Department of Nursing & Supportive Care Research, Peter MacCallum Cancer Centre, Locked Bag 1, A'Beckett St, Victoria, 8006 East Melbourne, VIC, Australia.
Support Care Cancer. 2012 Feb;20(2):419-23. doi: 10.1007/s00520-011-1296-4. Epub 2011 Oct 29.
People with lung cancer report a higher burden of unmet needs, specifically psychological and daily living unmet needs. They experience more psychological distress and more physical hardship than other tumour sites. This study examined the levels of unmet need and psychological distress in inoperable lung cancer patients at the start of treatment.
A cross-section survey methodology was employed using baseline data from a randomised controlled trial designed to evaluate a supportive care intervention. Eligible lung cancer patients were approached to participate at the start of treatment. Consenting patients completed questionnaires prior to or just after the commencement of treatment. Reliable and valid measures included Needs Assessment for Advanced Lung Cancer Patients, Hospital Anxiety and Depression Scale and Brief Distress Thermometer.
Of the 108 patients participating, the top unmet need was 'Dealing with concerns about your family's fears and worries' (62%); with the next four also coming from the psychological/emotional domain, but, on average, most needs related to medical communication. Thirty two percent of patients reported clinical or subclinical anxiety and 19% reported HADS scores suggestive of clinical or subclinical depression. Moreover, 39.8% of the sample reported distress above the cut-off on the distress thermometer and this was associated with higher needs for each need subscale (p < 0.05).
People with lung cancer have high levels of unmet needs especially regarding psychological/emotional or medical communication. People with lung cancer who are classified as distressed have more unmet needs.
肺癌患者报告存在更高的未满足需求负担，特别是心理和日常生活方面的未满足需求。与其他肿瘤部位相比，他们经历更多的心理困扰和更多的身体痛苦。本研究在开始治疗时检查了不可手术的肺癌患者的未满足需求和心理困扰水平。
采用横断面调查方法，利用一项旨在评估支持性护理干预的随机对照试验的基线数据。在治疗开始时向符合条件的肺癌患者提出参与的要求。同意参与的患者在开始治疗之前或之后立即完成问卷。可靠有效的测量方法包括晚期肺癌患者需求评估、医院焦虑抑郁量表和简要痛苦温度计。
在参与的 108 名患者中，最未满足的需求是“处理对家人恐惧和担忧的担忧”（62%）；接下来的四个需求也来自心理/情绪领域，但平均而言，大多数需求与医疗沟通有关。32%的患者报告有临床或亚临床焦虑，19%的患者报告 HADS 评分提示有临床或亚临床抑郁。此外，39.8%的样本报告在痛苦温度计上的截点以上存在痛苦，这与每个需求子量表的未满足需求增加相关（p<0.05）。
肺癌患者存在高度的未满足需求，特别是在心理/情绪或医疗沟通方面。被归类为痛苦的肺癌患者有更多的未满足需求。
