受访者对他们经历需求的程度以及他们是否获得并使用了每项服务进行了评分。那些报告需要某项服务但未获得该服务的人被定义为存在未满足的需求。通过多变量逻辑回归和线性回归分析，分析了人口统计学、健康相关和结果变量之间的关联。
在 1325 名受访者中，平均年龄为 52 岁，70%为女性。63%的人报告至少需要一种康复服务。报告需求最多的是物理治疗（43%），其次是体能训练（34%）、心理咨询（27%）、支持小组会议（24%）、疗养院入住（24%）、社会工作者咨询（19%）和职业治疗（6%）。就业状况的变化和正在进行或之前的化疗与报告所有康复服务需求有关。40%的人报告存在未满足的需求，其中独居者、就业状况发生变化、接受或接受过化疗或报告有合并症的人报告的需求最频繁。
大多数人报告至少需要一种康复服务，40%的人报告存在未满足的需求。建议进行前瞻性研究，以更好地了解康复服务需求，例如与治疗后时间、疾病程度和治疗强度相关的需求。
