Cheng K K F, Darshini Devi Rajasegeran, Wong W H, Koh C
Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Hospital System, Singapore.
Alice Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, National University Hospital System, Singapore.
Eur J Oncol Nurs. 2014 Feb;18(1):3-9. doi: 10.1016/j.ejon.2013.10.005. Epub 2013 Dec 5.
This study characterized the range and levels of perceived symptoms and unmet needs reported by breast cancer survivors in the half-year to five year post-treatment period, and determined whether the symptoms can be a predictor of unmet needs.
In a cross-sectional study, 150 breast cancer survivors (mean age: 55.1 ± 8 years) at the half-year to five year post-treatment period were enrolled for analysis. The measuring scales used included the Memorial Symptom Assessment Scale (MSAS), and the Supportive Care Needs Survey Short Form (SCNS-SF34).
88% of the survivors reported having at least one symptom, while 51% reported at least one unmet need. Lack of energy was the most prevalent symptom (47%), followed by numbness/tingling in hands/feet (41%). Most of the survivors had unmet needs in the Health care system/Information domain (37% reported at least one unmet need for help), followed by Psychological needs (29%). The mean scores for the SCNS-SF34 domains, except for sexuality, were significantly higher in the high-symptom group (mean 17.6-32.2) compared with the low-symptom group (mean 3.5-22.3) (p < 0.01). Regression of the SCNS-SF34 domain scores against the MSAS scores revealed an increase in the explained variance of from 14% to 54%.
Our results suggest that breast cancer survivors continue to experience a multitude of symptoms, and the burden of symptoms may be associated with unmet needs across a range of domains.
本研究描述了乳腺癌幸存者在治疗后半年至五年期间报告的感知症状范围和水平以及未满足的需求，并确定这些症状是否可作为未满足需求的预测指标。
在一项横断面研究中，纳入了150名处于治疗后半年至五年期间的乳腺癌幸存者（平均年龄：55.1±8岁）进行分析。使用的测量量表包括纪念症状评估量表（MSAS）和支持性护理需求调查简表（SCNS-SF34）。
88%的幸存者报告至少有一种症状，而51%的幸存者报告至少有一种未满足的需求。精力不足是最常见的症状（47%），其次是手脚麻木/刺痛（41%）。大多数幸存者在医疗保健系统/信息领域有未满足的需求（37%报告至少有一种未满足的求助需求），其次是心理需求（29%）。与低症状组（平均3.5 - 22.3）相比，高症状组（平均17.6 - 32.2）中，SCNS-SF34各领域的平均得分，除性方面外，均显著更高（p < 0.01）。将SCNS-SF34领域得分对MSAS得分进行回归分析，结果显示可解释方差从14%增加到54%。
我们的结果表明，乳腺癌幸存者继续经历多种症状，且症状负担可能与一系列领域中未满足的需求相关。
