Comprehensive unmet needs and correlations with quality of life in Chinese cancer patients

Abstract

Increasing evidence indicates unmet supportive need as a detrimental effect on patients' well-being. However, the unmet needs and correlations with quality of life (QOL) in mainland Chinese cancer patients remain unclear. This study aimed to assess the unmet needs and QOL in Chinese cancer patients, and further explore the influencing factors. A cross-sectional descriptive study design was applied. Using a convenience sampling method, 300 cancer patients, including 176 females and 124 males were recruited from five tertiary hospitals in Xi'an city during April to July 2015. Self-administered questionnaires including general information, Comprehensive Needs Assessment Tool (CNAT) and the 36-item Short-Form Health Survey (SF-36) were used for data collection. The mean age of the participants was 52.96 ± 13.45 years. The total score of CNAT was 46.37 ± 21.87, and the most unmet comprehensive needs were healthcare staff, information and health facilities and services domain. The total score of QOL was 48.95 ± 18.80 and 50.35 ± 19.77 for physical and mental QOL respectively. Multiple regression analysis revealed that age, employment status (employed), marital status (unmarried/divorced/widowed) and high needs in physical symptoms were associated with physical QOL. In addition, gender (female), marital status (unmarried/divorced/widowed), and needs in health and psychological problem and physical symptoms domains are significant factors to the mental QOL. These findings from the study provide useful information for care providers to identify and meet specific needs for cancer patients to improve QOL.

The unmet supportive care needs of Chinese patients and caregivers affected by cancer: A systematic review

“…This was followed by being informed about their test results as soon as feasible (6/34 studies, prevalence 47% (So et al., 2013) – 86% (Liao et al., 2012)), and information about recovery and self‐management (6/34 studies, prevalence 19% (Cheng et al., 2014) – 84% (Liao et al., 2012)). Other prevalent needs across the other domains (PSY, PDL, PCS, SEX, SIC and FIN, respectively) included: concerns that their results are beyond their control (6/34 studies, prevalence 12% (Au et al., 2013) – 73% (Liao et al., 2012)), not being able to do the things they used to do including physical and social activities reported (6/34 studies, prevalence 7% (Fielding et al., 2013) – 44% (Huang et al., 2015)), hospital staff to attend promptly to their physical needs (5/34 studies, prevalence 21% (So et al., 2013) – 79% (Au et al., 2013)), to be given information about sexual relationships (8/34, prevalence 3% (Au et al., 2013) – 24% (Chen, Liao, et al, 2009)), support from people close to them (one study, prevalence 62% (Zhang, Zhang, Liu, Yan, & Wei, 2018)), and monetary allowance for travel, treatment and equipment expenses (3/34, prevalence 25% (So et al., 2019) – 44% (Chan et al., 2012)).…”

Validation of the comprehensive needs assessment tool in patients with advanced cancer

“…[9] It has been used as the tool to describe the prevalence of needs in cancer patients but has not be specifically validated elsewhere. [1011] There is also a corresponding version of CNAT for caregivers and the potential for both the patient and caregiver versions to be used concurrently make the CNAT attractive. [1213] The aim of this study was to validate the CNAT in advanced cancer patients in Singapore.…”