Unmet Supportive Care Needs and Associated Factors: a Cross-sectional Survey of Chinese Cancer Survivors.
Cancer survivors
China
Self-efficacy
Social support
Supportive care needs
Journal
Journal of cancer education : the official journal of the American Association for Cancer Education
ISSN: 1543-0154
Titre abrégé: J Cancer Educ
Pays: England
ID NLM: 8610343
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
pubmed:
15
5
2020
medline:
29
1
2022
entrez:
15
5
2020
Statut:
ppublish
Résumé
To assess cancer survivors' unmet supportive care needs and associated factors. Limited evidence is available about the supportive care needs of Chinese cancer survivors to inform future service planning. A cross-sectional survey was conducted (STROBE cross-sectional checklist used for report). Standardized questionnaires were administered to 364 cancer survivors. Using the Supportive Care Framework as conceptual framework, factors concerning individuals' cognitive appraisals of their situation and social resources were examined to explore their association with unmet supportive care needs. The most common unmet supportive care needs included concern about the cancer coming back (51.5%), the need for up-to-date information (49.3%), collaborative management with the medical team (48.8%), and financial support (48.8%). Factors associated with greater strength of unmet supportive care needs included being female, having higher personal support, and higher self-efficacy pertaining to social relationship. Having lower support from family and friends was a contributing factor associated with greater strength of unmet needs in comprehensive cancer care and relationship, as was lower self-efficacy pertaining to uncertainty management associated with greater strength of unmet needs in quality of life, and lower self-efficacy pertaining to health professional interaction associated with greater strength of unmet needs in information. Chinese cancer survivors experience a number of unmet supportive needs. Female and rural cancer survivors, and those with lower social support level and self-efficacy are susceptible to having higher levels of unmet supportive care needs. Consistent information provision and peer support system establishment are two potentially beneficial approaches to meet cancer patients' long-term supportive care needs. Females and rural cancer survivors, those with less support from family and friends, and those with lower self-efficacy in interactions with health professionals and in managing uncertainty are especially at risk for unmet supportive care needs.
Identifiants
pubmed: 32406045
doi: 10.1007/s13187-020-01752-y
pii: 10.1007/s13187-020-01752-y
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1219-1229Informations de copyright
© 2020. American Association for Cancer Education.
Références
Feng RM, Zong YN, Cao SM, Xu RH (2019) Current cancer situation in China: good or bad news from the 2018 Global Cancer Statistics? Cancer Commun (Lond) 39(1):22
doi: 10.1186/s40880-019-0368-6
National Health and Family Planning Commission of the People’s Republic of China (NHFPC) statistical center (2016) China’s Health And Family Planning Statistical Yearbook 2016. Peking Union Medical College Press, Beijing
Storey DJ, Fallon MT, Smyth JF (2011) The interface between medical oncology and supportive and palliative cancer care. Semin Oncol 38(3):337–342
doi: 10.1053/j.seminoncol.2011.03.021
Tan X, Liu X, Shao H (2017) Healthy China 2030: a vision for Health care. Value Health Reg Issues 12:112–114
The Communist Party of China (CPC) Central Committee and the State Council (2016) Healthy China 2030 blueprints. the Xinhua News Agency, BeiJing
