CNRS, UMR 9193, SCALab, Sciences Cognitives et Sciences Affectives, Université de Lille, Rue du Barreau, BP 60149, 59653, Lille, Villeneuve d'Ascq cedex, France.
Human and Social Sciences Department, Centre Léon Bérard, Lyon, France.
Support Care Cancer. 2022 Nov;30(11):9411-9419. doi: 10.1007/s00520-022-07379-7. Epub 2022 Oct 7.
The objectives of this study were to compare the unmet supportive care needs (SCN) of caregivers and describe the 10 most frequent of them according to various cancer settings: phase of cancer care pathway (i.e., treatment vs. follow-up), cancer site (i.e., breast, digestive, or lung cancer), and cancer status (i.e., metastatic vs. non-metastatic).
Participants completed a self-reported questionnaire to assess their unmet SCN (SCNS-P&C). According to their cancer settings, non-parametric ANOVA or Mann-Whitney tests were performed to compare the SCNS-P&C scores. The prevalence of caregivers with unmet SCN was described using percentages.
Among 583 participants, 516 caregivers (88.5%) completed the SCNS-P&C questionnaire. Most patients had digestive (47.3%), non-metastatic cancer (67.6%) and were recruited during the follow-up phase (56.2%). The results revealed no significant difference in SCNS-P&C scores according to cancer settings except for caregivers of patients with metastatic cancer, who reported more unmet SCN related to health care service and information needs. The more qualitative item per item analysis seems to indicate the existence of five frequently unsatisfied SCN across situations, especially concerns about the recurrence and reduction of stress in patients, with variable ranking among the most unmet SCN.
Although there was no significant difference in unmet SCN scores between medical settings, examining the prevalence of unmet SCN helps identify the issues to focus on when supporting caregivers and developing dedicated consultations or interventions for them.
本研究旨在比较照顾者未满足的支持性护理需求（SCN），并根据各种癌症环境（即治疗与随访、癌症部位（即乳腺癌、消化道癌或肺癌）和癌症状态（即转移性与非转移性）描述其中最常见的 10 种需求。
参与者完成了一份自我报告问卷，以评估他们未满足的 SCN（SCNS-P&C）。根据他们的癌症环境，采用非参数 ANOVA 或 Mann-Whitney 检验比较 SCNS-P&C 评分。使用百分比描述有未满足 SCN 的照顾者的患病率。
在 583 名参与者中，有 516 名照顾者（88.5%）完成了 SCNS-P&C 问卷。大多数患者患有消化道癌（47.3%）、非转移性癌症（67.6%），并在随访阶段（56.2%）招募。结果显示，除转移性癌症患者的照顾者外，SCN-P&C 评分在癌症环境方面无显著差异，后者报告了更多与医疗保健服务和信息需求相关的未满足 SCN。逐项更深入的定性分析似乎表明，在所有情况下都存在五种经常未满足的 SCN，尤其是对患者复发和压力减轻的担忧，在最未满足的 SCN 中排名不同。
尽管在未满足的 SCN 评分方面，医疗环境之间没有显著差异，但检查未满足的 SCN 的患病率有助于确定在支持照顾者和为他们开发专门咨询或干预措施时需要关注的问题。
