Supportive care needs: Are patients with lung cancer a neglected population?

Supportive care needs: Are patients with lung cancer a neglected population?
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DOI:
10.1002/pon.983
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发表时间:
2006-06-01
期刊:
影响因子:
3.6
通讯作者:
Girgis, Afaf
Girgis, Afaf
中科院分区:
医学2区
文献类型:
--
作者:
Li, Jiong;Girgis, Afaf

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虽然未满足的支持性护理需求是有据可查的一些群体的癌症患者。对肺癌患者的需求水平和类型知之甚少。该研究旨在比较肺癌患者与其他癌症患者的心理社会需求水平。新南威尔士州9个主要公共癌症治疗中心共有1492名连续患者。澳大利亚被邀请参加支持性护理需求研究;收到888份完成的调查。肺癌患者报告的未满足需求的平均数量(最多59个)为15.6(95% C1 12.1-19.1),而其他癌症患者为10.9(95% C1 10.0-11.8)。这些差异主要是由于肺癌患者报告的未满足的心理需求(7.6对5.0)和身体和日常生活需求(2.8对1.4)的平均数量高于其他癌症患者。肺癌诊断是具有高水平心理需求(RR 2.00,95%CI 1.13-3.56)和日常生活需求(RR 2.81,95%CI 1.60-4.95)的独立预测因子,同时也是未缓解和接受癌症诊断超过两年的独立预测因子。结果表明,需要优先考虑解决这一癌症幸存者亚组的具体需求。版权所有(c)2005年约翰威利父子有限公司。
While the unmet supportive care needs are well documented for some groups of cancer patients. relatively little is known about the levels and types of needs of lung cancer patients. The study aims to compare the levels of lung cancer patients' psychosocial needs with those of other cancer patients. A total of 1492 consecutive patients in nine major public cancer treatment centres in New South Wales. Australia. were invited to participate in the Supportive Care Needs Study; 888 completed surveys were received. The mean number of unmet needs (out of a maximum of 59) reported by lung cancer patients was 15.6 (95% C1 12.1-19.1), compared to 10.9 (95% C1 10.0-11.8) in other cancer patients. The differences were mainly due to the fact that lung cancer patients reported a higher mean number of unmet psychological needs (7.6 versus 5.0) and physical and daily living unmet needs (2.8 versus 1.4), compared to the other cancer patients. Having a lung cancer diagnosis was an independent predictor of having a high level of psychological need (RR 2.00, 95%CI 1.13-3.56) and daily living need (RR 2.81, 95%Cl 1.60-4.95), together with not being in remission, and receiving the cancer diagnosis more than two years previously. The results Suggest that priority needs to be given to addressing the specific needs of this sub-group of cancer survivors. Copyright (c) 2005 John Wiley & Sons, Ltd.