The impact of psychosocial need and needs resolution on quality of life in patients with brain tumors

Bunston, Terry; Mings, Deborah; Laperrière, Normand; Malcolm, Jacquey; Williams, Dorothy

doi:10.3171/foc.1998.4.6.10

Cited by 9 publications

(13 citation statements)

References 47 publications

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“…Unmet needs were found to have a significantly negative effect on QOL of breast cancer patients, which confirms a Japanese study27 and another study with brain tumor patients 28. Our findings suggest that interventions based on specific unmet needs could result in ameliorating depression of breast cancer survivors and enhancing their QOL.…”

Section: Discussionsupporting

confidence: 86%

Unmet Needs of Breast Cancer Patients Relative to Survival Duration

Park

Hwang

2012

Yonsei Med J

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PurposeThe present study aims to evaluate the prevalence of unmet needs among breast cancer survivors, to assess the relationships between unmet needs and depression and quality of life, and to explore the extent to which unmet needs of breast cancer patients relate to the time elapsed since surgery.Materials and MethodsAmong 1,250 eligible patients who participated in the study, 1,084 cases (86.7%) were used for analysis. Clinicopathological and social parameters were reviewed and the Supportive Care Needs Survey, Functional Assessment of Cancer Therapy-Breast cancer instrument, and Beck Depression Inventory were administered. The frequency of unmet needs, the association between unmet needs and depression and/or quality of life (QOL) and the impact of the time elapsed since surgery on the patients' unmet needs were analyzed.ResultsThe highest levels of unmet needs were found to be in the health system and information domain. Patients with a survival duration of less than 1 year since surgery showed significantly higher unmet needs in all need domains except the sexuality domain (p<0.001) than participants in the other groups. Patients with a survival duration of 1-3 years also experienced significantly higher psychological and information needs than long-term survivors (>5 years). In addition, unmet needs were significantly associated with depression (p<0.001) and QOL (p<0.001).ConclusionThe present study demonstrated that long-term breast cancer survivors had a significantly lower level of unmet needs than patients with survival duration of less than 3 years after surgery and patients with survival duration of less than 1 year since surgery suffered the greatest unmet needs. QOL might be enhanced if interventions are made for specific unmet needs of each patient group.

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Section: Discussionsupporting

confidence: 86%

Unmet Needs of Breast Cancer Patients Relative to Survival Duration

Park

Hwang

2012

Yonsei Med J

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“…They have been utilized frequently in the area of cancer as a first step in designing needs‐tailored interventions 27–36. The importance of assessing needs is underscored by several findings: 1) unmet needs have been associated with poorer QOL37; 2) attention to psychosocial needs has been linked with higher patient satisfaction with medical care38; and 3) provision of “unwanted” interventions that do not fit with personal needs may actually have detrimental effects 39…”

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confidence: 99%

Psychosocial needs assessment among an underserved, ethnically diverse cancer patient population

Moadel

Morgan

Dutcher

2007

Cancer

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Little attention has been directed towards identifying and addressing the psychosocial needs of ethnic minority and underserved cancer patients. This study describes the development of a psychosocial needs survey and patterns and predictors of need among an ethnically diverse underserved cancer patient population in Bronx, New York. A 34-item psychosocial needs assessment survey was developed to assess 4 categories of need: Informational, Practical, Supportive, and Spiritual. A total of 248 oncology outpatients (48% non-Hispanic whites, 25% African Americans; 19% Hispanic) completed the survey in oncology clinic waiting rooms. The survey demonstrated high internal consistency and face validity. Ethnicity was the sole predictor of needs (P < .02), even after controlling for education, time since diagnosis, treatment status, marital status, and age. The mean percentage of needs endorsed by African Americans, Hispanics, and non-Hispanic whites respectively was 81%, 85%, 70% for Informational; 63%, 68%, 36% for Practical; 69%, 73%, 48% for Supportive; and 49%, 60%, 31% for Spiritual needs. This needs assessment offers clear directions in which to focus QOL intervention efforts among underserved and ethnic minority cancer patients. Cancer 2007;109(2 Suppl):446-54.

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“…Previous studies suggested that there are moderate-to-strong associations between patients' perceived needs and psychological distress and/or quality of life (9), and that unmet needs are correlated with a low quality of life (10). Individual patients vary in their supportive care needs.…”

Section: Introductionmentioning

confidence: 99%

Oncology Nurses' Recognition of Supportive Care Needs and Symptoms of their Patients Undergoing Chemotherapy

Nakaguchi

Okuyama

Uchida

et al. 2013

Japanese Journal of Clinical Oncology

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Objective: To assess the accuracy of oncology nurses' recognition of supportive care needs and symptoms of their patients undergoing chemotherapy. Methods: The participants comprised randomly selected cancer outpatients receiving chemotherapy in an ambulatory setting and 17 oncology nurses working in two chemotherapy units in Japan. For assessment of the patients' supportive care needs and symptoms, the patients were asked to respond to a validated self-administered questionnaire. The oncology nurses completed a survey in which they indicated their perception of the level of the same set of needs or symptoms. The two data sets obtained from the patients and nurses were compared statistically to assess the accuracy of the oncology nurses' recognition of their patients' needs and symptoms. Results: Complete data sets were available for 439 patients. The most common primary cancers were breast cancer (36.0%), followed by colorectal (24.4%) and lung (12.3%) cancers. Nurses' awareness of their patients' supportive care needs and physical and psychological symptoms were less than optimal in routine care. In particular, psychological symptoms and support needs for these symptoms were markedly under-recognized. Physical symptoms associated with chemotherapy, such as hair loss, appetite loss and fatigue, were better recognized than symptoms not specific to chemotherapy, such as constipation, insomnia, dyspnea and pain. Conclusions: Oncology nurses' recognition may not accurately reflect their patients' supportive care needs and symptoms in routine practice. In clinical practice, it may be beneficial to conduct routine screening of patients' perceived needs and symptoms comprehensively using self-administered questionnaires.

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The impact of psychosocial need and needs resolution on quality of life in patients with brain tumors

Cited by 9 publications

References 47 publications

Unmet Needs of Breast Cancer Patients Relative to Survival Duration

Unmet Needs of Breast Cancer Patients Relative to Survival Duration

Psychosocial needs assessment among an underserved, ethnically diverse cancer patient population

Oncology Nurses' Recognition of Supportive Care Needs and Symptoms of their Patients Undergoing Chemotherapy

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