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Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors

Author

Listed:
  • Ya-Ting Tseng

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Chia-Hsun Hsieh

    (Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
    Division of Hematology/Oncology, Department of Internal Medicine, New Taipei Municipal Tucheng Chang Gung Memorial Hospital, New Taipei 236, Taiwan
    Department of Medicine, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan)

  • Chien-Wei Hung

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Chia-Chia Chen

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Shu-Hui Lee

    (Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

  • Li-Yun Lee

    (Department of Nursing, College of Nursing and Health Sciences, Da-Yeh University, Changhua 515, Taiwan)

  • Shu-Ching Chen

    (School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
    School of Nursing, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
    Department of Radiation Oncology and Proton and Radiation Therapy Center, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

Abstract

Upper gastrointestinal (UGI) cancer treatment can cause physical and psychological distress and may result in unmet needs. The purposes of this study were to (1) examine the levels of gastrointestinal (GI) symptom distress, social support, and supportive care needs; (2) screen the priorities of unmet supportive care needs; and (3) identify the factors associated with supportive care needs among UGI cancer patients receiving chemotherapy. This cross-sectional study examined UGI cancer patients who received treatment from the outpatient chemotherapy department of a single cancer center in northern Taiwan. Questionnaires were used to collect data regarding GI symptom distress, social support, unmet needs, and supportive care needs. The top three unmet needs were “fears about the cancer spreading”, “uncertainty about the future”, and “being informed about things you can do to help yourself to get well”. Descriptive statistics examined the levels of GI symptom distress, social support, supportive care needs, and priorities of unmet supportive care needs. Stepwise regression was conducted to determine significant factors related to supportive care needs. Greater supportive care needs were found to be associated with higher levels of disease-related worries, increased treatment-related symptoms, and a lower level of physical performance. These factors explained 48.0% of the variance in supportive care needs. Disease-related worries and treatment-related symptoms strongly influence overall supportive care needs and each domain of supportive care needs. Symptom management and psychological support for patients receiving outpatient chemotherapy may help patients meet needs.

Suggested Citation

  • Ya-Ting Tseng & Chia-Hsun Hsieh & Chien-Wei Hung & Chia-Chia Chen & Shu-Hui Lee & Li-Yun Lee & Shu-Ching Chen, 2021. "Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors," IJERPH, MDPI, vol. 18(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8124-:d:606033
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    References listed on IDEAS

    as
    1. Guiyuan Zou & Ye Li & Ruicai Xu & Ping Li, 2018. "Resilience and positive affect contribute to lower cancer‐related fatigue among Chinese patients with gastric cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1412-1418, April.
    2. Ji Yea Lee & Yeonsoo Jang & Sanghee Kim & Woo Jin Hyung, 2020. "Uncertainty and unmet care needs before and after surgery in patients with gastric cancer: A survey study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(2), pages 427-435, June.
    3. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
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