Amane Husniya Yasin, Tessema Asressie Molla, Seid Kemal Ahmed, Hassen Anissa Mohammed, Assen Hussien Endris, Asfaw Zinet Abegaz, Endrie Salih Mohamed, Hussien Foziya Mohammed
Department of Public Health, School of Public Health, College of Medicine and Health Science, Wollo University, Dessie 1145, Ethiopia.
Department of Anesthesia and Critical Care, College of Medicine and Health Science, University of Gondar, Gondar 196, Ethiopia.
Ecancermedicalscience. 2021 Oct 5;15:1300. doi: 10.3332/ecancer.2021.1300. eCollection 2021.
Assessment of supportive care needs for cancer patients and identifying factors affecting these needs is important for the implementation of supportive care programmes, as the burden of cancer is increasing in Ethiopia.
To determine the prevalence and associated factors of unmet supportive care needs of cancer patients at Dessie Referral Hospital, Dessie, South Wollo, North East Ethiopia, 2020.
A cross-sectional study design was implemented among 405 cancer patients from February to 30 July 2020, at Dessie Referral Hospital. The data were collected using a validated supportive care needs survey questionnaire through face to face interview and data extraction tools. Both descriptive and inferential statistics were used and bi-variable and multivariable logistic regressions were used to describe the association between dependent and independent variables. Thus, a p-value of less than 0.05 was considered statistically significant.
From the total 405 participants, 275 (67.5%) were females with a mean age of (mean ± standard deviation) 48.6 ± 15.4 years. Unmet supportive care needs were higher among psychological needs (81.0%, 95% (confidence interval) CI = 77.0-84.9) and physical needs (74.6%, 95% CI = 70.1-79.0). Old age was associated with unmet physical and psychological needs domain than young age (adjusted odds ratio (AOR) = 1.03; 95% CI: 1.01-1.06), (AOR = 1.06; 95% CI: 1.03-1.09), respectively. High household income was significantly associated with health information needs (AOR = 2.22; 95% CI: 1.33-13.93), remission status (AOR = 0.37; 95% CI: 0.22-0.62) was associated with patient/supportive care needs, late stage cancer was also significantly associated with physical, psychological and health information needs of patients (AOR = 2.19; 95% CI: 1.18-4.06), (AOR = 2.3; 95% CI: 1.18-4.57) and (AOR = 2:95%; CI: 1.03-3.86), respectively. Besides, source of information had a statistically significant association with psychological, health information and patient care needs domain (AOR = 2.61; 95% CI: 1.15-5.93), (AOR = 3.1; 95% CI: 1.65-5.82) and (AOR = 2.2; 95% CI: 1.25-3.87), respectively.
This study shows that the prevalence of unmet supportive care needs in cancer patients is high in each domain. Age, income, cancer stage, cancer site, treatment option, time since diagnosis and sources of information were associated across one or more unmet supportive care needs domains. Therefore, the government and health professionals should work together to improve the unmet needs of cancer patients.
随着埃塞俄比亚癌症负担的增加，评估癌症患者的支持性护理需求并确定影响这些需求的因素对于实施支持性护理计划很重要。
确定2020年埃塞俄比亚东北部南沃洛州德西转诊医院癌症患者未满足的支持性护理需求的患病率及相关因素。
2020年2月至7月30日，在德西转诊医院对405名癌症患者实施了一项横断面研究设计。通过面对面访谈和数据提取工具，使用经过验证的支持性护理需求调查问卷收集数据。使用描述性和推断性统计方法，采用双变量和多变量逻辑回归来描述因变量和自变量之间的关联。因此，p值小于0.05被认为具有统计学意义。
在总共405名参与者中，275名（67.5%）为女性，平均年龄为（均值±标准差）48.6±15.4岁。心理需求（81.0%，95%置信区间（CI）=77.0 - 84.9）和身体需求（74.6%，95%CI = 70.1 - 79.0）方面未满足的支持性护理需求较高。老年患者在身体和心理需求方面未满足的情况比年轻患者更常见（调整后的优势比（AOR）分别为1.03；95%CI：1.01 - 1.06）和（AOR = 1.06；95%CI：1.03 - 1.09）。高家庭收入与健康信息需求显著相关（AOR = 2.22；95%CI：1.33 - 13.93），缓解状态（AOR = 0.37；95%CI：0.22 - 0.62）与患者/支持性护理需求相关，癌症晚期也与患者的身体、心理和健康信息需求显著相关（AOR分别为2.19；95%CI：1.18 - 4.06）、（AOR = 2.3；95%CI：1.18 - 4.57）和（AOR = 2.95%；CI：1.03 - 3.86）。此外，信息来源与心理、健康信息和患者护理需求领域具有统计学显著关联（AOR分别为2.61；95%CI：1.15 - 5.93）、（AOR = 3.1；95%CI：1.65 - 5.82）和（AOR = 2.2；95%CI：1.25 - 3.87）。
本研究表明，癌症患者在各个领域未满足的支持性护理需求患病率较高。年龄、收入、癌症分期、癌症部位、治疗选择、确诊后的时间以及信息来源与一个或多个未满足的支持性护理需求领域相关。因此，政府和卫生专业人员应共同努力改善癌症患者未满足的需求。
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