Molassiotis A, Yates P, Li Q, So WKW, Pongthavornkamol K, Pittayapan P, Komatsu H, Thandar M, Yi M, Titus Chacko S, Lopez V, Butcon J, Wyld D, Chan RJ, Doolan M, Litam ME, Onofre R, Lluch C, Nacion R, Ombao ML, Soe ZW, Myint T, Ang E, Arao H, Yagasaki K, Ravindran V, Rhenius RV, Lucas A, Kujur LP, Princy A, Choi KC, Choy YP, Lee YP, Shiu CY, Xu Y (2017) Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: results from the International STEP Study. Ann Oncol 28(10):2552–2558
doi: 10.1093/annonc/mdx350
Zeng Y, Cheng AS, Liu X, Chan CC (2017) Cervical cancer survivors’ perceived cognitive complaints and supportive care needs in mainland China: a qualitative study. BMJ Open 7(6)
Lam WW, Au AH, Wong JH et al (2011) Unmet supportive care needs: a cross-cultural comparison between Hong Kong Chinese and German Caucasian women with breast cancer. Breast Cancer Res Treat 130(2):531–541
doi: 10.1007/s10549-011-1592-1
Park BW, Hwang SY (2012) Unmet needs of breast cancer patients relative to survival duration. Yonsei Med J 53(1):118–125
doi: 10.3349/ymj.2012.53.1.118
Valery P, Bernardes C, Beesley V, Hawkes A, Baade P, Garvey G (2017) Unmet supportive care needs of Australian aboriginal and Torres Strait Islanders with cancer: a prospective, longitudinal study. Support Care Cancer 25(3):869–877
doi: 10.1007/s00520-016-3475-9
Fiszer C, Dolbeault S, Sultan S, Brédart A (2014) Prevalence, intensity, and predictors of the supportive care needs of women diagnosed with breast cancer: a systematic review. Psycho-Oncology. 23(4):361–374
doi: 10.1002/pon.3432
Kim SH, Lee S, Kim SH, Ok ON, Kim IR, Choi E, Kang YK, Kim SJ, Lee MH (2017) Unmet needs of non-Hodgkin lymphoma survivors in Korea: prevalence, correlates, and associations with health-related quality of life. Psycho-Oncology. 26(3):330–336
doi: 10.1002/pon.4136
Bandura A, Caprara GV, Barbaranelli C, Gerbino M, Pastorelli C (2003) Role of affective self-regulatory efficacy in diverse spheres of psychosocial functioning. Child Dev 74(3):769–782
doi: 10.1111/1467-8624.00567
Chen H-L, Liu K, You Q-S (2018) Self-efficacy, cancer-related fatigue, and quality of life in patients with resected lung cancer. Eur J Cancer Care; 0(0):e12934
Chou F-Y (2019) Cancer illness perception and self-management of Chinese patients. Asia Pac J Oncol Nurs 6(1):57–63
doi: 10.4103/apjon.apjon_56_18
Keinki C, Seilacher E, Ebel M, Ruetters D, Kessler I, Stellamanns J, Rudolph I, Huebner J (2016) Information needs of cancer patients and perception of impact of the disease, of self-efficacy, and locus of control. J Cancer Educ 31(3):610–616
doi: 10.1007/s13187-015-0860-x
Eller LS, Lev EL, Yuan C, Watkins AV (2018) Describing self-care self-efficacy: definition, measurement, outcomes, and implications. Int J Nurs Knowl 29(1):38–48
doi: 10.1111/2047-3095.12143
Fitch M (2015) Supportive care framework. Can Oncol Nurs J 18(1):9
Green SB (1991) How many subjects does it take to do a regression analysis? Multivar Behav Res 26(3):499–510
doi: 10.1207/s15327906mbr2603_7
Hodgkinson K, Butow P, Hunt GE, Pendlebury S, Hobbs KM, Lo SK, Wain G (2007) The development and evaluation of a measure to assess cancer survivors’ unmet supportive care needs: the CaSUN (Cancer Survivors’ Unmet Needs measure). Psycho-Oncology. 16(9):796–804
doi: 10.1002/pon.1137
So WKW, Xing WJ, Choi KC (2018) Translation and psychometric testing of Chinese version of Cancer Survivors’ Unmet Needs (CaSUN) (Poster). Paper presented at: Eighth Nursing Symposium on Cancer Care; Hong Kong SAR
Glasgow RE, Toobert DJ, Barrera MJ, Strycker LA (2005) The chronic illness resources survey: cross-validation and sensitivity to intervention. Health Educ Res 20(4):402–409
doi: 10.1093/her/cyg140
Wang HM, Lou Y, Yang FY, Liu LH (2013) An evaluation of the Chinese version of chronic illness resource survey scale among cancer patients. Zhejiang Journal of Preventive Medicine 25(6):1–6
Campbell J, Yates P, Clinton M, Mirolo B, Sellick K (1998) Development of a scale to assess cancer patients’ self-efficacy with managing symptoms and treatment side effects. Queensland Nursing Council and Glaxo - Wellcome Australia, Brisbane RAN9728
