Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors
Associations between neighbourhood support and financial burden with unmet needs of head and neck cancer survivors
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DOI：
10.1016/j.oraloncology.2016.12.019
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发表时间：
2017-02-01
期刊：
影响因子：
4.8
通讯作者：
Sharp, Linda
中科院分区：
文献类型：
--
作者：
O'Brien, Katie M.;Timmons, Aileen;Sharp, Linda
目的：评估头颈癌幸存者未满足的需求并探讨相关因素。特别是，探讨社会支持（家庭/朋友和邻居）和经济负担是否与头颈癌（HNC）幸存者未满足的需求有关。方法：这是一项对HNC幸存者的横断面研究，583名应答者被纳入分析。通过支持性护理需求调查（SCNS-SF34）收集未满足的支持性护理需求的信息。使用具有稳健标准误差的泊松回归来检查与五个领域（身体、心理、性、患者护理和支持以及卫生系统和信息）中每个领域有一个或多个需求相关的因素。结果：被调查者的平均年龄为62.9岁（标准差11.3岁），女性占三分之一。未满足的前十大需求完全由生理和心理领域的项目组成。在调整后的分析中，癌症造成的经济压力和难以从邻居那里获得实际帮助都与这五个领域的需求未得到满足有关。结论：虽然在每个领域，少数受访者有未满足的需求，但大约一半的受访者报告至少有一个未满足的需求，其中最常见的未满足需求是在心理领域。向有这些需求的人提供服务应该是医疗保健提供者的优先事项。我们建议，确定未满足需求的风险因素的研究可用于开发筛查工具或帮助确定支持目标。(C) 2016 Elsevier Ltd.版权所有。
Purpose: To assess the unmet needs of head and neck cancer survivors and investigate associated factors. In particular, to explore whether social support (family/friends and neighbours) and financial burden are associated with unmet needs of head and neck cancer (HNC) survivors.Methods: This was a cross-sectional study of HNC survivors, with 583 respondents included in the analysis. Information was collected on unmet supportive care needs as measured by the Supportive Care Needs Survey (SCNS-SF34). Poisson regression with robust standard errors was used to examine factors associated with having one or more needs in each of the five domains (physical; psychological; sexuality; patient care and support; and health system and information).Results: The mean age of respondents was 62.9 years (standard deviation 11.3 years) and one third of respondents were female. The top ten unmet needs was composed exclusively of items from the physical and psychological domains. Financial strain due to cancer and finding it difficult to obtain practical help from a neighbour were both associated with unmet needs in each of the five domains, in the adjusted analyses.Conclusion: Whilst in each domain, a minority of respondents have unmet needs, approximately half of respondents reported at least one unmet need, with the commonest unmet needs in the psychological domain. Providing services to people with these needs should be a priority for healthcare providers. We suggest that studies, which identify risk factors for unmet needs, could be used to develop screening tools or aid in the targeting of support. (C) 2016 Elsevier Ltd. All rights reserved.