Symptoms, supportive care needs, and function in cancer patients: how are they related?
Symptoms, supportive care needs, and function in cancer patients: how are they related?
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DOI：
10.1007/s11136-008-9331-8
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发表时间：
2008-06-01
影响因子：
3.5
通讯作者：
Wu, Albert W.
中科院分区：
文献类型：
--
作者：
Snyder, Claire F.;Garrett-Mayer, Elizabeth;Wu, Albert W.
目的探讨症状，支持性护理需求，和functions.Methods之间的关联117例癌症患者完成了支持性护理需求调查和EORTC-QLQ-C30的横断面研究。使用多变量项目回归（MIR）测试功能（身体、角色、情感、认知、社会）、症状（疲劳、恶心/呕吐、疼痛、呼吸困难、失眠、食欲不振、便秘、腹泻）和支持性护理需求（身体和日常生活、心理、患者护理和支持、卫生系统和信息、性）之间的关联。我们测试（1）功能作为因变量与症状和支持性护理需求作为自变量和（2）支持性护理需求作为因变量与症状和功能作为自变量。更大的未满足的身体和日常生活需求与更差的身体，角色和认知功能相关。更多未满足的心理需求与更差的情感和认知功能相关。更严重的睡眠问题与更大的未满足需求有关。更好的身体功能与较少未满足的身体和日常生活需求，更好的情感功能与较少未满足的心理，病人的护理和支持，卫生系统和信息的需求。结论与这些模型获得的结果表明，症状，支持性护理需求和功能之间的关系是一致的。
Aims To explore the associations among symptoms, supportive care needs, and function.Methods One hundred and seventeen cancer patients completed the Supportive Care Needs Survey and EORTC-QLQ-C30 in a cross-sectional study. Associations among function (physical, role, emotional, cognitive, social), symptoms (fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea), and supportive care needs (physical and daily living, psychological, patient care and support, health system and information, sexual) were tested using multivariate item regression (MIR). We tested (1) function as the dependent variable with symptoms and supportive care needs as independent variables and (2) supportive care needs as the dependent variable with symptoms and function as independent variables.Results Worse fatigue, pain, and appetite loss were associated with worse function. Greater unmet physical and daily living needs were associated with worse physical, role, and cognitive function. Greater unmet psychological needs were associated with worse emotional and cognitive function. Worse sleep problems were associated with greater unmet needs. Better physical function was associated with fewer unmet physical and daily living needs, and better emotional function was associated with fewer unmet psychological, patient care and support, and health system and information needs.Conclusions The results obtained with these models suggest several consistent relationships among symptoms, supportive care needs, and function.