Choi Eunju, Kim Soo Hyun, Lee Young Whee, Kim Hwasoon, Shim Young Mog, Lee Genehee, Volker Deborah L
School of Nursing, University of Texas at Austin, Austin, TX, USA.
Department of Nursing, College of Medicine, Inha University, Incheon, Korea.
Asia Pac J Oncol Nurs. 2021 Jan 29;8(2):164-171. doi: 10.4103/apjon.apjon_60_20. eCollection 2021 Mar-Apr.
The aim of this study is (1) to describe the prevalence and correlates of unmet needs among esophageal cancer survivors (ECS) in Korea and (2) to identify the association between unmet needs and health-related quality of life (HRQOL).
We used a cross-sectional descriptive study design. Participants were 118 ECS from a hospital in Korea who received surgery at least 12 months before participating. We collected data including the Supportive Care Needs Survey-short form 34 and to measure HRQOL, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 with a self-report questionnaire.
Participants' mean age was 65.2 years, and 92.4% were male. Among five domains of supportive care needs, unmet need prevalence ranged from 0.8% to 50%. The most commonly reported domains of unmet needs were Health System and Information and Physical and Daily Living. Participants with unmet needs in Psychological Needs, Physical and Daily Living Needs, and Patient Care and Support Needs demonstrated significantly poorer HRQOL in almost all measured domains.
Our finding suggests that Korean ECS had substantial unmet needs, especially in the Health System and Information domain. Psychological, Patient Care and Support, and Physical and Daily Living Needs were related to HRQOL. The study can advance understanding of priority issues in ECS.
本研究的目的是（1）描述韩国食管癌幸存者（ECS）中未满足需求的患病率及其相关因素，以及（2）确定未满足需求与健康相关生活质量（HRQOL）之间的关联。
我们采用横断面描述性研究设计。研究对象为来自韩国一家医院的118名ECS，他们在参与研究前至少12个月接受了手术。我们通过自填问卷收集了包括支持性护理需求调查简表34以及用于测量HRQOL的欧洲癌症研究与治疗组织生活质量问卷核心30等数据。
参与者的平均年龄为65.2岁，92.4%为男性。在支持性护理需求的五个领域中，未满足需求的患病率在0.8%至50%之间。最常报告的未满足需求领域是卫生系统与信息以及身体与日常生活。在心理需求、身体与日常生活需求以及患者护理与支持需求方面存在未满足需求的参与者在几乎所有测量领域的HRQOL均显著较差。
我们的研究结果表明，韩国的ECS有大量未满足的需求，尤其是在卫生系统与信息领域。心理、患者护理与支持以及身体与日常生活需求与HRQOL相关。该研究有助于增进对ECS中优先问题的理解。
