Kim Soo Hyun, Lee Suyeon, Kim So Hee, Ok Oh Nam, Kim Im-Ryung, Choi Eunju, Kang Yoon-Koo, Kim Seok Jin, Lee Moon Hee
Department of Nursing, Inha University, Incheon, South Korea.
Department of Oncology, Asan Medical Center, Seoul, South Korea.
Psychooncology. 2017 Mar;26(3):330-336. doi: 10.1002/pon.4136. Epub 2016 Apr 13.
We aimed to describe the prevalence and correlates of unmet needs among non-Hodgkin lymphoma (NHL) survivors in Korea and to identify their association with health-related quality of life (HRQOL).
Participants were 826 NHL survivors from three hospitals in South Korea diagnosed at least 24 months prior to participating (mean, 6.3 years; range, 2.1-20.9 years). We used self-reported questionnaires, including the Need Scale for Cancer Patients Undergoing Follow-up Care (NS-C) developed in Korea and the EORTC QLQ-C30. We defined an unmet need as a moderate to high level of unmet need in the NS-C response scale.
Among six domains, unmet need prevalence ranged from 1.7% to 38.3%. Most commonly reported domains with unmet needs were 'treatment and prognosis' (38.3%) and 'keeping mind under control' (30.5%). The three most frequently reported individual unmet needs were 'being informed about prevention of recurrence' (50.7%), 'being informed about prevention of metastasis' (49.7%), and 'having self-confidence of overcoming cancer' (42.7%). Multivariate logistic analyses revealed that younger age, being unmarried, and low monthly income were associated with unmet needs of multiple domains. Participants with unmet needs demonstrated significantly poorer HRQOL, and the most clinically meaningful differences were found in social function and emotional function.
Korean NHL survivors have substantial unmet needs, especially those who are younger, unmarried, and have a lower income. Initiating supportive care programs for meeting unmet needs may enhance their HRQOL. Copyright © 2016 John Wiley & Sons, Ltd.
我们旨在描述韩国非霍奇金淋巴瘤（NHL）幸存者中未满足需求的患病率及其相关因素，并确定这些因素与健康相关生活质量（HRQOL）之间的关联。
研究对象为来自韩国三家医院的826名NHL幸存者，他们在参与研究前至少已确诊24个月（平均6.3年；范围2.1 - 20.9年）。我们使用了自我报告问卷，包括韩国开发的癌症患者随访护理需求量表（NS - C）和欧洲癌症研究与治疗组织生活质量核心问卷（EORTC QLQ - C30）。我们将未满足需求定义为NS - C应答量表中中度至高度的未满足需求。
在六个领域中，未满足需求的患病率在1.7%至38.3%之间。最常报告存在未满足需求的领域是“治疗与预后”（38.3%）和“控制情绪”（30.5%）。最常报告的三项个体未满足需求是“了解复发预防知识”（50.7%）、“了解转移预防知识”（49.7%）和“对战胜癌症有自信”（42.7%）。多因素逻辑分析显示，年龄较小、未婚和月收入较低与多个领域的未满足需求相关。有未满足需求的参与者的HRQOL明显较差，在社会功能和情绪功能方面发现了最具临床意义的差异。
韩国NHL幸存者有大量未满足的需求，尤其是那些年龄较小、未婚且收入较低的人。启动支持性护理计划以满足未满足的需求可能会提高他们的HRQOL。版权所有© 2016约翰威立父子有限公司。
