Provencher Sabrina, Henry Richard S, Bacalao Carolina, Carrier Marie-Eve, Kwakkenbos Linda, Thombs Brett D
Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Department of Psychiatry, McGill University, Montreal, QC, Canada.
J Scleroderma Relat Disord. 2023 Oct;8(3):247-252. doi: 10.1177/23971983231181726. Epub 2023 Jun 21.
How support and informational needs of people with systemic sclerosis (SSc) may differ by time since diagnosis is not known. Our objective was to determine if informational and support needs of recently diagnosed individuals with systemic sclerosis differ from people diagnosed for longer periods of time.
The North American Scleroderma Support Group Members survey included 30 items on reasons for attending support groups. Respondents were classified by time since diagnosis of 0-3 years, 4-9 years or 10+ years. Survey item responses were dichotomized into or versus or . We conducted Chi-square tests with Hochberg's Sequential Method to identify item differences by time since diagnosis.
A total of 175 respondents completed the survey. Most support needs were rated as or by respondents, regardless of disease duration, particularly needs related to interpersonal and social support (10 items; median 81%) and learning about disease treatment and management strategies (11 items; median 82%). Discussing other aspects of living with systemic sclerosis (e.g. spirituality, discussing disease with family and friends) was rated lower (9 items; 44%). Respondents with 0-3 years since diagnosis were the highest on 29 of 30 items. Respondents with 0-3 years since diagnosis were significantly higher on items related to discussing medical care and 4 items on other aspects (spirituality, talking with family and friends, financial issues, sexual issues).
People with systemic sclerosis have a wide range of information and support needs, regardless of their disease duration, but people with recent diagnoses have greater needs.
系统性硬化症(SSc)患者的支持和信息需求如何随诊断后的时间而变化尚不清楚。我们的目的是确定近期诊断的系统性硬化症患者的信息和支持需求是否与诊断时间较长的患者不同。
北美硬皮病支持小组成员调查包括30项关于参加支持小组原因的内容。受访者按诊断后的时间分为0至3年、4至9年或10年以上。调查项目的回答被二分法分为“是”或“否”。我们使用霍赫伯格序贯法进行卡方检验,以确定诊断后时间不同的项目差异。
共有175名受访者完成了调查。大多数支持需求被受访者评为“是”或“否”,无论疾病持续时间如何,特别是与人际和社会支持相关的需求(10项;中位数81%)以及了解疾病治疗和管理策略的需求(11项;中位数82%)。讨论系统性硬化症生活的其他方面(如灵性、与家人和朋友讨论疾病)的需求被评为较低(9项;44%)。诊断后0至3年的受访者在30项中的29项上需求最高。诊断后0至3年的受访者在与讨论医疗护理相关的项目以及其他方面的4项(灵性、与家人和朋友交谈、财务问题、性问题)上需求显著更高。
系统性硬化症患者有广泛的信息和支持需求,无论其疾病持续时间如何,但近期诊断的患者需求更大。