Assessment of Needs of Hospitalized Cancer Patients with Advanced Cancer

Konstantinidis, Theocharis; Samonis, George; Sarafis, Pavlos; Philalithis, Αnastas

doi:10.5539/gjhs.v9n6p184

Cited by 6 publications

(8 citation statements)

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“…In the present study, patients did not report a significant amount of informational needs for diagnosis, examinations and treatment which has been found common in other studies with patients with solid tumors (Τamburini et al, 2003;Konstantinidis et al, 2017). High levels of informational needs focusing on haemaetological patients in this area are not very often recorded (Swash et al, 2014;Yu et al, 2017).…”

Section: Discussionsupporting

confidence: 42%

“…However, significantly greater unsatisfied needs have been reported in younger patients, females, unmarried and low monthly income in many other studies (Lobb et al, 2009;Parry et al, 2012;Boyes et al, 2015;Kim et al, 2017). Younger age and female sex are also predictors for higher unmet needs in advanced cancer patients with solid tumors (Konstantinidis et al, 2017).…”

Section: Discussionmentioning

confidence: 89%

“…Patients completed the Greek version of the 'Needs Evaluation Questionnaire' (NEQ) (Konstantinidis et al, 2017). The initial version of NEQ was developed at the Istituto Nazionale Tumori in Italy and was mainly used to assess health care needs for support in hospitalized cancer patients (Tamburini et al, 2000;Tamburini et al, 2003).…”

Section: 'Needs Evaluation Questionnaire'mentioning

confidence: 99%

“…'Needs Evaluation Questionnaire' has already been translated and validated in Greek cancer patients showing adequate psychometric properties (Konstantinidis et al, 2017). A reliability analysis using the Kuder-Richardson statistic was performed in this sample before analyzing the data, also showing adequate psychometric properties (ρ = 0.922).…”

Section: Reliability Analysismentioning

confidence: 99%

“…Various tools for assessing supportive needs have been used in different groups of cancer patients (Hall et al, 2015;Kim et al, 2017;Tian et al, 2019). Research usually focus on needs of patients with solid tumors or from mixed cancer populations, while limited information is available on the needs of patients with specific haematological cancers (Hall et al, 2013;Swash et al, 2014;Konstantinidis et al, 2017). Questionnaires assessing needs concerning haematological cancer patients have been used for newly diagnosed patients, during treatment (Oberoi et al, 2017), advanced or end-stage patients (Boland et al, 2014), long-term survivors (Lobb et al, 2009;Kim et al, 2017) or to investigate needs in specific areas (Hall et al, 2015;Olsson et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Assessment of Unmet Supportive Care Needs in Haematological Cancer Survivors

Konstantinidis

Spinthouri

Ramoutsaki

et al. 2019

Asian Pac J Cancer Prev

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Background:Health needs assessment is crucial for the provision of individualized nursing care. However, many patients report a significant number of unmet needs. The aim of the present study was the assessment of self-reported unmet supportive care needs among haematological cancer survivors in Greece.Methods:102 patients (mean age 66.2 years old) diagnosed with haematological cancer were included in a cross-sectional study, conducted in two major Greek public hospitals, between October and December 2016. Patients’ needs were assessed using the ‘Needs Evaluation Questionnaire’ (NEQ). Data analysis was conducted using the Statistical Package for Social Sciences software for Windows. Alfa-level (p-value) selected was 5%, bootstrap techniques were used for 95% CI estimation, χ2 was used for differentiation control and Kuder-Richardson coefficient for reliability score assessment (ρ = 0.922).Results:Patients reported higher needs levels “to receive less commiseration from other people” (48%), “more information about my future condition” (44.1%) and “to feel more useful within my family” (42.2%). In contrast, patients reported lower levels to the needs “to speak with a spiritual advisor” (11.8%), “to have more help with eating, dressing and going to the bathroom” (13.7%) and “better attention from nurses” (18.6%). The mean score of satisfied patients (≥8/10) was 8.9 (SD 1.7). Associations between socio-demographic, hospitalization data and unmet needs groups were identified. The less satisfied patients (<8/10) reported more informational needs about their diagnosis and their future condition (p-value=0.002), about their exams and treatments (p-value=0.001), communicative (p-value <0.001), assistance and treatment (p-value<0.001) and hospital infrastructure (p-value <0.001).Conclusion:Various factors seem to be associated to the prevalent unmet care needs among haematological cancer patients. Establishing NEQ as a routine needs assessment tool could aid health professionals to early identify patients’ needs in a busy clinical setting and implement more individualized and patient-centered quality care.

