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中国癌症患者的支持性护理需求与生活质量:一项横断面研究。

Supportive care needs and quality of life among cancer patients in China: A cross-sectional study.

作者信息

Wang Bingshuang, Hu Xinyan, Ding Wanzhen, Guo Huimin, Ren Xiaoliang

机构信息

School of Nursing, Hebei Medical University, Shijiazhuang, Hebei, China.

Department of Medical Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

出版信息

PLoS One. 2025 Aug 28;20(8):e0331149. doi: 10.1371/journal.pone.0331149. eCollection 2025.

Abstract

INTRODUCTION

In this study, the factors associated with unmet supportive care needs (SCNs) were examined, and their correlation with quality of life (QoL) among cancer patients was explored.

METHODS

This cross-sectional study included 137 cancer patients who were recruited via convenience sampling from an oncology department at a tertiary cancer hospital in China. Three assessment instruments were employed herein: a general information questionnaire, the Chinese version of the Supportive Care Needs Survey short form (SCNS-SF34-C), and the functional subscale of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30).

RESULTS

Among the five domains of the SCNS-SF34-C, the health system and information domain had the highest mean score (M = 2.74; SD = 0.75), followed by the psychological domain (M = 2.36; SD = 0.85). Five factors were associated with the unmet SCNs of cancer patients: sex, educational background, disease awareness, smoking status, and drinking habits (all p < 0.05). Moreover, participants with unmet psychological, physical and daily living needs had significantly lower QoL scores in all functional and symptom domains (all p < 0.05).

CONCLUSIONS

Chinese cancer patients face notable unmet needs in the health system and information domain. Future studies should focus on designing individualized interventions to improve supportive care among cancer patients and to enhance their QoL.

摘要

引言

本研究探讨了与未满足的支持性护理需求(SCNs)相关的因素,并探究了它们与癌症患者生活质量(QoL)之间的相关性。

方法

这项横断面研究纳入了137例癌症患者,这些患者通过便利抽样从中国一家三级癌症医院的肿瘤科招募而来。本研究使用了三种评估工具:一份一般信息问卷、中文版的支持性护理需求调查简表(SCNS-SF34-C)以及欧洲癌症研究与治疗组织生活质量问卷核心30项(EORTC QLQ-C30)的功能子量表。

结果

在SCNS-SF34-C的五个领域中,卫生系统与信息领域的平均得分最高(M = 2.74;SD = 0.75),其次是心理领域(M = 2.36;SD = 0.85)。五个因素与癌症患者未满足的SCNs相关:性别、教育背景、疾病认知、吸烟状况和饮酒习惯(所有p < 0.05)。此外,心理、身体和日常生活需求未得到满足的参与者在所有功能和症状领域的QoL得分显著更低(所有p < 0.05)。

结论

中国癌症患者在卫生系统与信息领域面临显著的未满足需求。未来的研究应侧重于设计个性化干预措施,以改善癌症患者的支持性护理并提高他们的QoL。

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