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伊朗乳腺癌患者未满足的支持性护理需求。

Un-met supportive care needs of Iranian breast cancer patients.

作者信息

Abdollahzadeh Farahnaz, Moradi Narges, Pakpour Vahid, Rahmani Azad, Zamanzadeh Vahid, Mohammadpoorasl Asghar, Howard Fuchsia

机构信息

Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail :

出版信息

Asian Pac J Cancer Prev. 2014;15(9):3933-8. doi: 10.7314/apjcp.2014.15.9.3933.

Abstract

BACKGROUND

Assessment of supportive needs is the requirement to plan any supportive care program for cancer patients. There is no evidence about supportive care needs of Iranian breast cancer patients. So, the aims of present study were to investigate this question and s predictive factors.

MATERIALS AND METHODS

A descriptive- correlational study was conducted, followed by logistic regression analyses. The Supportive Care Needs Survey was completed by 136 breast cancer patients residing in Iran following their initial treatment. This assessed needs in five domains: psychological, health system and information, physical and daily living, patient care and support, and sexuality.

RESULTS

Patient perceived needs were highest in the health systems and information (71%), and physical and daily living (68%) domains. Logistic regression modeling revealed that younger participants have more un-met needs in all domains and those with more children reported fewer un-met needs in patient care and support domains. In addition, married women had more un-met supportive care needs related to sexuality.

CONCLUSIONS

The high rate of un-met supportive care needs in all domains suggests that supportive care services are desperately required for breast cancer patients in Iran. Moreover, services that address informational needs and physical and daily living needs ought to be the priority, with particular attention paid to younger women. Further research is clearly needed to fully understand supportive care needs in this cultural context.

摘要

背景

评估支持需求是为癌症患者规划任何支持性护理计划的必要条件。目前尚无关于伊朗乳腺癌患者支持性护理需求的证据。因此,本研究的目的是调查这一问题及其预测因素。

材料与方法

进行了一项描述性相关性研究,随后进行逻辑回归分析。136名在伊朗接受初始治疗后的乳腺癌患者完成了支持性护理需求调查。该调查评估了五个领域的需求:心理、卫生系统与信息、身体与日常生活、患者护理与支持以及性方面。

结果

患者认为需求最高的领域是卫生系统与信息(71%)以及身体与日常生活(68%)。逻辑回归模型显示,年轻参与者在所有领域的未满足需求更多,而子女较多的参与者在患者护理与支持领域的未满足需求较少。此外,已婚女性在性方面的未满足支持性护理需求更多。

结论

所有领域未满足的支持性护理需求比例都很高,这表明伊朗的乳腺癌患者迫切需要支持性护理服务。此外,满足信息需求以及身体与日常生活需求的服务应成为优先事项,尤其要关注年轻女性。显然需要进一步研究以全面了解这种文化背景下的支持性护理需求。

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