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波兰癌症患者中与未满足的支持性护理需求高发生率相关的社会人口学和临床因素。

Sociodemographic and clinical factors related to high rates of unmet supportive care needs among Polish cancer patients.

作者信息

Osowiecka Karolina, Szwiec Marek, Nowakowski Jacek J, Kurowicki Marcin, Dolińska Anna, Gwara Anna, Działach Eliza, Kołb-Sielecki Jarosław, Radecka Weronika, Nawrocki Sergiusz, Rucińska Monika

机构信息

Department of Psychology and Sociology of Health and Public Health, School of Public Health, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.

Department of Surgery and Oncology, Faculty of Medicine and Health Sciences, University of Zielona Gora, Zielona Góra, Poland.

出版信息

Front Psychol. 2025 May 14;16:1472026. doi: 10.3389/fpsyg.2025.1472026. eCollection 2025.

Abstract

INTRODUCTION

Cancer patients experience a wide range of unmet supportive care needs, which may lead to dissatisfaction with the health care system and poor quality of life. The aims of this study were to assess unmet supportive care needs in five areas: informative needs, psycho-emotional needs, relational needs, material needs and needs related to assistance/care, and to identify groups of cancer patients expressing high rates of unmet needs.

MATERIALS AND METHODS

The multicenter study was carried out among 1,062 cancer patients between June 2022 and May 2023. The study was performed using the validated Polish version of Needs Evaluation Questionnaire (NEQ). The total and subtotal NEQ scores were calculated.

RESULTS

The mean total NEQ score was 0.44 ± 0.27. The highest subtotal NEQ scores were noted in the cases of informative needs and material needs. Predictive factors for a higher total NEQ score were younger age, living with a partner and a diagnosis of digestive system cancers or lung cancer.

CONCLUSION

Cancer patients expressed some unmet supportive care needs, especially informative needs. Identification of the groups of patients with high rates of unmet supportive care needs will be useful in clinical practice. Younger patients, living with a partner and those suffering from digestive system or lung cancer seem to require special attention.

摘要

引言

癌症患者存在广泛未满足的支持性护理需求,这可能导致他们对医疗保健系统不满并降低生活质量。本研究的目的是评估五个领域未满足的支持性护理需求:信息需求、心理情感需求、关系需求、物质需求以及与援助/护理相关的需求,并识别出未满足需求率较高的癌症患者群体。

材料与方法

这项多中心研究于2022年6月至2023年5月期间在1062名癌症患者中开展。研究使用经过验证的波兰语版需求评估问卷(NEQ)进行。计算了NEQ的总分和各分项得分。

结果

NEQ的平均总分为0.44±0.27。信息需求和物质需求方面的NEQ分项得分最高。NEQ总得分较高的预测因素为年龄较小、有伴侣陪伴以及被诊断为消化系统癌症或肺癌。

结论

癌症患者表达了一些未满足的支持性护理需求,尤其是信息需求。识别出未满足支持性护理需求率较高的患者群体在临床实践中会很有用。年龄较小、有伴侣陪伴以及患有消化系统或肺癌的患者似乎需要特别关注。

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