Fong Emmanuel Joseph, Cheah Whye Lian
Department of Community Medicine & Public Health, Faculty of Medicine & Health Sciences, Universiti Malaysia Sarawak, 94300 Kota Saramahan, Sarawak, Malaysia.
Int J Breast Cancer. 2016;2016:7297813. doi: 10.1155/2016/7297813. Epub 2016 Apr 27.
Background. Recognizing the needs of cancer survivors is one of the important aspects in healthcare delivery. This study aimed to determine the prevalence of unmet supportive care needs and its associated factors among the breast cancer survivors of community-based support group in Kuching, Sarawak. Materials and Methods. This was a cross-sectional study using Supportive Care Needs Survey (SCNS-SF34). All the members of community-based breast cancer support groups in Kuching were invited. A total of 101 respondents were face-to-face interviewed after the consent was obtained. Data was entered and analyzed using SPSS version 20. Results. The respondents endorsed health system and information domain with the highest mean score (2.48; 95% CI: 2.32-2.64). Top 10 items with "moderate to high" level unmet needs had a prevalence of 14.9% to 34.7% of respondents indicating need. Significantly higher level of unmet needs was associated with survivors who were younger (less than 60 years old), had higher education attainment, were unemployed, had survival duration of up to 5 years, and were undergoing active treatment. Conclusion. Systematic delivery of health information which is targeted, culturally sensitive, and linguistically appropriate for addressing younger age, education level, employment status, length of survivorship, and treatment stage should be considered not only at hospital-based setting but also at the community-based support groups.
背景。认识癌症幸存者的需求是医疗服务的重要方面之一。本研究旨在确定砂拉越古晋社区支持小组中乳腺癌幸存者未满足的支持性护理需求的患病率及其相关因素。材料与方法。这是一项使用支持性护理需求调查(SCNS-SF34)的横断面研究。邀请了古晋所有社区乳腺癌支持小组的成员。在获得同意后,对101名受访者进行了面对面访谈。使用SPSS 20版录入和分析数据。结果。受访者对卫生系统和信息领域的平均得分最高(2.48;95%可信区间:2.32 - 2.64)。未满足需求处于“中度至高”水平的前10项需求,有14.9%至34.7%的受访者表示有需求。未满足需求水平显著较高与年龄较轻(小于60岁)、教育程度较高、失业、生存时间长达5年且正在接受积极治疗的幸存者有关。结论。不仅在医院环境中,而且在社区支持小组中,都应考虑系统地提供针对性强、文化敏感且语言合适的健康信息,以满足年龄、教育水平、就业状况、生存时间和治疗阶段等方面的需求。