Shaanxi Key Laboratory of Behavior and Cognitive Neuroscience, School of Psychology, Shaanxi Normal University, Xi'an, China.
Shaanxi Provincial Tumor Hospital, Xi'an, China.
Psychooncology. 2018 Feb;27(2):600-606. doi: 10.1002/pon.4554. Epub 2017 Oct 6.
This study aimed to (1) identify distinct patterns of unmet needs in Chinese cancer patients; (2) examine whether sociodemographic and medical characteristics distinguished these patterns; and (3) examine whether people with distinct patterns reported differential quality of life (QoL).
This cross-sectional study recruited 301 cancer patients from 2 hospitals in China. The 34-item Supportive Care Needs Survey Short-Form was used to measure unmet needs across 5 domains: physical and daily living, psychological, patient care and support, health systems and information, and sexuality. Latent class analysis was performed to identify patterns of unmet needs across these domains.
Four patterns of unmet needs were identified, differing in levels and nature of unmet needs. Participants in class 1 (47%) reported few unmet needs. Patients in class 2 (15%) had moderate levels of unmet needs, displaying similar levels across 5 domains. People in class 3 (25%) and class 4 (13%) reported similarly high levels on "psychological," "health care system and information," "physical and daily living," and "patient care," but differing in "sexuality," with class 3 reporting low levels while class 4 high on "sexuality." None of sociodemographic and medical characteristics distinguished these patterns significantly. Compared to other classes, people in class 1 reported highest levels of QoL.
This study demonstrates the existence of 4 patterns of unmet supportive needs in Chinese cancer patients. Patients with few unmet needs reported the best QoL.
本研究旨在：(1) 确定中国癌症患者未满足需求的不同模式；(2) 检验社会人口学和医学特征是否能区分这些模式；以及(3) 检验具有不同模式的患者是否报告了不同的生活质量（QoL）。
本横断面研究招募了来自中国 2 家医院的 301 名癌症患者。使用 34 项支持性护理需求调查短表评估 5 个领域的未满足需求：身体和日常生活、心理、患者护理和支持、卫生系统和信息以及性。进行潜在类别分析以确定这些领域未满足需求的模式。
确定了 4 种未满足需求模式，其未满足需求的水平和性质不同。类 1（47%）的参与者报告的未满足需求很少。类 2（15%）的患者有中等程度的未满足需求，在 5 个领域显示出相似的水平。类 3（25%）和类 4（13%）的患者在“心理”、“医疗保健系统和信息”、“身体和日常生活”和“患者护理”方面报告了类似高的未满足需求水平，但在“性”方面存在差异，类 3 报告低水平，而类 4 报告高水平。社会人口学和医学特征均无法显著区分这些模式。与其他类别相比，类 1 的患者报告了最高的 QoL 水平。
本研究表明，中国癌症患者存在 4 种未满足的支持性需求模式。未满足需求较少的患者报告了最佳的 QoL。
