韩国成年癌症幸存者未满足的支持性护理需求相关因素：一项横断面调查。
Factors associated with unmet supportive care needs among adult cancer survivors in South Korea: a cross-sectional survey.
作者信息
Jin Dal-Lae, Kim Young Ae, Lee Su Jung, Seo Hyun-Ju, Yoon Seok-Jun
机构信息
Department of Public Health, Graduate School of Korea University, Seoul, South Korea.
Transdisciplinary Major in Learning Health Systems, Graduate School of Korea University, Seoul, South Korea.
出版信息
J Cancer Surviv. 2025 Apr 5. doi: 10.1007/s11764-025-01792-7.
PURPOSE
This cross-sectional study assessed the prevalence of unmet supportive care needs and financial burdens among South Korean adult cancer survivors.
METHODS
A total of 1038 adult cancer survivors were recruited through convenience sampling from the 2022 Korean Population Census. Data were collected online from November 17 to December 15, 2022. Unmet supportive care needs were assessed across three domains: access and continuity of care, coping and emotional needs, and information needs. Ordinal logistic regression analyses were conducted, adjusting for relevant demographic and clinical characteristics.
RESULTS
Among study participants, 65.7% of those with severe financial toxicity reported high unmet supportive care needs. The most frequently reported unmet need was related to coping and emotional support (44.7%). Cancer survivors diagnosed 6-10 years ago had significantly lower unmet supportive care needs compared with those diagnosed within the past three years (AOR = 0.69, 95% CI: 0.49-0.98). Survivors with stage III/IV cancer (AOR = 1.62, 95% CI: 1.13-2.32) were more likely to report high unmet needs. Additionally, those with severe financial toxicity were at significantly higher risk of reporting unmet needs (AOR = 3.26, 95% CI: 2.13-5.02).
CONCLUSIONS
Unmet supportive care needs were significantly associated with severe financial toxicity, time since diagnosis, and cancer stage. Survivors with severe financial toxicity or advanced-stage cancer are at an increased risk of experiencing unmet needs.
IMPLICATIONS FOR CANCER SURVIVORS
These findings highlight the need for targeted interventions to address the unmet supportive care needs of cancer survivors, particularly those experiencing severe financial burdens or diagnosed with advanced-stage cancer. Interventions should be tailored to different survivorship stages to improve long-term health outcomes and quality of life for cancer survivors in South Korea.
目的
本横断面研究评估了韩国成年癌症幸存者中未满足的支持性护理需求和经济负担的患病率。
方法
通过便利抽样从2022年韩国人口普查中招募了1038名成年癌症幸存者。2022年11月17日至12月15日在线收集数据。从三个领域评估未满足的支持性护理需求：护理的可及性和连续性、应对和情感需求以及信息需求。进行了有序逻辑回归分析，并对相关人口统计学和临床特征进行了调整。
结果
在研究参与者中，65.7%有严重经济毒性的人报告有高度未满足的支持性护理需求。最常报告的未满足需求与应对和情感支持有关（44.7%）。与在过去三年内确诊的癌症幸存者相比，6至10年前确诊的癌症幸存者未满足的支持性护理需求显著更低（调整后的比值比[AOR]=0.69，95%置信区间[CI]：0.49 - 0.98）。III/IV期癌症幸存者（AOR = 1.62，95% CI：1.13 - 2.32）更有可能报告有高度未满足的需求。此外，有严重经济毒性的人报告未满足需求的风险显著更高（AOR = 3.26，95% CI：2.13 - 5.02）。
结论
未满足的支持性护理需求与严重经济毒性、确诊后的时间以及癌症分期显著相关。有严重经济毒性或晚期癌症的幸存者未满足需求的风险增加。
对癌症幸存者的启示
这些发现凸显了需要有针对性的干预措施来满足癌症幸存者未满足的支持性护理需求，特别是那些面临严重经济负担或被诊断为晚期癌症的人。干预措施应根据不同的生存阶段进行调整，以改善韩国癌症幸存者的长期健康结果和生活质量。
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