Fatiregun Olamijulo, Sowunmi Anthonia Chima, Habeebu Muhammad, Okediji Paul, Alabi Adewumi, Fatiregun Omolara, Adeniji Adeoluwa, Awofeso Opeyemi, Adegboyega Bolanle
Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.
University of Lagos, Lagos, Nigeria.
J Glob Oncol. 2019 Jun;5:1-9. doi: 10.1200/JGO.19.00043.
Diagnosis and treatment of cancer are associated with significant psychological distress, and patients face a broad range of challenges that create a vacuum of unmet needs felt by patients, such as a loss of personal control and frustration. The aim of the current study was to determine the magnitude, distribution, and correlates of unmet needs in Nigerian patients with cancer.
Using a descriptive cross-sectional approach, we assessed 205 patients with cancer who attended oncology outpatient clinics at the Lagos University Teaching Hospital. Eligible patients were administered the Supportive Care Needs Survey (SCNS) -Short Form 34 with a focus on five domains of need: psychological, health system and information, physical and daily living, patient care and support, and sexuality.
Mean age was 47.4 ± 12.3 years and patients were predominantly female (96.6%). The most common diagnosis was breast cancer (92.2%), and mean duration since diagnosis was 20.9 ± 21.9 months for all patients. Mean SCNS score was 83.9 ± 24.8 and at least 46% of participants indicated unmet needs in 15 items of the SCNS. The most frequent unattended needs were related to the health information (53.4%), physical and daily living (49.4%), psychological (48.5%), sexuality, and patient care and support domains. None of the factors considered-age, sex marital status, family type, educational attainment, employment status, economic status, the presence of financial support, social support, and cancer type-was significantly predictive of unmet needs in these patients ( > .05).
Nigerian patients with cancer experience considerable levels of unmet needs. These needs require urgent and long-term interventions to help patients achieve increased care satisfaction and a better quality of life.
癌症的诊断和治疗会带来严重的心理困扰，患者面临着广泛的挑战，这些挑战导致患者存在未被满足需求的空白，比如失去个人掌控感和挫败感。本研究的目的是确定尼日利亚癌症患者未被满足需求的程度、分布情况及其相关因素。
采用描述性横断面研究方法，我们评估了205名在拉各斯大学教学医院肿瘤门诊就诊的癌症患者。符合条件的患者接受了支持性护理需求调查（SCNS）简表34，重点关注五个需求领域：心理、卫生系统与信息、身体与日常生活、患者护理与支持以及性方面。
平均年龄为47.4±12.3岁，患者以女性为主（96.6%）。最常见的诊断是乳腺癌（92.2%），所有患者自诊断以来的平均病程为20.9±21.9个月。SCNS平均得分为83.9±24.8，至少46%的参与者表示在SCNS的15项中有未被满足的需求。最常见的未得到满足的需求与健康信息（53.4%）、身体与日常生活（49.4%）、心理（48.5%）、性方面以及患者护理与支持领域有关。所考虑的因素——年龄、性别、婚姻状况、家庭类型、教育程度、就业状况、经济状况、是否有经济支持、社会支持以及癌症类型——均未显著预测这些患者的未被满足需求（P>0.05）。
尼日利亚癌症患者存在相当程度的未被满足需求。这些需求需要紧急和长期的干预措施，以帮助患者提高护理满意度并改善生活质量。
