Purpose: In order to achieve optimal survival care outcomes, all health care services must be tailored to the patient's specific needs, preferences, and concerns through the survival period. This study aimed to identify supportive care needs from the point of view of breast cancer survivors. Methods: Following PRISMA guidelines for reporting systematic reviews, a comprehensive search of PubMed, Web of Science, and Scopus was performed. The inclusion criteria were all studies published from inception until the end of January 2022, covering all stages of breast cancer. The exclusion criteria were mixed type studies relating to cancer such as case reports, commentaries, editorials, and systematic review studies, as well as studies that assessed patients' needs during cancer treatment. Two quality assessment tools were used for the qualitative and quantitative studies under examination. Results: Of the 13,095 records retrieved, 40 studies, including 20 qualitative studies and 20 quantitative studies, were retained for this review. Survivors’ supportive care needs were classified into 11 domains. The most frequently mentioned supportive care needs of survivors were psychological/emotional needs (N=32), Health system/informational needs (N=30) physical and daily activities (N=19), and interpersonal/intimacy needs (N=19).Conclusions: This systematic review highlights a number of essential needs for breast cancer survivors. Supportive programs should be designed that consider all aspects of these needs, in particular the psychological/emotional and informational needs.
Background & Aim: According to Maslow's hierarchy of needs, sleep is a basic need. The quality of sleep highly affects the recovery of patients in coronary care units. This study was conducted to determine patients' sleep quality and nurses´ documentations in coronary care units. Material & Methods: This study was a descriptive-analysis. Participants were selected with convenience sampling. This Study was performed on 155 patients admitted to the coronary care unit in 2015. Nursing documentations were investigated in 3 consecutive nights. The data collection instruments included a demographic and disease information form, the modified Pittsburgh sleep quality index, the daily sleep form and the patients' quality of sleep checklist in nursing documentations. The daily sleep form completed by participants and other instruments completed by the researcher. The data were analyzed in SPSS 16 software. Results: Most of the study population had a poor quality of sleep (56.1%) during hospitalization; however, their quality of sleep improved over three nights. There was a significant correlation between daily sleep diary and Pittsburgh sleep quality (P< 0.001). The patients' quality of sleep checklist in nursing documentations was more accurate in the first night in cases that patients required an intervention; however nursing documentations in cases that did not require any intervention were not carefully recorded by nurses. Conclusion: Most of the participants in the study had poor quality of sleep on the first night but it was improved over time. However nursing documentations was more accurate in the first night in cases that required an intervention. So nurses in coronary care unit need to receive more training on the importance of patients' quality of sleep and how to record the sleep quality in nursing documentations.
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