Department of Surgery, Samsung Medical Center, Sungkyunkwan University school of Medicine, Seoul, Korea.
Department of Surgery, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.
BMC Cancer. 2019 Aug 27;19(1):839. doi: 10.1186/s12885-019-6064-8.
Identification of specific needs in patients with cancer is very important for the provision of patient-centered medical service. The aim of this study was to investigate the unmet needs and related factors of Korean breast cancer survivors.
A multicenter, cross-sectional, interview survey was performed among 332 Korean breast cancer survivors. The Comprehensive Needs Assessment Tool for cancer patients was administered to survivors who gave written informed consent to participate. Data were analyzed using t-test, ANOVA and multiple regression analysis.
The level of unmet needs was highest in the domain 'Information and education' (mean ± SD; 1.70 ± 1.14) and the item with the highest level of unmet needs was 'Needed help in coping with fear of recurrence' (2.04 ± 1.09). Unmet needs were correlated with age, stage, multiplicity, HER2, treatment state, marital status, employment, psychosocial status, and problems in EQ-5D dimensions. In multiple regression analysis, the 50-59 age group showed a higher level of recognition for physical symptom needs and the unemployed group expressed greater needs for information and education. Survivors with multiplicity had greater needs in the domains of healthcare staff and physical symptom. The stress group showed high levels of needs in all domains except religious support. The group with thoughts of suicide showed higher levels of unmet needs for physical symptom.
Most prevalent unmet needs in Korean breast cancer survivors were found in the 'information and education' domain. The 50-59 age group, unemployment, multiplicity, stress and suicidal thoughts were associated with higher levels of unmet needs among Korean breast cancer survivors. Our findings revealed more vulnerable breast cancer survivors with unmet needs and physicians should take a precision approach to satisfy unmet needs of these survivors.
识别癌症患者的具体需求对于提供以患者为中心的医疗服务非常重要。本研究旨在调查韩国乳腺癌幸存者的未满足需求及其相关因素。
对 332 名韩国乳腺癌幸存者进行了一项多中心、横断面、访谈调查。对于书面同意参与的幸存者，使用综合癌症患者需求评估工具进行评估。使用 t 检验、方差分析和多元回归分析对数据进行分析。
未满足需求的水平在“信息和教育”领域最高（平均值±标准差；1.70±1.14），未满足需求最高的项目是“应对复发恐惧的帮助”（2.04±1.09）。未满足的需求与年龄、分期、多发性、HER2、治疗状态、婚姻状况、就业、心理社会状况以及 EQ-5D 维度的问题相关。在多元回归分析中，50-59 岁年龄组对身体症状需求的认知水平更高，失业组对信息和教育的需求更大。多发性幸存者在医护人员和身体症状领域的需求更大。压力组除了宗教支持外，在所有领域的需求都很高。有自杀念头的组在身体症状方面表现出更高水平的未满足需求。
韩国乳腺癌幸存者最常见的未满足需求出现在“信息和教育”领域。50-59 岁年龄组、失业、多发性、压力和自杀念头与韩国乳腺癌幸存者未满足需求的更高水平相关。我们的研究结果揭示了更多有未满足需求的脆弱乳腺癌幸存者，医生应该采取精准的方法来满足这些幸存者的需求。
