Park Hwa Yeon, Kim Mi Jin, Kim Ju Young, Kim Sarah, Choi Ji Young, Kim Jeong Hyun, Jeong Hee Yeong
Health Promotion Center, Gachon University Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon, Republic of Korea.
College of Nursing, Shin Han University, 30 Beolmadeul-ro 40beon-gil, Dongducheon-si, Gyeonggi-do, Republic of Korea.
J Cancer Educ. 2019 Oct;34(5):950-957. doi: 10.1007/s13187-018-1399-4.
The number of cancer patients has been rapidly increasing, and while there have been wide variations, cancer survival rates also improved globally. Despite the improved survival rates, supportive care needs of cancer patients have been unmet in various domains. The current study aimed to investigate unmet needs that had potential to be managed by peer supports according to cancer trajectories. We used the comprehensive needs assessment tool in cancer (CNAT) and a modified CNAT to evaluate the unmet needs and peer support needs of cancer patients at the tertiary hospital of South Korea. Of the 402 participants, 335 (83.3%) needed peer support. For patients who had been diagnosed with cancer for more than 5 years, the highest proportion of peer support needs to unmet supportive care was reported in information domain (92.9%). Patients with advanced cancer reported peer support needs in the social/religious/spiritual (84.4%) and practical domains (81.1%). Most of stomach cancer patients needed peer supports to receive information (96.6%). The need for peer supports in the information domain was reported highest according to longer survival period and also according to advanced cancer stages. The proportion of peer support needs in unmet supportive care varied by cancer type. Further interventional studies are needed to investigate satisfaction with peer support in specific domains.
癌症患者的数量一直在迅速增加,尽管存在很大差异,但全球癌症生存率也有所提高。尽管生存率有所提高,但癌症患者在各个领域的支持性护理需求仍未得到满足。当前的研究旨在根据癌症病程调查有可能通过同伴支持来解决的未满足需求。我们使用癌症综合需求评估工具(CNAT)和改良版CNAT来评估韩国三级医院癌症患者的未满足需求和同伴支持需求。在402名参与者中,335名(83.3%)需要同伴支持。对于已确诊癌症超过5年的患者,在信息领域报告的同伴支持需求占未满足支持性护理需求的比例最高(92.9%)。晚期癌症患者报告在社会/宗教/精神领域(84.4%)和实际领域(81.1%)有同伴支持需求。大多数胃癌患者需要同伴支持来获取信息(96.6%)。根据生存期延长和癌症晚期情况,信息领域对同伴支持的需求报告最高。未满足支持性护理中同伴支持需求的比例因癌症类型而异。需要进一步的干预研究来调查在特定领域对同伴支持的满意度。