Lidington Emma, Darlington Anne-Sophie, Din Amy, Stanway Susannah, Banerjee Susana, Szucs Zoltan, Gonzalez Michael, Sharma Anand, Sirohi Bhawna, van der Graaf Winette T A, Husson Olga
The Royal Marsden NHS Foundation Trust, 203 Fulham Road, London SW3 6JJ, UK.
Health Sciences, University of Southampton, University Road, Highfield, Southampton SO17 1BJ, UK.
J Clin Med. 2021 Sep 28;10(19):4449. doi: 10.3390/jcm10194449.
Few studies describe supportive care needs among young adults (YAs) with cancer ages 25 to 39 using validated questionnaires. Previous findings identified the need for psychological and information support and suggest that gender, age, psychological distress, and coping may be associated with greater need for this support. To substantiate these findings, this study aimed to (1) describe the supportive care needs of YAs in each domain of the Supportive Care Needs Survey and (2) explore the relationship between unmet supportive care needs and clinical and demographic factors, health-related quality of life, psychological distress, illness cognitions, and service needs using latent class analysis. Clinical teams from six hospitals in England invited eligible patients to a cross-sectional survey by post. A total of 317 participants completed the survey online or on paper. YAs expressed the most need in the psychological and sexuality domains. Using latent class analysis, we identified three classes of YAs based on level of supportive care need: no need (53.3%), low need (28.3%), and moderate need (18.4%). In each class, median domain scores in each domain were similar. Low and moderate need classes were associated with worse health-related quality of life and greater helplessness. Unmet service needs were associated with the moderate-need class only. Patients with unmet supportive care needs should be offered holistic care across supportive care domains.
很少有研究使用经过验证的问卷来描述年龄在25至39岁的年轻癌症患者的支持性护理需求。先前的研究结果确定了对心理和信息支持的需求，并表明性别、年龄、心理困扰和应对方式可能与对这种支持的更大需求相关。为了证实这些发现，本研究旨在：（1）描述支持性护理需求调查各领域中年轻成人的支持性护理需求；（2）使用潜在类别分析探讨未满足的支持性护理需求与临床和人口统计学因素、健康相关生活质量、心理困扰、疾病认知及服务需求之间的关系。英国六家医院的临床团队通过邮寄方式邀请符合条件的患者参加横断面调查。共有317名参与者在线或通过纸质方式完成了调查。年轻成人在心理和性领域表达了最大需求。通过潜在类别分析，我们根据支持性护理需求水平将年轻成人分为三类：无需求（53.3%）、低需求（28.3%）和中度需求（18.4%）。在每一类中，各领域的中位数得分相似。低需求和中度需求类别与较差的健康相关生活质量和更大的无助感相关。未满足的服务需求仅与中度需求类别相关。对于未满足支持性护理需求的患者，应在支持性护理各领域提供整体护理。
