Department of Obstetrics and Gynaecology, Royal Women's Hospital, University of Melbourne, Parkville, VIC, Australia.
Ovarian Cancer Australia, Melbourne, VIC, Australia.
Support Care Cancer. 2023 Jun 30;31(7):432. doi: 10.1007/s00520-023-07903-3.
Ovarian cancer is the third most common gynaecological cancer among women, yet remains under-researched. Past studies suggest that women who present with ovarian cancer have more supportive care needs compared to women experiencing other gynaecological cancers. This study explores the experiences and priorities of women with a diagnosis of ovarian cancer and whether age may influence these needs and experiences.
Participants were recruited by a community organization, Ovarian Cancer Australia (OCA), via a social media campaign promoted on Facebook. Participants were asked to rank priorities around living with ovarian cancer, and to endorse which supports and resources they had used to address those priorities. Distributions of priority rankings and resource use were compared by age (19-49 vs. 50+ years).
Two hundred and eighty-eight people completed the consumer survey and most respondents were 60-69 years (33.7%). Priorities did not vary by age. Fear of cancer recurrence was identified by 51% respondents as the most challenging aspect of having ovarian cancer. Compared with older respondents, a higher proportion of young participants were more inclined to use a mobile app version of the OCA resilience kit (25.8% vs 45.1%, p=0.002) and expressed interest in using a fertility preservation decision aid (2.4% vs 25%, p<0.001).
Fear of recurrence was participants' primary concern, presenting an opportunity to develop interventions. Information delivery needs to consider age-specific preferences to better reach the target audience. Fertility is more important to younger women and a fertility preservation decision aid may address this need.
卵巢癌是女性中第三常见的妇科癌症,但研究不足。过去的研究表明,与患有其他妇科癌症的女性相比,患有卵巢癌的女性有更多的支持性护理需求。本研究探讨了诊断为卵巢癌的女性的经历和优先事项,以及年龄是否会影响这些需求和经历。
参与者由社区组织卵巢癌澳大利亚(Ovarian Cancer Australia,OCA)通过在 Facebook 上推广的社交媒体活动招募。参与者被要求对生活在卵巢癌中的优先事项进行排名,并对他们用于解决这些优先事项的支持和资源表示认可。通过年龄(19-49 岁与 50 岁以上)比较优先事项排名和资源使用的分布情况。
288 人完成了消费者调查,大多数受访者年龄在 60-69 岁(33.7%)。优先事项与年龄无关。51%的受访者认为癌症复发的恐惧是患有卵巢癌最具挑战性的方面。与年龄较大的受访者相比,年轻参与者更倾向于使用 OCA 韧性工具包的移动应用程序版本(25.8%比 45.1%,p=0.002),并对使用生育力保存决策辅助工具表示兴趣(2.4%比 25%,p<0.001)。
复发的恐惧是参与者的主要关注点,为开发干预措施提供了机会。信息传递需要考虑年龄特定的偏好,以更好地覆盖目标受众。对年轻女性来说,生育力更为重要,生育力保存决策辅助工具可能满足这一需求。