1210 例中国乳腺癌幸存者的未满足需求及相关因素：一项多中心横断面研究。
Unmet needs of 1210 Chinese breast cancer survivors and associated factors: a multicentre cross-sectional study.
机构信息
Nursing Teaching and Research Section, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Xiangya School of Nursing, Central South University, Changsha, China.
出版信息
BMC Cancer. 2022 Feb 3;22(1):135. doi: 10.1186/s12885-022-09224-w.
BACKGROUND
Breast cancer survivors (BCSs) often have potential unmet needs. Identification of the specific needs of BCSs is very significant for medical service provision. This study aimed to (1) investigate the unmet needs and quality of life (QoL) of BCSs in China, (2) explore the diverse factors associated with their unmet needs, and (3) assess the association between their unmet needs and QoL.
METHODS
A multicentre, cross-sectional survey was administered to 1210 Chinese BCSs. The Cancer Survivor Profile-Breast Cancer and the Functional Assessment of Cancer Therapy-Breast scale were administered to survivors who gave informed consent to participate. Data were analysed using t-test, ANOVA, multiple regression analysis, and Pearson correlations.
RESULTS
The 1192 participants completed questionnaires (response rate 98.51%). Our study reveals that the most prevalent unmet needs were in the 'symptom burden domain'. The unmet needs of BCSs depend on eleven factors; age, time since diagnosis, education level, occupation, payment, family income status, stage of cancer, treatment, family history of cancer, pain, and physical activities. To ensure the provision of high-quality survivorship care and a high satisfaction level, more attention should be paid to actively identifying and addressing the unmet needs of BCSs. The problem areas identified in the Cancer Survivor Profile for breast cancer were negatively associated with all subscales of QoL except the health behaviour domain, with the correlation coefficient ranging from - 0.815 to - 0.011.
CONCLUSION
Chinese BCSs exhibit a high demand for unmet needs in this study, and the most prevalent unmet needs were in the 'symptom burden domain'. There was a significant association between patients' unmet needs (as defined in the Cancer Survivor Profile for breast cancer) and QoL. Future research should focus on enhancements to survivorship or follow-up care to address unmet needs and further improve QoL.
背景
乳腺癌幸存者（BCS）通常存在潜在的未满足需求。确定 BCS 的具体需求对于医疗服务的提供非常重要。本研究旨在：（1）调查中国 BCS 的未满足需求和生活质量（QoL）；（2）探讨与他们的未满足需求相关的多样化因素；（3）评估他们的未满足需求与 QoL 之间的关系。
方法
对 1210 名中国 BCS 进行了一项多中心、横断面调查。癌症幸存者概况-乳腺癌和癌症治疗功能评估-乳腺癌量表被用于同意参与的幸存者。使用 t 检验、方差分析、多元回归分析和 Pearson 相关分析来分析数据。
结果
1192 名参与者完成了问卷调查（应答率为 98.51%）。我们的研究表明，最常见的未满足需求是在“症状负担领域”。BCS 的未满足需求取决于十一个因素；年龄、诊断后时间、教育水平、职业、支付方式、家庭收入状况、癌症分期、治疗、癌症家族史、疼痛和身体活动。为了确保提供高质量的生存护理和高满意度，应更加关注积极识别和解决 BCS 的未满足需求。乳腺癌幸存者概况中确定的问题领域与 QoL 的所有子量表均呈负相关，除健康行为领域外，相关系数范围为-0.815 至-0.011。
结论
本研究中中国 BCS 表现出对未满足需求的高需求，最常见的未满足需求是在“症状负担领域”。患者的未满足需求（如乳腺癌幸存者概况中所定义）与 QoL 之间存在显著关联。未来的研究应侧重于提高生存或随访护理，以解决未满足的需求并进一步提高 QoL。
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