Ramezanzade Tabriz Elahe, Parsa Yekta Zohre, Shirdelzade Sara, Saadati Masume, Orooji Arezoo, Shahsavari Hooman, Khorshidi Mehdi
Nursing Department, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Medical-Surgical Department, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2017 Jun 29;31:35. doi: 10.14196/mjiri.31.35. eCollection 2017.
The identification and management of unmet needs is an essential component of health care for the growing cancer patient population. Information about the prevalence of unmet need can help medical service planning/redesigning. Therefore, this study aimed to identify unmet needs in Iranian patients suffering from cancer. This cross-sectional correlational study was conducted on 650 cancer patients admitted to the major medical centers in Mashhad and Neyshabur by census sampling. The data was gathered by the Survivor Unmet Needs Survey (SUNS). Data were analyzed using ANOVA, t-test and Pearson correlation. Most of participants were female (56%, n=263) and Mashhad resident (67.1%, n=436). The most common cancers were colorectal (17.8 %, n=116), stomach (13.6%, n=88) and lung (9.4%, n=62), respectively. The highest unmet needs score belonged to work and financial needs (2.46 ± 0.91), and the least was the emotional domain (1.92±0.90). Among demographic factors, a significant relationship was found between resident places (p<0.001), and cancer type (p<0.0001). This is the first study addressing the unmet needs of cancer patients in Iran. It reveals that cancer patients had a relative high number of unmet needs; this shows the necessity of including these factors in the routine assessment of all cancer patients and planning treatment interventions based on their individual's need.
识别和满足未满足的需求是日益增长的癌症患者群体医疗保健的重要组成部分。有关未满足需求发生率的信息有助于医疗服务规划/重新设计。因此，本研究旨在识别伊朗癌症患者中未满足的需求。这项横断面相关性研究通过普查抽样对在马什哈德和内沙布尔主要医疗中心住院的650名癌症患者进行。数据通过幸存者未满足需求调查（SUNS）收集。使用方差分析、t检验和皮尔逊相关性分析数据。大多数参与者为女性（56%，n = 263）且居住在马什哈德（67.1%，n = 436）。最常见的癌症分别是结直肠癌（17.8%，n = 116）、胃癌（13.6%，n = 88）和肺癌（9.4%，n = 62）。未满足需求得分最高的是工作和经济需求（2.46±0.91），最低的是情感领域（1.92±0.90）。在人口统计学因素中，发现居住地点（p<0.001）和癌症类型（p<0.0001）之间存在显著关系。这是第一项针对伊朗癌症患者未满足需求的研究。研究表明癌症患者有相对较多的未满足需求；这表明有必要将这些因素纳入所有癌症患者的常规评估，并根据个体需求规划治疗干预措施。
