Ma Longting, Xie Wenjun, Li Lehan, Song Yuelin, Chen Changlian, Li Xiao, Zhu Xinran, Zhuang Shumei
Department of Nursing, Tianjin Medical University, 22 Meteorological Station Road, Heping District, Tianjin, 300070, China.
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China.
Support Care Cancer. 2025 May 29;33(6):511. doi: 10.1007/s00520-025-09558-8.
Hematological malignancies involve complex healthcare situations. Sharing knowledge and providing tailored information based on patients' needs are crucial for patient-centered health care. This study explored information needs among Chinese patients with hematological malignancies and identified factors across distinct subgroups.
We evaluated 345 patients with hematologic malignancies at any stage from December 2021 to March 2022. Latent profile analysis was used to identify subgroups of hematological malignancy patients with different levels of information needs. Multinomial logistic regression was used to identify factors that were associated with information needs.
Three subgroups of patients with different information needs were identified: low information needs (8.9%), moderate information needs (52.2%), and high information needs (38.8%). Multivariate analysis showed that patients with longer diagnosis time (OR, 0.31; 95% CI, 0.15-0.65), higher quality of life (OR, 0.79; 95% CI, 0.73-0.86), and adequate social support (OR, 0.40; 95% CI, 0.25-0.66) were more likely to be in the low information needs subtypes, whereas patients with worse Eastern Cooperative Oncology Group score (OR, 2.48; 95% CI, 1.00-6.14) were more likely to be in the high information needs subgroup.
Patients with hematological malignancies with longer diagnosis time, better quality of life, and adequate social support may be more likely to have low information needs. High information needs may be associated with worse Eastern Cooperative Oncology Group score. Tailored support should be provided to patients based on their information needs. This might help nurses provide relevant support, enhance care quality, and improve patients' quality of life.
血液系统恶性肿瘤涉及复杂的医疗保健情况。基于患者需求分享知识并提供量身定制的信息对于以患者为中心的医疗保健至关重要。本研究探讨了中国血液系统恶性肿瘤患者的信息需求，并确定了不同亚组中的影响因素。
我们评估了2021年12月至2022年3月期间处于任何阶段的345例血液系统恶性肿瘤患者。采用潜在类别分析来确定具有不同信息需求水平的血液系统恶性肿瘤患者亚组。使用多项逻辑回归来确定与信息需求相关的因素。
确定了三个具有不同信息需求的患者亚组：低信息需求（8.9%）、中等信息需求（52.2%）和高信息需求（38.8%）。多变量分析显示，诊断时间较长的患者（比值比[OR]，0.31；95%置信区间[CI]，0.15 - 0.65）、生活质量较高的患者（OR，0.79；95% CI，0.73 - 0.86）以及有足够社会支持的患者（OR，0.40；95% CI，0.25 - 0.66）更有可能属于低信息需求亚组，而东部肿瘤协作组（ECOG）评分较差的患者（OR，2.48；95% CI，1.00 - 6.14）更有可能属于高信息需求亚组。
诊断时间较长、生活质量较好且有足够社会支持的血液系统恶性肿瘤患者可能更有可能具有低信息需求。高信息需求可能与较差的东部肿瘤协作组评分相关。应根据患者的信息需求为其提供量身定制的支持。这可能有助于护士提供相关支持、提高护理质量并改善患者的生活质量。
