Choi Kyung-Hyun, Park Jae-Hyun, Park Jong-Hyock, Park Joo-Sung
Department of Family Medicine, Dongnam Institute of Radiological & Medical Sciences, Busan, Korea.
Psychooncology. 2013 May;22(5):1073-80. doi: 10.1002/pon.3105. Epub 2012 May 4.
Identifying psychosocial needs and satisfying them are important issues to many cancer patients. The aim of this study was to investigate the psychosocial needs of cancer patients and its related factors, based on a nationwide sample of cancer patients in Korea.
A multi-center survey was administered to 2661 cancer patients from 10 cancer centers in Korea. The survey measured the needs for psychosocial support, using the Comprehensive Needs Assessment Tool in Cancer, and potential correlates, such as socio-demographic and clinical factors. Multivariate ordinal regression and binary logistic regression were conducted to identify factors that may predict psychosocial needs.
On the measure for psychosocial needs, the median score of psychological problems was 2.73 points and that of social support was 1.92 points, as the standardized score on a scale of 10 points. Needs for psychological problems were positively correlated with intensive treatment, degree of stress, problems with EQ5-D, needs for information and education, needs for hospital facilities/services and needs for physical symptoms. The need for social support was positively correlated with problems with EQ5-D and other unmet needs of cancer patients. Income levels and the number of years since diagnosis were negatively correlated with the need for social support.
Unmet psychosocial needs were common in cancer patients and have varied according to patients' socio-demographic and clinical factors. These results suggest that a psychosocial approach to treatment should be applied comprehensively and that such an approach should be matched to patients' socio-demographic and clinical circumstances.
识别心理社会需求并满足这些需求对许多癌症患者来说是重要问题。本研究旨在基于韩国全国范围内的癌症患者样本，调查癌症患者的心理社会需求及其相关因素。
对来自韩国10个癌症中心的2661名癌症患者进行了多中心调查。该调查使用癌症综合需求评估工具测量心理社会支持需求以及潜在的相关因素，如社会人口统计学和临床因素。进行多变量有序回归和二元逻辑回归以确定可能预测心理社会需求的因素。
在心理社会需求测量中，心理问题的中位数得分为2.73分，社会支持的中位数得分为1.92分（满分10分的标准化分数）。心理问题需求与强化治疗、压力程度、EQ5-D问题、信息与教育需求、医院设施/服务需求以及身体症状需求呈正相关。社会支持需求与EQ5-D问题以及癌症患者的其他未满足需求呈正相关。收入水平和确诊后的年数与社会支持需求呈负相关。
未满足的心理社会需求在癌症患者中很常见，并且因患者的社会人口统计学和临床因素而异。这些结果表明，应全面应用心理社会治疗方法，并且这种方法应与患者的社会人口统计学和临床情况相匹配。
