Unmet supportive needs of cancer patients in an acute care hospital in Japan—a census study
Unmet supportive needs of cancer patients in an acute care hospital in Japan—a census study
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日本一家急症护理医院癌症患者未满足的支持需求——一项普查研究
作者：
D. Fujisawa;Sunre Park;Rieko Kimura;Ikuko Suyama;Yurie Koyama;M. Takeuchi;Hiroka Yoshikawa;S. Hashiguchi;Joichiro Shirahase;Motoichiro Kato;J. Takeda;H. Kashima
目的在日本，关于癌症患者在急诊医院的支持需求的研究很少。本研究的目的是全面评估未得到满足的支持性需求的住院癌症患者，以及识字和利用适当的专业care.MethodsAll癌症患者（年龄20至80岁）谁是在指定的3天期间，在东京的大学医院住院9月1日至2007年10月31日，被招募参与这项研究。医学博士采用安德森症状量表、简明癌症相关担忧量表和医院焦虑抑郁量表进行评估。评估患者对相关服务的认知和使用情况。在相同的治疗settings.ResultsA共125例癌症患者和59例非癌症患者的结果进行了比较。癌症患者和非癌症患者的躯体症状相同（15-26%有重度食欲不振，18-19%有重度口干，16-22%有重度疼痛）;然而，癌症患者的心理困扰超过非癌症患者（28.0% vs 8.5%; p ≤ 0.05）。严重的心理困扰与对未来前景或人际和社会问题的严重担忧以及两种或两种以上严重症状的存在有关。三分之二患有严重心理困扰的患者知道精神科，但只有三分之一真正寻求治疗。结论尽管身体困扰程度相似，但癌症患者与心理问题相关的需求比非癌症患者更普遍。特别要注意那些担心未来前景或人际和社会问题的癌症患者，以及那些有两个或两个以上严重症状的患者。
PurposeLittle research has been done on supportive needs of cancer patients in acute hospitals in Japan. This study aims to comprehensively assess the unmet supportive needs of hospitalized cancer patients, as well as literacy and utilization of appropriate professional care.MethodsAll cancer patients (aged 20 to 80 years) who were hospitalized in a university hospital in Tokyo during the designated 3-day period between September 1 and October 31, 2007 were recruited for participation in the study. The M.D. Anderson Symptom Inventory, Brief Cancer-Related Worry Inventory, and Hospital Anxiety and Depression Scale were administered. Patients’ knowledge and use of relevant services were evaluated. The results were compared with those of non-cancer patients in the same treatment settings.ResultsA total of 125 cancer patients and 59 non-cancer patients were enrolled. Cancer patients and non-cancer patients equally suffered from physical symptoms (15–26% had severe appetite loss, 18–19% had severe dry mouth, and 16–22% had severe pain); however, psychological distress of cancer patients exceeded that of non-cancer patients (28.0% vs 8.5%; p ≤ 0.05). Severe psychological distress was associated with severe worry about future prospects or interpersonal and social issues and presence of two or more severe symptoms. Two thirds of the patients with severe psychological distress knew about the psychiatric division, but only one third actually sought treatment.ConclusionsNeeds related to psychological issues were more prevalent among cancer patients than among non-cancer patients, despite a similar level of physical distress. Special attention should be paid to cancer patients who worry over future prospects or interpersonal and social issues, and those who have two or more severe symptoms.