Ayre Susannah K, Johnston Elizabeth A, Ireland Michael, March Sonja, Dunn Jeff, Chambers Suzanne, Goodwin Belinda C
Viertel Cancer Research Centre, Cancer Council Queensland, Fortitude Valley, Australia.
School of Exercise and Nutrition Sciences, Queensland University of Technology, Kelvin Grove, Australia.
Psychooncology. 2025 Feb;34(2):e70087. doi: 10.1002/pon.70087.
To describe trajectories of change in unmet supportive care needs over a two-year period among people diagnosed with cancer and assess whether these trajectories vary as a function of sociodemographic and clinical characteristics.
This analysis used data from a longitudinal study of people in Queensland, Australia who travelled largely from regional and remote areas to metropolitan centres to receive cancer care (N = 784). Supportive care needs were measured at baseline, then at 3-, 12-, and 24-month post-baseline across five domains ('psychological', 'physical and daily living', 'health systems and information', 'patient care and support', 'sexuality') using the Supportive Care Needs Survey-Short Form. Latent Curve Growth Analysis was performed to examine trajectories of change in unmet needs and assess whether these trajectories were influenced by participant characteristics.
Significant linear slopes indicated a modest decrease in unmet supportive care needs for all domains, except sexuality. For most domains, significant variance in intercepts but not slopes indicated individual differences in needs at baseline but not in trajectories over time. At baseline, the proportion of unmet needs was highest for the 'physical and daily living' (M = 44.2%, SD = 39.1%) and 'psychological' domains (M = 37.8%, SD = 36.3%). Unmet needs at baseline were consistently higher among participants who were younger, had a higher education level, and who reported poorer QoL.
The proportion of unmet supportive care needs reported by people living with cancer may decrease over time, largely irrespective of sociodemographic and clinical characteristics. Despite this, unmet needs remain prevalent, particularly for physical and psychological support.
描述癌症确诊患者在两年期间未满足的支持性护理需求的变化轨迹，并评估这些轨迹是否因社会人口学和临床特征而异。
本分析使用了来自澳大利亚昆士兰州一项纵向研究的数据，该研究对象主要是从地区和偏远地区前往大城市中心接受癌症护理的人群（N = 784）。使用支持性护理需求调查简表在基线时测量支持性护理需求，然后在基线后3个月、12个月和24个月在五个领域（“心理”、“身体和日常生活”、“卫生系统和信息”、“患者护理和支持”、“性”）进行测量。进行潜在曲线增长分析以检查未满足需求的变化轨迹，并评估这些轨迹是否受参与者特征的影响。
显著的线性斜率表明，除性领域外，所有领域未满足的支持性护理需求均有适度下降。对于大多数领域，截距存在显著差异而斜率无显著差异，这表明基线时需求存在个体差异，但随时间的轨迹无差异。基线时，“身体和日常生活”领域（M = 44.2%，SD = 39.1%）和“心理”领域（M = 37.8%，SD = 36.3%）未满足需求的比例最高。基线时，年龄较小、教育水平较高且报告生活质量较差的参与者未满足需求一直较高。
癌症患者报告的未满足支持性护理需求比例可能会随时间下降，很大程度上与社会人口学和临床特征无关。尽管如此，未满足的需求仍然普遍存在，特别是在身体和心理支持方面。
