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治疗后症状对韩国乳腺癌幸存者支持性护理需求的影响。

Impact of post-treatment symptoms on supportive care needs among breast cancer survivors in South Korea.

作者信息

Kim Unhee, Lee Ju-Young

机构信息

College of Nursing, The Catholic University of Korea, Seoul, South Korea.

出版信息

Asia Pac J Oncol Nurs. 2023 Aug 21;10(10):100295. doi: 10.1016/j.apjon.2023.100295. eCollection 2023 Oct.

Abstract

OBJECTIVE

The aim of this study is to investigate the factors influencing the supportive care needs of survivors of breast cancer who have completed major treatment.

METHODS

A total of 121 survivors of breast cancer from an online community in South Korea participated in this study. The study variables were supportive care needs, physical symptoms, anxiety, and depression. Independent -tests, one-way Analysis of Variance (ANOVA), Pearson's correlation, and hierarchical regression analyses were performed.

RESULTS

The highest rankings of supportive care needs of survivors of breast cancer were medical system and information needs, patient care and support needs, psychological needs, sexual needs, and physical and daily life needs. Hierarchical regression analysis revealed that the participants' supportive care needs were explained by physical symptoms ( ​< ​0.001) and anxiety ( ​< ​0.001), accounting for 52.1% of the variance.

CONCLUSIONS

Supportive care needs of survivors of breast cancer have a high level of medical system and information needs, and posttreatment conditions are related to high physical symptoms and anxiety. In the future, it will be necessary to identify supportive care needs and apply interventions to reduce their physical symptoms and anxiety.

摘要

目的

本研究旨在调查影响已完成主要治疗的乳腺癌幸存者支持性护理需求的因素。

方法

来自韩国一个在线社区的121名乳腺癌幸存者参与了本研究。研究变量包括支持性护理需求、身体症状、焦虑和抑郁。进行了独立样本t检验、单因素方差分析、皮尔逊相关性分析和分层回归分析。

结果

乳腺癌幸存者支持性护理需求的最高排名依次为医疗系统与信息需求、患者护理与支持需求、心理需求、性需求以及身体与日常生活需求。分层回归分析显示,参与者的支持性护理需求可由身体症状(P<0.001)和焦虑(P<0.001)解释,二者占方差的52.1%。

结论

乳腺癌幸存者的支持性护理需求中,医疗系统与信息需求水平较高,治疗后的状况与较高的身体症状和焦虑有关。未来,有必要识别支持性护理需求并应用干预措施以减轻其身体症状和焦虑。

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本文引用的文献

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Singapore's health-care system: key features, challenges, and shifts.新加坡的医疗保健系统:主要特点、挑战和转变。
Lancet. 2021 Sep 18;398(10305):1091-1104. doi: 10.1016/S0140-6736(21)00252-X. Epub 2021 Sep 2.
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Coping profiles predict long-term anxiety trajectory in breast cancer survivors.应对方式预测乳腺癌幸存者的长期焦虑轨迹。
Support Care Cancer. 2021 Jul;29(7):4045-4053. doi: 10.1007/s00520-020-05936-6. Epub 2021 Jan 6.

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