Ren Jin Ying, Zhong Jiu Di, Yuan Juan, Zhang Jun E, Li Chuan Zhen, Wei Wei Jin
School of Nursing, Sun Yat-sen University, Guangzhou, China.
Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, China; State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Eur J Oncol Nurs. 2020 Jun;46:101767. doi: 10.1016/j.ejon.2020.101767. Epub 2020 May 21.
After esophagectomy, patients experience a series of problems that severely affect their quality of life. Understanding their unmet needs could help medical staff provide better supportive care. The aim of this study was to investigate the supportive care needs of discharged patients with esophageal cancer after esophagectomy and explore the factors associated with these needs.
A total of 167 discharged patients with esophageal cancer after esophagectomy were recruited from a University Cancer Center in China and investigated using a self-designed demographic and clinical characteristics questionnaire, the 34-item Supportive Care Needs Survey, and the M.D. Anderson Symptom Inventory Gastrointestinal Cancer Module.
Approximately 95.2% of the patients had ≥1 unmet need(s). The overall level of supportive care needs of patients after esophagectomy was mild to medium. Most of the top 10 moderate-to-severe unmet needs were identified in the health and information domains. Age (β = -0.157, p = 0.011), dysphagia (β = -0.178, p = 0.005), recurrence (β = 0.175, p = 0.005), time since diagnosis (β = -0.150, p = 0.018), and symptom interference (β = 0.488, p < 0.001) were significantly associated with supportive care needs.
Discharged patients with esophageal cancer after esophagectomy had a wide range of unmet supportive care needs. It is essential to combine the associated factors to accurately evaluate patient needs. We should pay more attention to propose comprehensive measures for these patients and provide more individualized supportive care during the lengthy recovery period.
食管癌切除术后，患者会经历一系列严重影响其生活质量的问题。了解他们未满足的需求有助于医护人员提供更好的支持性护理。本研究旨在调查食管癌切除术后出院患者的支持性护理需求，并探讨与这些需求相关的因素。
从中国一所大学癌症中心招募了167例食管癌切除术后出院的患者，并使用自行设计的人口统计学和临床特征问卷、34项支持性护理需求调查问卷以及MD安德森症状量表胃肠道癌症模块进行调查。
约95.2%的患者有≥1项未满足的需求。食管癌切除术后患者的支持性护理需求总体水平为轻度至中度。前10项中度至重度未满足需求大多出现在健康和信息领域。年龄（β = -0.157，p = 0.011）、吞咽困难（β = -0.178，p = 0.005）、复发（β = 0.175，p = 0.005）、确诊后的时间（β = -0.150，p = 0.018）以及症状干扰（β = 0.488，p < 0.001）与支持性护理需求显著相关。
食管癌切除术后出院患者有广泛的未满足的支持性护理需求。结合相关因素准确评估患者需求至关重要。我们应更加关注为这些患者提出综合措施，并在漫长的康复期提供更具个性化的支持性护理。
