Unmet Needs of Women Diagnosed with Gynecologic Cancer: An Overview of Literature

Akalın, Ayşe; Pınar, Gül

doi:10.4172/2165-7386.1000249

Cited by 14 publications

(19 citation statements)

References 36 publications

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“…Cancer has been reported as being the second most common cause of mortality in today’s world and governments have recognized it as a major threat to national health [ 1 ]. The GLOBOCAN report of 2012 shows that there were over 14 million new cases of cancer and 8.2 million deaths from cancer in 2012 [ 2 ]. In the United States alone, more than one million new incidences of cancer occur every year and this contributes about one-fifth of all deaths in the country [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients

Okediji¹,

Salako²,

Fatiregun³

2017

Cureus

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The incidence of cancers is increasing and this is associated with an increase in the burden of the disease. Patients with cancer have to deal with reduced physical functioning, emotional instability, difficulty in concentrating, and an overall diminished feeling of well-being. This creates deficits that have not been well catered for by traditional cancer care, leading to an overall dissatisfaction with care and a reduced quality of life. This review aims at assessing the pattern of unmet needs in cancer patients and to provide information as to the factors that influence the perception of unmet needs. Studies directly focused on unmet needs in cancer patients which were retrieved from Medical Literature Analysis and Retrieval System Online (MEDLINE), Public/Publisher Medline (PubMed), PsychINFO, Excerpta Medica database (EMBASE), and Google Scholar; from the earliest records till 2016. Unmet needs in cancer patients have been measured with a wide variety of tools, with the supportive care needs survey (SCNS) being the most commonly used as a result of its strong psychometric properties, ease of use, responsiveness, and its coverage of the major domains of unmet needs. The most common unmet needs were in the domains of health system and information, psychological, and physical and daily living. These needs are influenced by sociodemographic factors such as age, sex, marital status, income level; and clinical factors such as location of cancer, stage of disease, and tumor size. It is clear that cancer patients experience a wide range of unmet supportive needs, for which solutions need to be devised in order to improve the supportive care services for these patients and their overall quality of life.

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Section: Introductionmentioning

confidence: 99%

Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients

Okediji¹,

Salako²,

Fatiregun³

2017

Cureus

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“…Early detection and improvement in treatment of these cancers has led to improvements in survival and, consequently, an increase in the number of survivors . However, survival is accompanied by several negative aspects, such as fatigue, physical changes, sexual dysfunction, anxiety, and/or depression . In addition to the physical and psychological disorders, survivors of gynecological cancer can experience economic problems related to work, or access to loans and insurance .…”

Section: Introductionmentioning

confidence: 99%

Long-Term Gynecological Cancer Survivors in Côte d'Or: Health-Related Quality of Life and Living Conditions

et al. 2018

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Background The likelihood that health‐related quality of life (HRQoL) could depend on factors other than clinical data increases with the duration of follow‐up since diagnosis. The aim of this study was to identify determinants of long‐term HRQoL in women with cervical, endometrial, and ovarian cancer. Secondary objectives were to describe their living conditions (sexual function, psychological distress, social and professional reinsertion). Materials and Methods In a cross‐sectional survey, women diagnosed with cervical, endometrial, and ovarian cancers from 2006 to 2013 were selected through the French gynecological cancers registry of Côte d'Or. Validated questionnaires exploring HRQoL (short‐form health survey; SF‐12), anxiety and depression (Hospital Anxiety and Depression Scale), social support (Sarason's Social Support Questionnaire), sexual function (Female Sexual Function Index), and living conditions (EPICES questionnaire) were used to assess HRQoL and its determinants. Social and professional reinsertion were also investigated using study‐specific questionnaires. Determinants of HRQoL were identified using a multivariable mixed‐regression model for each composite score of the SF‐12. Results In total, 195 gynecological cancer survivors participated in the survey. HRQoL was deteriorated for almost all the SF‐12 dimensions. The main determinants of poor HRQoL were comorbidities, deprivation, lack of availability and satisfaction with social support, and psychological outcomes. Thirty‐four percent of survivors of gynecological cancer reported a negative impact of cancer on their work, and 73% reported an impaired ability to work after treatment. Conclusions Long‐term HRQoL of survivors of gynecological cancer is not impacted by stage of disease. Specific interventions should focus on issues that promote social and professional reintegration and improve HRQoL. Implications for Practice This study shows that women with gynecological cancer have problems related to work and sexual dysfunction, even 5 years after diagnosis. The results of this study will help improve clinicians’ awareness of the factors affecting the lives of gynecological cancer survivors, even long after diagnosis and treatment. They will also highlight for clinicians the areas that are of importance to gynecological cancer survivors, making it possible to guide management of these patients with a view to preventing deteriorated health‐related quality of life after treatment. For the health authorities, the results of this study underline that more than 5 years after gynecological cancer, the initial stage of disease no longer affects quality of life, but there is a clear need for actions targeting socio‐professional reintegration of survivors.

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“…[ 34 ] Spirituality helps individuals cope with the disease due to its psychosocial and physiological effects in many cultures. [ 35 ] In the literature review, no studies related to spiritual distress have been found in those who care for patients diagnosed with hematologic malignancy. Several studies reported that spirituality is one of the needs that are not addressed in caregivers of cancer patients.…”

Section: Discussionmentioning

confidence: 99%

Identification of Psychological and Social Problems in Caregivers of Individuals Diagnosed with Hematologic Malignancy

Karacan

Akkuş

Özçelik

et al. 2021

Asia-Pacific Journal of Oncology Nursing

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Objective: Caring for patients with hematological malignancy could lead to many problems in different aspects regarding the lives of caregivers. However, there is limited data on the emotional and social problems of caregivers, who deal with patients of hematological malignancy. The aim of this study is to determine the emotional and social problems in caregivers of individuals diagnosed with hematological malignancy. Methods: The study was carried out descriptively to identify the emotional and social problems in the relatives of the patients diagnosed with hematological malignancy as their caregivers, as well as the factors affecting these problems. The data of the study were collected with the Introductory Information Form and Identification of Emotional and Social Problems Form that were administered to the relatives of the patients. The data were evaluated by using Spearman's Rho correlation analysis and the Logit analysis in Statistical Package for the Social Sciences software. Results: Among the caregivers, 59.8% were in the age group of 30–51 years, and 66.2% were female. Of the caregivers, 70.1% had difficulty in fulfilling their responsibilities. Spiritual distress had the highest score among the emotional problems, and experiencing caregiver strain had the highest score among the social problems. In the Logit model, the changes in the professional life was the variable that affects the emotional and social problems the most and significantly. In addition, emotional problems were affected by the financial problems at a statistically significant level. Conclusions: In this study, it is suggested that the caregivers should be provided with certain conveniences in their professional lives based on the fact that the problem, which affected emotional and social problems the most, is the change in the professional life; it is recommended that further studies should be carried out on the caregivers.

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Unmet Needs of Women Diagnosed with Gynecologic Cancer: An Overview of Literature

Cited by 14 publications

References 36 publications

Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients

Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients

Long-Term Gynecological Cancer Survivors in Côte d'Or: Health-Related Quality of Life and Living Conditions

Identification of Psychological and Social Problems in Caregivers of Individuals Diagnosed with Hematologic Malignancy

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