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Section: Discussionsupporting

confidence: 42%

Section: Discussionmentioning

confidence: 89%

Section: 'Needs Evaluation Questionnaire'mentioning

confidence: 99%

Section: Reliability Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Assessment of Unmet Supportive Care Needs in Haematological Cancer Survivors

Konstantinidis

Spinthouri

Ramoutsaki

et al. 2019

Asian Pac J Cancer Prev

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Shared Perspectives of Patients With Advanced Cancer and Their Informal Caregivers on Essential Aspects of Health Care: A Qualitative Study

et al. 2021

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Objective: The aim of this study is to explore the essential aspects of health care according to patients with advanced cancer and their informal caregivers by using a dyadic approach. Methods: Seven focus groups and 7 in-depth semi-structured interviews were conducted. Patients with advanced cancer and informal caregivers were recruited between January 2017 and June 2017 in 6 Dutch hospitals. All interviews were audiotaped, transcribed verbatim, and open coded using a thematic analysis approach. For this analysis Atlas.ti was used. Results: There was congruence between the aspects mentioned by patients and their informal caregiver. Two essential aspects of quality of care arose: “relation” and “organization of care.” Regarding relation, patients and informal caregivers found it essential that health care professionals were personally engaged and provided support and compassion. Regarding organization of care, patients and informal caregivers expressed the importance of supportive care being offered multiple times during the disease trajectory, continuity of care, and well-organized logistics tailored to their needs. Conclusion: This study generates awareness among health care professionals that patients with advanced cancer and their relatives have similar perspectives on essential aspects of care and may increase anticipation to meet health care preferences to optimize care.

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Nutritional assessment and quality of life in patients with non-small cell lung cancer undergoing immunotherapy

Konstantinidis¹,

Fragkioudaki

Patelarou³

et al. 2023

Int J Palliat Nurs

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Background: Patients with metastatic non-small cell lung cancer (NSCLC) often experience severe eating disorders and other problems because of rapid disease progression and various therapies, which significantly affect their quality of life (QoL). Aims: This study aimed to assess the nutritional status and QoL of patients with NSCLC at the start of immunotherapy and 3 months later. Methods: This study used a prospective, observational, consecutive sampling approach and was carried out between July 2018 and August 2019. The convenience sample comprised 60 patients treated in the oncology ward and the day care department of a public hospital in Greece. Their nutritional status was assessed using the Mini Nutritional Assessment questionnaire and their QoL using the European Organization for Research and Treatment of Cancer QLQ-C30 questionnaire and its QLQ-LC13 module. They were evaluated at the start of immunotherapy (phase I) and 3 months later (phase II). Findings: Of the initial 60 patients, 25% had died and 23.3% declined to participate by phase II. Of the 31 patients (51.7%) who completed the study, 64.5% had been assessed as malnourished at phase I; at phase II, this had decreased to 32.3%, so nutritional status appeared to have significantly improved. There were also significant improvements between phases I and II in global health status/QoL, as well as in the physical, roles, emotional and social dimensions. Additionally, all nine symptoms of QLQ-C30 significantly decreased, while the QLQ-LC13 showed significant improvements in dyspnoea, alopecia and pain in parts of the body other than the chest, arm or shoulder. Conclusion: Metastatic NSCLC patients' QoL and nutritional status significantly improved after 3 months' immunotherapy.

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Assessment of Needs of Hospitalized Cancer Patients with Advanced Cancer

Cited by 6 publications

References 0 publications

Assessment of Unmet Supportive Care Needs in Haematological Cancer Survivors

Assessment of Unmet Supportive Care Needs in Haematological Cancer Survivors

Shared Perspectives of Patients With Advanced Cancer and Their Informal Caregivers on Essential Aspects of Health Care: A Qualitative Study

Nutritional assessment and quality of life in patients with non-small cell lung cancer undergoing immunotherapy

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