Edib Zobaida, Kumarasamy Verasingam, Binti Abdullah Norlia, Rizal A M, Al-Dubai Sami Abdo Radman
Department of Community Medicine, International Medical University, Bukit Jalil, 57000, Kuala Lumpur, Malaysia.
Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Cheras, 56000, Kuala Lumpur, Malaysia.
Health Qual Life Outcomes. 2016 Feb 22;14:26. doi: 10.1186/s12955-016-0428-4.
Addressing breast cancer patients' unmet supportive care needs in the early stage of their survivorship have become a prime concern because of its significant association with poor quality of life (QOL), which in turn increases healthcare utilization and costs. There is no study about unmet supportive care needs of breast cancer patients in Malaysia. This study aims to assess the most prevalent unmet supportive care needs of Malaysian breast cancer patients and the association between QOL and patients' characteristics, and their unmet supportive care needs.
A cross-sectional study was conducted at the Surgery and Oncology Clinic between May 2014 and June 2014 in a tertiary hospital in Malaysia. A total of 117 patients out of 133 breast cancer patients recruited by universal sampling were interviewed using a structured questionnaire consisted of three parts: participants' socio-demographic and disease characteristics, Supportive Care Needs Survey-Short Form Questionnaire (SCNS-SF34) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 (EORTC QLQ-C30).
The highest unmet supportive care needs were observed in the psychological domain (Mean 53.31; SD ± 21.79), followed by physical domain (Mean 38.16; SD ± 27.15). Most prevalent unmet supportive care needs were uncertainty about the future (78.6 %), fears about the cancer spreading (76.1 %), feelings of sadness (69.2 %), feelings about death and dying (68.4 %), concerns about those close to the patient (65.0 %) and feeling down or depressed (65.0 %). Multivariate linear analysis showed that early breast cancer survivors diagnosed at an advanced stage and with greater physical and psychological needs were significantly (p < 0.05) associated with poorer QOL.
Most prevalent unmet needs among Malaysian breast cancer patients were found in the psychological domain. Early breast cancer survivors with late stage diagnosis who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.
由于乳腺癌患者在生存早期未得到满足的支持性护理需求与生活质量差显著相关，进而增加了医疗保健的利用率和成本，因此解决这些需求已成为首要关注的问题。马来西亚尚无关于乳腺癌患者未得到满足的支持性护理需求的研究。本研究旨在评估马来西亚乳腺癌患者最普遍的未得到满足的支持性护理需求，以及生活质量与患者特征及其未得到满足的支持性护理需求之间的关联。
2014年5月至2014年6月在马来西亚一家三级医院的外科和肿瘤诊所进行了一项横断面研究。通过普查招募的133名乳腺癌患者中，共有117名患者接受了结构化问卷调查，问卷包括三个部分：参与者的社会人口统计学和疾病特征、支持性护理需求调查简表问卷（SCNS-SF34）和欧洲癌症研究与治疗组织生活质量问卷C30（EORTC QLQ-C30）。
在心理领域观察到最高的未得到满足的支持性护理需求（均值53.31；标准差±21.79），其次是身体领域（均值38.16；标准差±27.15）。最普遍的未得到满足的支持性护理需求是对未来的不确定性（78.6%）、对癌症扩散的恐惧（76.1%）、悲伤情绪（69.2%）、对死亡和临终的感受（68.4%）、对患者身边亲近之人的担忧（65.0%）以及情绪低落或沮丧（65.0%）。多变量线性分析表明，晚期诊断的早期乳腺癌幸存者以及有更大身体和心理需求的患者与较差的生活质量显著相关（p<0.05）。
马来西亚乳腺癌患者中最普遍的未得到满足的需求出现在心理领域。晚期诊断的早期乳腺癌幸存者在心理和身体领域有更多未得到满足的需求，更有可能生活质量较差。
