Department of Health Care Services, Vocational School of Health Services, Nevsehir Haci Bektas Veli University, Nevsehir, Turkey.
Department of Internal Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Semin Oncol Nurs. 2021 Oct;37(5):151214. doi: 10.1016/j.soncn.2021.151214. Epub 2021 Sep 2.
To evaluate the relationships of sociodemographic and clinical characteristics, symptom burden, and supportive care needs of patients with a prevalence of psychological distress in outpatients with cancer.
The study was carried out with 298 outpatient cancer patients at an oncology center in Turkey, and a descriptive correlational design was used. The data were collected through Hospital Anxiety-Depression Scale (HADS), Nightingale Symptom Assessment Scale (N-SAS), and Supportive Care Needs Scale Short Form (SCNS-SF34). Descriptive statistics and hierarchical regression analyses were performed.
The study determined that the anxiety and depression scores of a significant portion of cancer patients receiving outpatient treatment were clinically significant. It was observed that the physical and psychological symptom burden of the patients and the increase in unmet care needs related to psychological, physical, and activities of daily life contributed to the development of anxiety and depression. Of the sociodemographic and disease-related characteristics of the patients, female sex was found to be an important factor for both anxiety and depression, and advanced age was found to be an important factor for depression. These results indicate that cancer patients receiving outpatient treatment need intensive supportive psychosocial care.
It is recommended that patients' psychological distress levels and supportive care needs be included in the care process as a routine component of care, as in symptom assessment, and to develop a more sensitive and supportive care environment in meeting psychosocial care needs and accessing support.
评估社会人口学和临床特征、症状负担以及癌症门诊患者心理困扰患病率患者的支持性护理需求之间的关系。
本研究在土耳其的一家肿瘤中心对 298 名门诊癌症患者进行了研究，采用描述性相关设计。通过医院焦虑抑郁量表（HADS）、南丁格尔症状评估量表（N-SAS）和支持性护理需求量表简表（SCNS-SF34）收集数据。进行了描述性统计和层次回归分析。
该研究确定了接受门诊治疗的癌症患者中相当一部分人的焦虑和抑郁评分具有临床意义。观察到患者的身体和心理症状负担以及与心理、身体和日常生活活动相关的未满足的护理需求增加导致了焦虑和抑郁的发展。在患者的社会人口学和疾病相关特征中，女性被发现是焦虑和抑郁的重要因素，而年龄较大则被发现是抑郁的重要因素。这些结果表明，接受门诊治疗的癌症患者需要强化的支持性心理社会护理。
建议将患者的心理困扰水平和支持性护理需求作为护理过程中的常规组成部分纳入护理中，就像在症状评估中一样，并在满足心理社会护理需求和获得支持方面建立一个更敏感和支持性的护理环境。
