Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan.
Int J Environ Res Public Health. 2021 Jul 31;18(15):8124. doi: 10.3390/ijerph18158124.
Upper gastrointestinal (UGI) cancer treatment can cause physical and psychological distress and may result in unmet needs. The purposes of this study were to (1) examine the levels of gastrointestinal (GI) symptom distress, social support, and supportive care needs; (2) screen the priorities of unmet supportive care needs; and (3) identify the factors associated with supportive care needs among UGI cancer patients receiving chemotherapy. This cross-sectional study examined UGI cancer patients who received treatment from the outpatient chemotherapy department of a single cancer center in northern Taiwan. Questionnaires were used to collect data regarding GI symptom distress, social support, unmet needs, and supportive care needs. The top three unmet needs were "fears about the cancer spreading", "uncertainty about the future", and "being informed about things you can do to help yourself to get well". Descriptive statistics examined the levels of GI symptom distress, social support, supportive care needs, and priorities of unmet supportive care needs. Stepwise regression was conducted to determine significant factors related to supportive care needs. Greater supportive care needs were found to be associated with higher levels of disease-related worries, increased treatment-related symptoms, and a lower level of physical performance. These factors explained 48.0% of the variance in supportive care needs. Disease-related worries and treatment-related symptoms strongly influence overall supportive care needs and each domain of supportive care needs. Symptom management and psychological support for patients receiving outpatient chemotherapy may help patients meet needs.
上消化道（UGI）癌症治疗会导致身体和心理上的不适，并可能导致未满足的需求。本研究的目的是：（1）检查胃肠道（GI）症状困扰、社会支持和支持性护理需求的水平；（2）筛选未满足的支持性护理需求的优先级；（3）确定接受化疗的 UGI 癌症患者的支持性护理需求的相关因素。本横断面研究检查了在台湾北部的一家癌症中心的门诊化疗部门接受治疗的 UGI 癌症患者。使用问卷收集有关 GI 症状困扰、社会支持、未满足的需求和支持性护理需求的数据。未满足的前三大需求是“对癌症扩散的恐惧”、“对未来的不确定性”和“了解可以帮助自己康复的事情”。描述性统计检查了 GI 症状困扰、社会支持、支持性护理需求和未满足的支持性护理需求的优先级。逐步回归用于确定与支持性护理需求相关的显著因素。更高的支持性护理需求与更高水平的疾病相关担忧、更多的治疗相关症状以及更低的身体表现水平相关。这些因素解释了支持性护理需求的 48.0%。疾病相关担忧和治疗相关症状强烈影响整体支持性护理需求和支持性护理需求的各个领域。对接受门诊化疗的患者进行症状管理和心理支持可能有助于满足他们的需求。
