Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors
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 unme...
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doaj-9ec1893fd8334144a2d4a477a06690f52021-08-06T15:23:50ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-07-01188124812410.3390/ijerph18158124Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related FactorsYa-Ting Tseng0Chia-Hsun Hsieh1Chien-Wei Hung2Chia-Chia Chen3Shu-Hui Lee4Li-Yun Lee5Shu-Ching Chen6Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDivision of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, TaiwanDepartment of Nursing, College of Nursing and Health Sciences, Da-Yeh University, Changhua 515, TaiwanSchool of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, TaiwanUpper 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.https://www.mdpi.com/1660-4601/18/15/8124upper gastrointestinal cancerscreeningsupportive care needsunmet needssocial support |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ya-Ting Tseng Chia-Hsun Hsieh Chien-Wei Hung Chia-Chia Chen Shu-Hui Lee Li-Yun Lee Shu-Ching Chen |
spellingShingle |
Ya-Ting Tseng Chia-Hsun Hsieh Chien-Wei Hung Chia-Chia Chen Shu-Hui Lee Li-Yun Lee Shu-Ching Chen Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors International Journal of Environmental Research and Public Health upper gastrointestinal cancer screening supportive care needs unmet needs social support |
author_facet |
Ya-Ting Tseng Chia-Hsun Hsieh Chien-Wei Hung Chia-Chia Chen Shu-Hui Lee Li-Yun Lee Shu-Ching Chen |
author_sort |
Ya-Ting Tseng |
title |
Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors |
title_short |
Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors |
title_full |
Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors |
title_fullStr |
Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors |
title_full_unstemmed |
Supportive Care and Unmet Needs in Upper Gastrointestinal Cancer Patients: Screening and Related Factors |
title_sort |
supportive care and unmet needs in upper gastrointestinal cancer patients: screening and related factors |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-07-01 |
description |
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. |
topic |
upper gastrointestinal cancer screening supportive care needs unmet needs social support |
url |
https://www.mdpi.com/1660-4601/18/15/8124 |
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