Nobuhiro Sakamoto1,2, Shuji Takiguchi2, Hirokazu Komatsu3, Toru Okuyama4, Tomohiro Nakaguchi4, Yosuke Kubota4, Yoshinori Ito1, Koji Sugano5, Makoto Wada6, Tatsuo Akechi4. 1. Division of Psycho-Oncology and Palliative Care, Nagoya City University Hospital. 2. Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences and Medical School. 3. Department of Medical Oncology and Immunology, Nagoya City University Graduate School of Medical Sciences. 4. Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences. 5. Division of Respiratory Medicine, Juntendo Tokyo Koto Geriatric Medical Center. 6. Department of Psycho-Oncology and Palliative Medicine, Osaka International Cancer Institute, Japan.
Abstract
BACKGROUND: Although currently many advanced colorectal cancer patients continuously receive chemotherapy, there are very few findings with regard to the supportive care needs of such patients. METHODS: The purposes of this study were to investigate the patients' perceived needs and the association with psychological distress and/or quality of life, and to clarify the characteristics of patients with a high degree of unmet needs. Ambulatory colorectal cancer patients who were receiving chemotherapy were asked to complete the Short-Form Supportive Care Needs Survey questionnaire, which covers five domains of need (health system and information, psychological, physical, care and support, and sexuality needs), the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. RESULTS: Complete data were available for 100 patients. Almost all of the top 10 most common unmet needs belonged to the psychological domain. The patients' total needs were significantly associated with both psychological distress (r = 0.65, P < 0.001) and quality of life (r = -0.38, P < 0.001). A multiple regression analysis revealed that the female gender was significantly associated with higher total needs. CONCLUSIONS: The moderate to strong associations that exist between patients' needs and psychological distress and/or quality of life suggest that interventions that respond to patients' needs may be one possible strategy for ameliorating psychological distress and enhancing quality of life. Female patients' needs should be evaluated more carefully.
BACKGROUND: Although currently many advanced colorectal cancer patients continuously receive chemotherapy, there are very few findings with regard to the supportive care needs of such patients. METHODS: The purposes of this study were to investigate the patients' perceived needs and the association with psychological distress and/or quality of life, and to clarify the characteristics of patients with a high degree of unmet needs. Ambulatory colorectal cancer patients who were receiving chemotherapy were asked to complete the Short-Form Supportive Care Needs Survey questionnaire, which covers five domains of need (health system and information, psychological, physical, care and support, and sexuality needs), the Hospital Anxiety and Depression Scale and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. RESULTS: Complete data were available for 100 patients. Almost all of the top 10 most common unmet needs belonged to the psychological domain. The patients' total needs were significantly associated with both psychological distress (r = 0.65, P < 0.001) and quality of life (r = -0.38, P < 0.001). A multiple regression analysis revealed that the female gender was significantly associated with higher total needs. CONCLUSIONS: The moderate to strong associations that exist between patients' needs and psychological distress and/or quality of life suggest that interventions that respond to patients' needs may be one possible strategy for ameliorating psychological distress and enhancing quality of life. Female patients' needs should be evaluated more carefully.
Authors: S C Sodergren; S J Wheelwright; N V Permyakova; M Patel; L Calman; P W F Smith; A Din; A Richardson; D Fenlon; J Winter; J Corner; C Foster Journal: J Cancer Surviv Date: 2019-09-11 Impact factor: 4.442
Authors: Fay Wright; Kord M Kober; Bruce A Cooper; Steven M Paul; Yvette P Conley; Marilyn Hammer; Jon D Levine; Christine Miaskowski Journal: Support Care Cancer Date: 2020-01-20 Impact factor: 3.603
Authors: Rami A El Shafie; Dorothea Weber; Nina Bougatf; Tanja Sprave; Dieter Oetzel; Peter E Huber; Jürgen Debus; Nils H Nicolay Journal: JMIR Mhealth Uhealth Date: 2018-08-30 Impact factor: 4.773