University of Groningen, University Medical Center Groningen, Health Psychology Section, Groningen, The Netherlands.
National Medical Center "La Raza", Gynecology and Obstetrics Hospital, Mexican Institute of Social Security (IMSS), Mexico City, Mexico.
Psychooncology. 2018 Sep;27(9):2132-2140. doi: 10.1002/pon.4778. Epub 2018 Jun 19.
This study examined the course and predictors of supportive care needs among Mexican breast cancer patients for different cancer treatment trajectories.
Data from 172 (66.4% response rate) patients were considered in this observational longitudinal study. Participants were measured after diagnosis, neoadjuvant treatment, surgery, adjuvant treatment, and the first post-treatment follow-up visit. Psychological, Health System and Information, Physical and Daily Living, Patient Care and Support, Sexual, and Additional care needs were measured with the Supportive Care Needs Survey (SCNS-SF34). Linear mixed models with maximum-likelihood estimation were computed.
The course of supportive care needs was similar across the different cancer treatment trajectories. Supportive care needs declined significantly from diagnosis to the first post-treatment follow-up visit. Health System and Information care needs were the highest needs over time. Depressive symptoms and time since diagnosis were the most consistent predictors of changes in course of supportive care needs of these patients.
Health system and information care needs of Mexican breast cancer patients need to be addressed with priority because these needs are the least met. Furthermore, patients with high depressive symptoms at the start of the disease trajectory have greater needs for supportive care throughout the disease trajectory.
本研究考察了不同癌症治疗轨迹中墨西哥乳腺癌患者的支持性护理需求的过程和预测因素。
本观察性纵向研究共纳入了 172 名（66.4%的应答率）患者的数据。参与者在诊断后、新辅助治疗、手术、辅助治疗以及首次治疗后随访时进行了测量。采用支持性护理需求调查（SCNS-SF34）测量心理、卫生系统和信息、生理和日常生活、患者护理和支持、性和其他护理需求。使用最大似然估计的线性混合模型进行计算。
不同癌症治疗轨迹中支持性护理需求的过程相似。从诊断到首次治疗后随访，支持性护理需求显著下降。卫生系统和信息护理需求是随时间推移的最高需求。抑郁症状和诊断后时间是这些患者支持性护理需求变化过程中最一致的预测因素。
需要优先解决墨西哥乳腺癌患者的卫生系统和信息护理需求，因为这些需求最未得到满足。此外，疾病轨迹开始时抑郁症状严重的患者在整个疾病轨迹中需要更多的支持性护理。
