Prevalence and Risk Factors Associated with the Comprehensive Needs of Cancer Patients in China

Overview

Journal Health Qual Life Outcomes

Publisher Biomed Central

Specialty Public Health

Date 2019 Jun 15

PMID 31196089

Citations 6

Authors

Xin-Shuang Zhao

Hong-Yun Wang

Luo-Ling Zhang

Yan-Hua Liu

Hai-Yan Chen

Ying Wang

Affiliations

Soon will be listed here.

Abstract

Background: The incidence and mortality rates of cancer have been increasing in developing countries, particularly in Asia. Therefore to provide optimal comprehensive care to the cancer patients, the care plan must focus on the comprehensive needs of cancer patients. The purpose of this study was to investigate the comprehensive needs of cancer patients, and explore the associated factors.

Methods: In a cross-sectional questionnaire study, a total of 200 cancer patient-caregiver dyads were selected and interviewed in Mainland China by convenient sampling method. Patients' comprehensive needs were assessed with Comprehensive Needs Assessment Tool in cancer for Patients (CNAT), including seven domains (Information, Psychological Problems, Health Care Staffs, Physical Symptoms, Hospital Facilities and Services, Social/Religious/Spiritual Support and Practical Support). Both cancer patients and caregivers completed the sociodemographic survey. The mean differences in domain scores for different characteristics groups were compared by one-way ANOVA or non-parametric analyses, and influencing factors defined with multivariate regression analysis.

Results: The cancer patients' need for Health Care Staffs (78.35 ± 13.08) was the highest among the seven domains, followed by the need for Information (71.18 ± 17.39) and the need for Hospital Facilities and Services (52.65 ± 13.35). The lowest score was the need for Physical Symptoms (35.12 ± 16.68). Patients who were female, with low family monthly income, at their own expense, and with highly educated caregivers had higher score of CNAT. Also sociodemographic characteristics were associated with each domain need of cancer patients.

Conclusion: This study shows that cancer patients experience high levels of needs for health-care staff and information, and the different needs are closely related to their sociological characteristics. The provision of health care can be adapted to meet the different needs of cancer patients of different epidemiological characteristics at different times during the course of treatment.

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References

Bijl R, de Graaf R, Ravelli A, Smit F, Vollebergh W . Gender and age-specific first incidence of DSM-III-R psychiatric disorders in the general population. Results from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psychiatry Psychiatr Epidemiol. 2002; 37(8):372-9. DOI: 10.1007/s00127-002-0566-3. View

Awadalla A, Ohaeri J, Gholoum A, Khalid A, Hamad H, Jacob A . Factors associated with quality of life of outpatients with breast cancer and gynecologic cancers and their family caregivers: a controlled study. BMC Cancer. 2007; 7:102. PMC: 1925112. DOI: 10.1186/1471-2407-7-102. View

Harrison J, Young J, Price M, Butow P, Solomon M . What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer. 2009; 17(8):1117-28. DOI: 10.1007/s00520-009-0615-5. View

Schmitz K, Speck R . Risks and benefits of physical activity among breast cancer survivors who have completed treatment. Womens Health (Lond). 2010; 6(2):221-38. DOI: 10.2217/whe.10.1. View

Shim E, Lee K, Park J, Park J . Comprehensive needs assessment tool in cancer (CNAT): the development and validation. Support Care Cancer. 2010; 19(12):1957-68. DOI: 10.1007/s00520-010-1037-0. View

Uchida M, Akechi T, Okuyama T, Sagawa R, Nakaguchi T, Endo C . Patients' supportive care needs and psychological distress in advanced breast cancer patients in Japan. Jpn J Clin Oncol. 2010; 41(4):530-6. DOI: 10.1093/jjco/hyq230. View

Luutonen S, Vahlberg T, Eloranta S, Hyvari H, Salminen E . Breast cancer patients receiving postoperative radiotherapy: distress, depressive symptoms and unmet needs of psychosocial support. Radiother Oncol. 2011; 100(2):299-303. DOI: 10.1016/j.radonc.2011.01.014. View

Matsuyama R, Wilson-Genderson M, Kuhn L, Moghanaki D, Vachhani H, Paasche-Orlow M . Education level, not health literacy, associated with information needs for patients with cancer. Patient Educ Couns. 2011; 85(3):e229-36. DOI: 10.1016/j.pec.2011.03.022. View

Morrison V, Henderson B, Zinovieff F, Davies G, Cartmell R, Hall A . Common, important, and unmet needs of cancer outpatients. Eur J Oncol Nurs. 2011; 16(2):115-23. DOI: 10.1016/j.ejon.2011.04.004. View

10.

Lam W, Au A, Wong J, Lehmann C, Koch U, Fielding R . Unmet supportive care needs: a cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer. Breast Cancer Res Treat. 2011; 130(2):531-41. DOI: 10.1007/s10549-011-1592-1. View

11.

Holland J, Watson M, Dunn J . The IPOS new International Standard of Quality Cancer Care: integrating the psychosocial domain into routine care. Psychooncology. 2011; 20(7):677-80. DOI: 10.1002/pon.1978. View

12.

White K, DAbrew N, Katris P, OConnor M, Emery L . Mapping the psychosocial and practical support needs of cancer patients in Western Australia. Eur J Cancer Care (Engl). 2011; 21(1):107-16. DOI: 10.1111/j.1365-2354.2011.01270.x. View

13.

Urbaniec O, Collins K, Denson L, Whitford H . Gynecological cancer survivors: assessment of psychological distress and unmet supportive care needs. J Psychosoc Oncol. 2011; 29(5):534-51. DOI: 10.1080/07347332.2011.599829. View

14.

Shin D, Park J, Shim E, Park J, Choi J, Kim S . The development of a comprehensive needs assessment tool for cancer-caregivers in patient-caregiver dyads. Psychooncology. 2011; 20(12):1342-52. DOI: 10.1002/pon.1857. View

15.

Sharp L, Carsin A, Timmons A . Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psychooncology. 2012; 22(4):745-55. DOI: 10.1002/pon.3055. View

16.

Sharma R, Astrow A, Texeira K, Sulmasy D . The Spiritual Needs Assessment for Patients (SNAP): development and validation of a comprehensive instrument to assess unmet spiritual needs. J Pain Symptom Manage. 2012; 44(1):44-51. DOI: 10.1016/j.jpainsymman.2011.07.008. View

17.

Au A, Lam W, Tsang J, Yau T, Soong I, Yeo W . Supportive care needs in Hong Kong Chinese women confronting advanced breast cancer. Psychooncology. 2012; 22(5):1144-51. DOI: 10.1002/pon.3119. View

18.

Zebrack B, Block R, Hayes-Lattin B, Embry L, Aguilar C, Meeske K . Psychosocial service use and unmet need among recently diagnosed adolescent and young adult cancer patients. Cancer. 2012; 119(1):201-14. DOI: 10.1002/cncr.27713. View

19.

Matsuyama R, Kuhn L, Molisani A, Wilson-Genderson M . Cancer patients' information needs the first nine months after diagnosis. Patient Educ Couns. 2012; 90(1):96-102. DOI: 10.1016/j.pec.2012.09.009. View

20.

Matsuda T, Saika K . Worldwide burden of cancer incidence in 2002 extrapolated from cancer incidence in five continents Vol. IX. Jpn J Clin Oncol. 2012; 42(11):1111-2. DOI: 10.1093/jjco/hys176. View