Wiljer David, Walton Tara, Gilbert Julie, Boucher Amy, Ellis Peter M, Schiff Susan, Sellick Scott M, Simunovic Marko, Kennedy Erin, Urowitz Sara
Office of Education, Centre for Addiction and Mental Health, Toronto, ON, Canada.
J Cancer Educ. 2013 Sep;28(3):402-7. doi: 10.1007/s13187-013-0465-1.
Patients with colorectal cancer (CRC) face a number of challenges leading up to diagnosis; however, research is limited regarding their specific needs during the pre-diagnosis period. A multicenter cross-sectional survey was conducted to elicit information about the CRC experience during the pre-diagnosis phase. Across the three sites, 104 eligible patients were approached, and 82 patients completed the survey, for a total response rate of 78.9%. The needs most identified by participants during the pre-diagnosis period were informational (31.6%) and emotional (20.3%) needs; social needs were rated as the least important need for these patients (7%). The majority (84.0%) reported that these needs were met. Participants reported feeling shocked or overwhelmed on learning of their diagnosis (57.1%) and high levels of anxiety during this time (40.0%). The majority (77.9%) of participants reported that they were not directed to any resources to help address their anxiety. Informational and emotional needs are identified as the most important needs during the pre-diagnosis phase, and for most these needs are being met; however, some participants are experiencing high levels of anxiety without access to appropriate resources. Further work is required to understand the optimal mechanisms to address identified needs during this pre-diagnosis period and to assess the potential benefits and costs of addressing these needs.
结直肠癌（CRC）患者在确诊前面临诸多挑战；然而，关于他们在确诊前期的具体需求的研究有限。开展了一项多中心横断面调查，以获取有关确诊前阶段结直肠癌经历的信息。在三个地点，共接触了104名符合条件的患者，82名患者完成了调查，总回复率为78.9%。参与者在确诊前期最常提及的需求是信息需求（31.6%）和情感需求（20.3%）；社会需求被认为是这些患者最不重要的需求（7%）。大多数（84.0%）报告称这些需求得到了满足。参与者报告称，得知诊断结果时感到震惊或不知所措（57.1%），在此期间焦虑程度较高（40.0%）。大多数（77.9%）参与者报告称，他们未被引导至任何资源来帮助缓解焦虑。信息需求和情感需求被确定为确诊前期最重要的需求，并且大多数情况下这些需求得到了满足；然而，一些参与者焦虑程度较高却无法获得适当的资源。需要进一步开展工作，以了解在这个确诊前期满足已确定需求的最佳机制，并评估满足这些需求的潜在益处和成本。
