Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.
Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
Support Care Cancer. 2019 Jan;27(1):287-295. doi: 10.1007/s00520-018-4315-x. Epub 2018 Jun 27.
To investigate the unmet supportive care needs (SCNs) of Chinese cancer survivors and to identify factors associated with the unmet SCNs of cancer survivors.
A cross-sectional survey of Chinese cancer survivors was conducted using validated scales of the Cancer Survivors Unmet Needs scale (CaSUN), physical symptom concerns (Cancer Survivors Survey of Needs-CSSN subscale), and a single-item measure of global quality of life (QoL) perception.
There were 330 participants, with a mean score of 7.1 (0-10) in overall QoL. The reported rate of the 19 symptom concerns ranged from 19.4 to 72.2%. The level of unmet SCNs (moderate and strong need) ranged from 12.1 to 59.1%. The top five unmet needs included concerns about the cancer re-occurring (59.1%), accessing the best medical care (52.7%), accessing complementary therapy services (51.5%), changes to beliefs (48.2%), and survivor expectations (47.6%). The strength of unmet SCNs was negatively correlated with participant age (P < 0.05), average time since diagnosis (P < 0.05), and overall QoL (P < 0.01) and positively correlated with all symptom concerns (all P < 0.001).
Study findings call attention to cancer survivors' unmet SCNs and related factors. Underscored areas in developing survivorship care included paying special attention to existential survivorship, empowering survivor management of chronic symptoms, particularly for younger survivors, as well as for survivors with poor QoL, and those with a shorter time since diagnosis. This tailored survivorship care should be developed and delivered by a multidisciplinary team to support cancer services, with a greater capacity to deliver individualized, unmet SCN-driven care to survivors.
调查中国癌症幸存者未满足的支持性护理需求（SCN），并确定与癌症幸存者未满足的 SCN 相关的因素。
采用癌症幸存者未满足需求量表（CaSUN）、身体症状关注量表（Cancer Survivors Survey of Needs-CSSN 子量表）和单一的整体生活质量（QoL）感知的有效量表对中国癌症幸存者进行横断面调查。
共有 330 名参与者，整体 QoL 平均得分为 7.1（0-10）。报告的 19 种症状关注率为 19.4%至 72.2%。未满足 SCN 水平（中度和强烈需求）为 12.1%至 59.1%。排名前五的未满足需求包括担心癌症复发（59.1%）、获得最佳医疗保健（52.7%）、获得补充治疗服务（51.5%）、信念改变（48.2%）和幸存者期望（47.6%）。未满足 SCN 的强度与参与者年龄（P<0.05）、平均诊断后时间（P<0.05）和整体 QoL（P<0.01）呈负相关，与所有症状关注呈正相关（均 P<0.001）。
研究结果引起了人们对癌症幸存者未满足的 SCN 及其相关因素的关注。在制定生存护理计划时，应特别关注生存者的生存意义、增强生存者对慢性症状的管理，特别是针对年轻的生存者，以及那些生活质量较差、诊断后时间较短的生存者。这种有针对性的生存护理应由多学科团队制定和提供，以支持癌症服务，从而有更大的能力为生存者提供个性化的、满足未满足需求的护理。
