Perceived needs of women diagnosed with breast cancer: rural versus urban location
Perceived needs of women diagnosed with breast cancer: rural versus urban location
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DOI：
10.1111/j.1467-842x.2000.tb00137.x
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发表时间：
2000-04-01
影响因子：
3.5
通讯作者：
Burrows, S
中科院分区：
文献类型：
--
作者：
Girgis, A;Boyes, A;Burrows, S
目的：为了评估的患病率和预测的未满足的需求，诊断为乳腺癌的妇女，特别注重位置的影响（农村/城市）。方法：在新南威尔士州诊断为乳腺癌的妇女随机抽样进行了调查，在1995-96。乳腺癌患者需求问卷（BR-CPNQ）探讨了患者在五个领域的感知需求：心理、健康信息、身体/日常生活、患者护理/支持和人际沟通。其中包括评估乳腺癌具体需求以及获得服务和资源的项目。在235名符合条件的农村妇女中，134名（57%）同意参加调查，129名（55%）返回完成的调查。196个合格的城市妇女，102（52%）同意参加和190（51%）返回完成surveillance.Results：12的52个项目，至少有三分之一的样本报告曾经有中度/高度需要帮助。在15项未满足程度最高的中度或高度需求中，10项与健康信息有关，3项与心理需求有关。农村妇女和城市妇女报告的需求普遍性差别不大。只有在物质/日常生活领域，农村妇女比城市妇女更有可能报告需要帮助（OR=2.59，95%CI 1.21-5.52）.结论：未满足的需求，特别是在信息和心理社会领域，都报告了农村和城市乳腺癌妇女，亚组经历不同类型的需求.有必要制定和试行有针对性的创新战略，以满足乳腺癌妇女的健康信息和心理需求，以及被诊断患有乳腺癌的农村妇女的身体/日常生活需求。
Objective: To assess the prevalence and predictors of perceived unmet needs among women diagnosed with breast cancer, with a particular focus on the impact of location (rural/urban).Method: A random sample of women in NSW diagnosed with breast cancer was surveyed during 1995-96. The Breast Cancer Patients' Needs Questionnaire (BR-CPNQ) explores patients' perceived needs across five domains: psychological, health information, physical/daily living, patient care/support and interpersonal communication. items assessing breast cancer specific needs and access to services and resources were included. Of 235 eligible rural women, 134 (57%) consented to participate and 129 (55%) returned completed surveys. Of 196 eligible urban women, 102 (52%) consented to participate and 190 (51%) returned completed surveys.Results: For 12 of the 52 items, at least one-third of the sample reported ever having a moderate/high need for help. Of the 15 highest moderate or high unmet needs, 10 related to health information and three to psychological needs. There were few differences in the prevalence of needs reported by rural and urban women. Only in the physical/daily living domain were rural women more likely than urban women to report some need for help (OR=2.59, 95% Cl 1.21-5.52).Conclusions: Unmet needs, particularly in the information and psycho-social domains, are reported by both rural and urban women with breast cancer, with sub-groups experiencing different types of needs.Implications: There is a need to develop and trial targeted and innovative strategies to meet the health information and psychological needs of women with breast cancer, and the physical/daily living needs of rural women diagnosed with breast cancer.