Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey
Patients' Supportive Care Needs Beyond the End of Cancer Treatment: A Prospective, Longitudinal Survey
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DOI：
10.1200/jco.2009.22.5151
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发表时间：
2009-12-20
影响因子：
45.3
通讯作者：
Richardson, Alison
中科院分区：
文献类型：
--
作者：
Armes, Jo;Crowe, Maggie;Richardson, Alison
PurposeTo估计患病率和严重程度的患者的自我感知的支持性护理需要在治疗后立即阶段，并确定未满足的need.Patients和MethodsA多中心，前瞻性，纵向调查的预测。66个中心招募了12周的患者。招募接受以下癌症治疗的患者：乳腺癌、前列腺癌、结直肠癌和妇科癌以及非霍奇金淋巴瘤。在治疗结束时（T0）和6个月后（T1）完成了支持性护理需求，焦虑和抑郁，害怕复发，积极和消极的影响措施。结果1,850例患者给予问卷包，1,425（79%）在T0返回问卷，1,152（62%）在T1返回问卷。平均年龄为61岁;大多数受访者为女性（69%），患有乳腺癌（57%）。大多数患者没有或很少有中度或重度未满足的支持性护理需求。然而，30%的患者在基线时报告了超过5个未满足的需求，其中60%的患者的情况并未改善。在这两次评估中，最经常得到认可的未满足的需求是心理需求和对复发的恐惧。Logistic回归分析显示，未满足的需求，包括接受激素治疗，负面影响，并经历了一个不相关的重大事件之间的assessment.ConclusionMost患者不表示未满足的需求，治疗后的支持性护理。30%的人在两次评估中都报告了超过五个中度或严重未满足的需求。未满足的需求预测激素治疗，消极情绪，并经历了重大事件。我们的研究结果表明，有一部分幸存者的需求未得到满足，他们可能会受益于有针对性的应用心理社会资源。
PurposeTo estimate prevalence and severity of patients' self-perceived supportive care needs in the immediate post-treatment phase and identify predictors of unmet need.Patients and MethodsA multicenter, prospective, longitudinal survey was conducted. Sixty-six centers recruited patients for 12 weeks. Patients receiving treatment for the following cancers were recruited: breast, prostate, colorectal, and gynecologic cancer and non-Hodgkin's lymphoma. Measures of supportive care needs, anxiety and depression, fear of recurrence, and positive and negative affect were completed at the end of treatment (T0) and 6 months later (T1).ResultsOf 1,850 patients given questionnaire packs, 1,425 (79%) returned questionnaires at T0, and 1,152 (62%) returned questionnaires at T1. Mean age was 61 years; and most respondents were female (69%) and had breast cancer (57%). Most patients had no or few moderate or severe unmet supportive care needs. However, 30% reported more than five unmet needs at baseline, and for 60% of these patients, the situation did not improve. At both assessments, the most frequently endorsed unmet needs were psychological needs and fear of recurrence. Logistic regression revealed several statistically significant predictors of unmet need, including receipt of hormone treatment, negative affect, and experiencing an unrelated significant event between assessments.ConclusionMost patients do not express unmet needs for supportive care after treatment. Thirty percent reported more than five moderate or severe unmet needs at both assessments. Unmet needs were predicted by hormone treatment, negative mood, and experiencing a significant event. Our results suggest that there is a proportion of survivors with unmet needs who might benefit from the targeted application of psychosocial resources.