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新诊断乳腺癌患者未满足的护理需求与不确定性

Unmet Care Needs and Uncertainty in Patients Newly Diagnosed with Breast Cancer.

作者信息

Chen Li-Wei, Chou Hsu-Huan, Wang Shih-Yung, Shih Whei-Mei

机构信息

Department of Nursing, Chang Gung Memorial Hospital, Linko branch, Taoyuan 333, Taiwan.

Department of General Surgery, Chang Gung Memorial Hospital, Linko branch, Taoyuan 333, Taiwan.

出版信息

Healthcare (Basel). 2022 Oct 28;10(11):2148. doi: 10.3390/healthcare10112148.

Abstract

Breast cancer is the most common cancer in women in the world. Statistics revealed the number of breast cancer patients less than 40 years of age increased over time. Clinical studies found there is a trend of yearly illness happening in younger patients, whose needs related to the illness are different from older patients. The purpose of this study was to explore the uncertainty and needs of patients in different age groups who were newly diagnosed with breast cancer. A descriptive cross-sectional survey study was adopted to recruit 128 patients. The Mishel’s Uncertainty in Illness Scale (MUIS, Chinese version) and the Cancer Needs Questionnaire (short-form, CNQ-SF) were used to collect data. The results revealed that a patient’s age and religion negatively correlated with illness uncertainty. A patient’s age, educational level, work or not, and children’s age correlated with needs for care. Age, illness uncertainty, and educational level were important predictors of the needs of care, with an explanatory power of 29.0%. In Conclusion, patients ≤40 years of age had greater illness uncertainty and needs for care than those who were >40 years of age. For younger patients newly diagnosed with cancer, medical professionals should take the initiative to provide detailed and complete information on breast cancer treatment plans, prognosis, and home self-care, which helps clarify the possible future treatments and results and further enables patients to acquire self-care skills and knowledge.

摘要

乳腺癌是全球女性中最常见的癌症。统计数据显示,40岁以下乳腺癌患者的数量随时间增加。临床研究发现,年轻患者中存在每年发病的趋势,其与疾病相关的需求与老年患者不同。本研究的目的是探讨新诊断为乳腺癌的不同年龄组患者的不确定性和需求。采用描述性横断面调查研究招募了128名患者。使用米谢尔疾病不确定感量表(MUIS,中文版)和癌症需求问卷(简版,CNQ-SF)收集数据。结果显示,患者的年龄和宗教信仰与疾病不确定性呈负相关。患者的年龄、教育水平、是否工作以及子女年龄与护理需求相关。年龄、疾病不确定性和教育水平是护理需求的重要预测因素,解释力为29.0%。总之,40岁及以下的患者比40岁以上的患者有更大的疾病不确定性和护理需求。对于新诊断为癌症的年轻患者,医疗专业人员应主动提供有关乳腺癌治疗计划、预后和家庭自我护理的详细完整信息,这有助于明确未来可能的治疗方法和结果,并进一步使患者获得自我护理技能和知识。

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