Sakamoto Nobuhiro, Takiguchi Shuji, Komatsu Hirokazu, Okuyama Toru, Nakaguchi Tomohiro, Kubota Yosuke, Ito Yoshinori, Sugano Koji, Wada Makoto, Akechi Tatsuo
Division of Psycho-Oncology and Palliative Care, Nagoya City University Hospital.
Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences and Medical School.
Jpn J Clin Oncol. 2017 Dec 1;47(12):1157-1161. doi: 10.1093/jjco/hyx152.
Although currently many advanced colorectal cancer patients continuously receive chemotherapy, there are very few findings with regard to the supportive care needs of such patients.
The purposes of this study were to investigate the patients' perceived needs and the association with psychological distress and/or quality of life, and to clarify the characteristics of patients with a high degree of unmet needs. Ambulatory colorectal cancer patients who were receiving chemotherapy were asked to complete the Short-Form Supportive Care Needs Survey questionnaire, which covers five domains of need (health system and information, psychological, physical, care and support, and sexuality needs), the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
Complete data were available for 100 patients. Almost all of the top 10 most common unmet needs belonged to the psychological domain. The patients' total needs were significantly associated with both psychological distress (r = 0.65, P < 0.001) and quality of life (r = -0.38, P < 0.001). A multiple regression analysis revealed that the female gender was significantly associated with higher total needs.
The moderate to strong associations that exist between patients' needs and psychological distress and/or quality of life suggest that interventions that respond to patients' needs may be one possible strategy for ameliorating psychological distress and enhancing quality of life. Female patients' needs should be evaluated more carefully.
尽管目前许多晚期结直肠癌患者持续接受化疗，但关于此类患者的支持性护理需求的研究结果却非常少。
本研究的目的是调查患者感知到的需求以及与心理困扰和/或生活质量的关联，并阐明需求未得到充分满足程度高的患者的特征。要求正在接受化疗的非卧床结直肠癌患者完成《支持性护理需求简短调查问卷》，该问卷涵盖五个需求领域（卫生系统与信息、心理、身体、护理与支持以及性需求）、《医院焦虑抑郁量表》和《欧洲癌症研究与治疗组织生活质量调查问卷》。
100名患者有完整数据。几乎所有前10位最常见的未满足需求都属于心理领域。患者的总需求与心理困扰（r = 0.65，P < 0.001）和生活质量（r = -0.38，P < 0.001）均显著相关。多元回归分析显示，女性性别与更高的总需求显著相关。
患者需求与心理困扰和/或生活质量之间存在中度至强关联，这表明满足患者需求的干预措施可能是减轻心理困扰和提高生活质量的一种可能策略。应更仔细地评估女性患者的需求。
