Nair Satish Chandrasekhar, Jaafar Hassan, Jaloudi Mohamed, Qawasmeh Khaled, AlMarar Afra, Ibrahim Halah
Department of Academic Affairs, Tawam Hospital-Johns Hopkins Medicine Affiliate, Al Ain 15258, Abu Dhabi, United Arab Emirates.
Department of Medical Oncology, Tawam Hospital-Johns Hopkins Medicine Affiliate, Al Ain 15258, Abu Dhabi, United Arab Emirates.
Ecancermedicalscience. 2018 May 29;12:838. doi: 10.3332/ecancer.2018.838. eCollection 2018.
Despite the high prevalence of cancer in the Middle East, there is limited published data reporting the needs of cancer patients in this region of the world. The purpose of this study is to assess the unmet supportive care needs of oncology patients in the United Arab Emirates (UAE). From December 2014 to December 2016, a cross-sectional survey of cancer patients was conducted at a large tertiary care hospital and an oncology referral centre in the UAE, using a validated Arabic translation of the supportive care needs survey--short form (SCNS-SF34-A), assessing cancer-specific perceived needs across five domains: psychological, health system information, patient care and support, physical and daily living and sexuality. Chi-square test and Pearson's correlation coefficient were used to assess the association between variables. Participant responses were tabulated as mean ± standard error of the mean (SEM). The response rate was 78% (210/268). Five of the 10 items from the psychological domain constituted the 10 most prevalent unmet moderate or high needs, followed by physical and daily living needs (3.04 ± 0.029, < 0.001), health system information (3.03 ± 0.02, < 0.001), patient care and support (2.95 ± 0.24, < 0.001), with low sexuality needs (1.79 ± 0.08, < 0.001). Women had significantly higher psychological unmet needs. Cultural differences were noted only in the health system information domain. Improvements in mental health services, development of multidisciplinary cancer care teams, introduction of cancer support groups and fully engaging women in all treatment decisions are feasible and easy to implement interventions that can significantly improve the care and wellbeing of oncology patients in the UAE.
尽管中东地区癌症发病率很高,但关于该地区癌症患者需求的已发表数据有限。本研究的目的是评估阿拉伯联合酋长国(阿联酋)肿瘤患者未得到满足的支持性护理需求。2014年12月至2016年12月,在阿联酋的一家大型三级护理医院和一家肿瘤转诊中心对癌症患者进行了横断面调查,使用经过验证的支持性护理需求调查问卷简表(SCNS-SF34-A)阿拉伯语译本,评估五个领域中特定癌症的感知需求:心理、卫生系统信息、患者护理与支持、身体和日常生活以及性方面。采用卡方检验和皮尔逊相关系数评估变量之间的关联。参与者的回答以平均值±平均标准误差(SEM)列表。回复率为78%(210/268)。心理领域10项需求中的5项构成了10项最普遍的未得到满足的中度或高度需求,其次是身体和日常生活需求(3.04±0.029,<0.001)、卫生系统信息需求(3.03±0.02,<0.001)、患者护理与支持需求(2.95±0.24,<0.001),性方面需求较低(1.79±0.08,<0.001)。女性的心理未满足需求显著更高。仅在卫生系统信息领域发现了文化差异。改善心理健康服务、组建多学科癌症护理团队、引入癌症支持小组以及让女性充分参与所有治疗决策,是可行且易于实施的干预措施,可显著改善阿联酋肿瘤患者的护理和福祉。