Assistant Professor, Faculty of Nursing, Psychiatric Nursing Department, Gazi University, Çankaya, Ankara, Turkey.
Dokuz Eylül University Hospital, İzmir, Turkey.
Semin Oncol Nurs. 2023 Aug;39(4):151449. doi: 10.1016/j.soncn.2023.151449. Epub 2023 May 26.
This study aimed to explore the unmet supportive care needs of breast cancer survivors who experience psychological distress.
A qualitative study design with inductive content analysis was used. Semistructured interviews were conducted with 18 Turkish breast cancer survivors who experienced psychological distress. The Consolidated Criteria for Reporting Qualitative Research checklist was used to report the study.
Three key themes emerged from data analysis: sources of psychological distress, unmet supportive care needs, and barriers to support. The survivors who experienced psychological distress defined a variety of unmet supportive care needs, in the areas of information support, psychological/emotional support, social support, and individualized health care support. They also described personal and health professional-related factors as barriers.
Nurses should assess psychosocial well-being and supportive care needs of breast cancer survivors. Survivors should be supported to discuss their experiences of symptoms in the early survival phase, and they should be referred to an appropriate supportive care resource. A multidisciplinary survivorship services model is needed to offer posttreatment psychological support routinely in Turkey. Early, effective psychological care integrated into follow-up services for survivors can be protective against psychological morbidity.
本研究旨在探讨经历心理困扰的乳腺癌幸存者未满足的支持性护理需求。
采用定性研究设计和归纳内容分析。对 18 名经历心理困扰的土耳其乳腺癌幸存者进行了半结构式访谈。使用综合定性研究报告标准来报告研究。
数据分析得出了三个关键主题：心理困扰的来源、未满足的支持性护理需求和支持障碍。经历心理困扰的幸存者在信息支持、心理/情感支持、社会支持和个性化医疗保健支持方面定义了各种未满足的支持性护理需求。他们还描述了个人和卫生专业人员相关因素作为障碍。
护士应评估乳腺癌幸存者的社会心理福祉和支持性护理需求。应支持幸存者讨论他们在早期生存阶段的症状体验，并将他们转介给适当的支持性护理资源。土耳其需要建立多学科的生存服务模式，常规提供治疗后心理支持。在随访服务中早期、有效的心理护理可以预防心理发病率。
