Doubova Svetlana V, Casales-Hernández Maria Guadalupe, Perez-Cuevas Ricardo
Author Affiliations: Epidemiology and Health Services Research Unit, CMN Siglo XXI, Mexican Institute of Social Security (Dr Doubova); National Center for Prevention and Disease Control Programs, Ministry of Health (Ms Casales-Hernández); and Division of Social Protection and Health, Inter-American Development Bank (Dr Perez-Cuevas), Mexico City, Mexico.
Cancer Nurs. 2018 Mar/Apr;41(2):E1-E12. doi: 10.1097/NCC.0000000000000492.
Patients with cancer have supportive care needs. Studies that analyze the relationship between supportive care needs and health-related quality of life (HRQoL) are scarce. Cultural differences in supportive care needs and perceived QoL are also worth analyzing.
The aim of this study was to assess the association between supportive care needs and HRQoL of Mexican adults given a diagnosis of solid cancers.
We performed a secondary data analysis of a cross-sectional survey of 825 adult patients with cancer treated at the Oncology Hospital of the Mexican Institute of Social Security. The QLQ-30 from the European Organization for Research and Treatment of Cancer served to measure HRQoL, and the Supportive Care Needs Questionnaire was used to ascertain the needs. The analysis included multiple linear regression models for each HRQoL domain controlled for demographic, clinical, and social support covariates.
There was an association between psychological needs with low scores in the HRQoL domains of global health, emotional functioning, and increased fatigue. Physical and daily living needs were associated with most HRQoL domains except the emotional domain. Patient care needs were related to low scores in the emotional and social functioning domains. Health systems and information needs were associated with low scores on cognitive functioning.
Physical, psychological, patient care, and informational needs were associated with decreased HRQoL of Mexican patients with cancer.
Healthcare providers, including nurses, are encouraged to perform routine, comprehensive evaluations of the supportive care needs and HRQoL of patients with solid cancers to respond in a timely manner to their needs.
癌症患者有支持性护理需求。分析支持性护理需求与健康相关生活质量（HRQoL）之间关系的研究很少。支持性护理需求和感知生活质量方面的文化差异也值得分析。
本研究的目的是评估墨西哥成年实体癌患者的支持性护理需求与HRQoL之间的关联。
我们对墨西哥社会保障局肿瘤医院治疗的825名成年癌症患者的横断面调查进行了二次数据分析。欧洲癌症研究与治疗组织的QLQ - 30用于测量HRQoL，支持性护理需求问卷用于确定需求。分析包括针对每个HRQoL领域的多元线性回归模型，对人口统计学、临床和社会支持协变量进行了控制。
心理需求与总体健康、情绪功能等HRQoL领域的低分以及疲劳增加之间存在关联。身体和日常生活需求与除情绪领域外的大多数HRQoL领域相关。患者护理需求与情绪和社会功能领域的低分有关。卫生系统和信息需求与认知功能的低分相关。
身体、心理、患者护理和信息需求与墨西哥癌症患者HRQoL的降低有关。
鼓励包括护士在内的医疗保健提供者对实体癌患者的支持性护理需求和HRQoL进行常规、全面的评估，以便及时满足他们的需求。
