Unmet needs in head and neck cancer patients: Unmet needs, emotional disorders, and pain
| Autor: | Chiara Tosi, Giovanni Succo, Rossana Botto, Martina Denegri, Luca Raimondo, Riccardo Torta, Mario Airoldi, Giancarlo Pecorari, Monica Rampino, Oliviero Ostellino, Pierfrancesco Franco, Valentina Ieraci |
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| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Journal of Clinical Oncology. 35:e17501-e17501 |
| ISSN: | 1527-7755 0732-183X |
| Popis: | e17501 Background: knowledge is still lacking about head and neck patients’ unmet needs and their association with the other debilitating symptomatologies that worsen Quality of Life (QoL), compliance to treatments and prognosis. The aim of this research, so, it was to investigate the unmet needs of this type of patients in accordance with sympomts. Beside this study tried to evaluate if patients’ needs were correctly understood by their caregivers, nurses and oncologist. Methods: we surveyed 100 patients (80 men and 20 women) with head and neck cancer, during the active phase of chemotherapy treatmet,58 caregivers’ patients, nurses and the oncologist. The axious symptomatology and the depressive symptomatology were assessed by the Hospital Anxiety and Depression Scale (HADS). Distress was assessed by the Distress Thermometer (DT). Unmet needs were assessed from patients and their caregivers by Supportive Care Needs Survey-short Form (SCNS-SF34); nurses and the oncologist had to answer only to the 5 questionnaire’s macro-areas. Pain was assessed using the answer given to the SCNS-SF34’s first item. Results: having unmet needs in the psychological area is associated with the presence of symptoms in the preceding 24 hours (c2 = 10.213 , p = .001). Unmet needs in the communicative and informative area are associated with pain (c2 = 5.260 , p = .022). Unmet needs in physical conditions and daily living area are associated with pain (c2 = 9.962 , p = .002) and the presence of symptoms in the preceding 24 hours (c2 = 6.760 , p = .009). Unmet needs in patient support and health care area is associated with: distress (c2 = 4.459 , p = .035), anxious symptomatology (c2 = 4.071 , p = .044) and pain (c2 = 14.733 , p = .000). Unmet needs in sexuality area are associated with anxious symptomatology (c2 = 7.328 , p = .007) and pain (c2 = 4.833 , p = .028). Feelings about death and dying are associated with anxious symptomatology (c2 = 6.451 , p = .011) and depressive symptomatology (c2 = 5.317 , p = .021). Caregivers and patients both detect the presence of unmet needs in many areas. Conclusions: there tare several associations found between unmet needs and main symptomatologies that negatively impact with patient’s QoL and prognosis. |
| Databáze: | OpenAIRE |
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