University of Ottawa, Ottawa, Canada.
Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Psychooncology. 2024 Nov;33(11):e70015. doi: 10.1002/pon.70015.
Lung cancer is associated with the highest incidence and mortality of all cancers. New treatments, called targeted therapies (TT) and immunotherapies (IO), offer higher treatment efficacy and fewer side effects compared to traditional treatments but are accompanied by uncertainty and an unpredictable treatment course. There is a paucity of research on the experiences of individuals living with advanced or metastatic lung cancer receiving TT/IO, and even less is known about the supportive care needs of this population.
Twenty four participants from across Canada participated in semi-structured interviews regarding their supportive care needs. Thematic analysis was utilized to identify their supportive care needs.
Qualitative coding identified unmet needs and challenges. All participants indicated difficulties with unmet supportive care needs, including psychological, informational, and practical needs.
The exploration of supportive care experiences of patients receiving TT/IO exposes high distress and unmet needs. Results indicate the need for timely and accessible supportive cancer care. Results can inform patient advocacy efforts and the development of new services.
肺癌是所有癌症中发病率和死亡率最高的癌症。与传统治疗相比，新的治疗方法，即靶向治疗（TT）和免疫疗法（IO），具有更高的治疗效果和更少的副作用，但也伴随着不确定性和不可预测的治疗过程。关于接受 TT/IO 的晚期或转移性肺癌患者的体验的研究很少，而对于该人群的支持性护理需求则知之甚少。
来自加拿大各地的 24 名参与者参加了关于他们的支持性护理需求的半结构化访谈。采用主题分析来确定他们的支持性护理需求。
定性编码确定了未满足的需求和挑战。所有参与者都表示存在未满足的支持性护理需求，包括心理、信息和实际需求方面的困难。
对接受 TT/IO 的患者的支持性护理体验的探索揭示了高度的痛苦和未满足的需求。结果表明需要及时和可获得的支持性癌症护理。结果可以为患者倡导工作和新服务的发展提供信息。
