The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study
The prevalence and correlates of supportive care needs in testicular cancer survivors: a cross-sectional study
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DOI：
10.1002/pon.3323
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发表时间：
2013-11-01
期刊：
影响因子：
3.6
通讯作者：
Olver, Ian
中科院分区：
文献类型：
--
作者：
'Ben' Smith, Allan;King, Madeleine;Olver, Ian
这一横断面研究的目的是确定的患病率和相关的支持性护理需求在睾丸癌（TC）survivors.Methodsmen谁完成了积极的抗癌治疗TC之间6个月和5年以前没有复发的证据，从14个澳大利亚癌症中心（2009年9月至2011年2月）。参与者完成了自我报告问卷测量社会人口统计学，疾病和治疗信息，支持性护理需求（CaSUN），心理困扰（DASS 21）和健康相关的生活质量（HRQoL; SF 36 v2）。66%的人报告了一个或多个未满足的支持性护理需求。未满足需求的平均数量为4.73（SD=7.0，范围=0-34）。最常见的未满足需求主要涉及生存问题（例如，生活压力）和关系（例如，性生活）。年龄较小和存在TC以外的慢性疾病与未满足需求的数量增加显著相关。未满足的需求的数量更高度相关的心理困扰和HRQoL比未满足的需求strength.ConclusionsThe大多数TC幸存者报告一个或多个未满足的需求。尽管TC幸存者的预后良好，但他们经常报告存在生存问题的未满足需求。关系未满足的需求不太普遍，但仍然比乳腺癌和妇科癌症幸存者更常见。这些发现似乎与TC幸存者的年轻年龄有关。由于大量未满足的需求与心理发病率和HRQoL受损显著相关，因此需要采取干预措施解决这一系列问题。版权所有（c）2013约翰威利父子有限公司
ObjectiveThis cross-sectional study aimed to identify the prevalence and correlates of supportive care needs in testicular cancer (TC) survivors.MethodsMen who had completed active anti-cancer treatment for TC between 6months and 5years previously showing no evidence of recurrence were recruited from 14 Australian cancer centers (September 2009-February 2011). Participants completed a self-report questionnaire measuring sociodemographics, disease, and treatment information, supportive care needs (CaSUN), psychological distress (DASS21) and health-related quality of life (HRQoL; SF36v2).ResultsOf the 486 eligible TC survivors invited to participate, 244 completed the questionnaire. Sixty-six percent reported one or more unmet supportive care needs. The mean number of unmet needs was 4.73 (SD=7.0, Range=0-34). The most common unmet needs related primarily to existential survivorship issues (e.g., life stress) and relationships (e.g., sex life). Younger age and presence of chronic illness other than TC were significantly associated with higher number of unmet needs. The number of unmet needs was more highly correlated with psychological distress and HRQoL than unmet need strength.ConclusionsThe majority of TC survivors reported one or more unmet needs. Unmet needs regarding existential survivorship issues were frequently reported by TC survivors despite their favorable prognosis. Relationships unmet needs were less prevalent but still more common than in breast and gynecological cancer survivors. These findings appear to be related to the young age of TC survivors. As a higher number of unmet needs is significantly associated with psychological morbidity and impaired HRQoL, interventions addressing this constellation of issues are needed. Copyright (c) 2013 John Wiley & Sons, Ltd.