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Uncertainty and unmet care needs before and after surgery in patients with gastric cancer: A survey study

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  • Ji Yea Lee
  • Yeonsoo Jang
  • Sanghee Kim
  • Woo Jin Hyung

Abstract

Uncertainty and unmet care needs constantly change in patients with cancer. However, there is a lack of information regarding the changing pattern of these variables. This study aimed to examine the changes in uncertainty and unmet care needs at diagnosis and after surgery among patients with gastric cancer. In total, 86 individuals completed a self‐reported questionnaire. Data were collected twice – to measure uncertainty and unmet care needs at cancer diagnosis (T1), and after surgery (T2) – and analyzed using descriptive analysis and a dependent t‐test. Uncertainty was moderate at both periods but significantly higher at T1. Unmet care needs were highest in the information domain and lowest in the sexuality domain at both T1 and T2. Only the physical/daily living domain were significantly higher at T2, whereas the information, psychological, and patient care/support domains were significantly higher at T1. Different levels of uncertainty and unmet needs were identified at T1 and T2. Healthcare providers should assess changing unmet care needs at each stage of the cancer trajectory and provide related nursing care and information to this population, even immediately after diagnosis.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:nuhsci:v:22:y:2020:i:2:p:427-435
    DOI: 10.1111/nhs.12677
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    References listed on IDEAS

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    1. Byeong Hee Jeon & Mona Choi & JuHee Lee & Sung Hoon Noh, 2016. "Relationships between gastrointestinal symptoms, uncertainty, and perceived recovery in patients with gastric cancer after gastrectomy," Nursing & Health Sciences, John Wiley & Sons, vol. 18(1), pages 23-29, March.
    2. Jingfang Hong & Zengzeng Wei & Weili Wang, 2015. "Preoperative psychological distress, coping and quality of life in Chinese patients with newly diagnosed gastric cancer," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2439-2447, September.
    3. Soo Hyun Kim & Ran Lee & Keon Suk Lee, 2012. "Symptoms and uncertainty in breast cancer survivors in Korea: differences by treatment trajectory," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(7‐8), pages 1014-1023, April.
    4. Katja Schubert Samuelsson & Monika Egenvall & Inga Klarin & Johan Lökk & Ulf Gunnarsson & Marie Iwarzon, 2018. "The older patient's experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1580-1588, April.
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    Cited by:

    1. 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.

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