Wang HM, Zhang Y, Lou Y, Yang FY, Liu LH (2012) The psychometric test of Chinese version assessment of self-efficacy in managing cancer experiences (zhong wen ban ai zheng zi wo xiao neng ping gu liang biao xin xiao du de ce liang). Chin J Nurs 47(4):337–338
Heinze G, Dunkler D (2017) Five myths about variable selection. Transpl Int 30:6–10
doi: 10.1111/tri.12895
Miller LE (2012) Sources of uncertainty in cancer survivorship. J Cancer Surviv 6(4):431–440
doi: 10.1007/s11764-012-0229-7
Lim BT, Butow P, Mills J, Miller A, Goldstein D (2017) Information needs of the Chinese community affected by cancer: a systematic review. Psycho-Oncology. 26(10):1433–1443
doi: 10.1002/pon.4347
Cheng H, Sit JWH, Cheng KKF (2017) A qualitative insight into self-management experience among Chinese breast cancer survivors. Psycho-Oncology. 26(7):1044–1049
doi: 10.1002/pon.4279
You J, Lu Q (2014) Sources of social support and adjustment among Chinese cancer survivors: gender and age differences. Support Care Cancer 22(3):697–704
doi: 10.1007/s00520-013-2024-z
Wang J-W, Shen Q, Ding N, Zhang TR, Yang ZQ, Liu C, Chen SJ, Berry HL, Yuan ZP, Yu JM (2016) A qualitative exploration of the unmet psychosocial rehabilitation needs of cancer survivors in China. Psycho-Oncology. 25(8):905–912
doi: 10.1002/pon.4023
Zhou X (2016) Cancer patients self-help organization participation and social support utilization [master thesis]. Shanghai: School of law and politics, Shanghai Normal University
National Development and Reform Commission (NDRC), Ministry of Health, Ministry of Finance, Ministry of human resources and social security (MOHRSS), Ministry of Civil Affairs, China Insurance Regulatory Commission (CIRC) (2012) Instructions for major disease medical insurance scheme for rural and urban areas. China Labour 10:63–64
Diao Y, Qian J, Liu Y, Zhou Y, Wang Y, Ma H, Wang X, Luo R, Wagner A, Sun J, Liu Y (2019) How government insurance coverage changed the utilization and affordability of expensive targeted anti-cancer medicines in China: an interrupted time-series study. J Glob Health 9(2):020702
doi: 10.7189/jogh.09.020702
Liao Y-H, Li C-I, Lin C-C, Lin J-G, Chiang J-H, Li T-C (2017) Traditional Chinese medicine as adjunctive therapy improves the long-term survival of lung cancer patients. J Cancer Res Clin Oncol 143(12):2425–2435
doi: 10.1007/s00432-017-2491-6
Yang G, Lee R, Zhang H, Gu W, Yang P, Ling C (2017) National survey of China’s oncologists’ knowledge, attitudes, and clinical practice patterns on complementary and alternative medicine. Oncotarget. 8(8):13440–13449
doi: 10.18632/oncotarget.14560
Burg MA, Adorno G, Lopez EDS, Loerzel V, Stein K, Wallace C, Sharma DKB (2015) Current unmet needs of cancer survivors: analysis of open-ended responses to the American Cancer Society study of Cancer Survivors II. Cancer. 121(4):623–630
doi: 10.1002/cncr.28951
Tabrizi FJ, Rahmani A, Jafarabadi MA, Jasemi M, Allahbakhshian A (2016) Unmet supportive care needs of Iranian cancer patients and its related factors. J Caring Sci 5(4):307–316
doi: 10.15171/jcs.2016.032
Meng Q, Fang H, Liu X, Yuan B, Xu J (2015) Consolidating the social health insurance schemes in China: towards an equitable and efficient health system. Lancet 386(10002):1484–1492
doi: 10.1016/S0140-6736(15)00342-6
Chen W, Zheng R, Zuo T, Zeng H, Zhang S, He J (2016) National cancer incidence and mortality in China, 2012. Chin J Cancer Res 28(1):1–11
pubmed: 27041922
pmcid: 4779764
Zhou XD, Li L, Hesketh T (2014) Health system reform in rural China: voices of healthworkers and service-users. Soc Sci Med 117:134–141
doi: 10.1016/j.socscimed.2014.07.040
Mystakidou K, Parpa E, Tsilika E, Katsouda E, Vlahos L (2004) Cancer information disclosure in different cultural contexts. Support Care Cancer 12(3):147–154
doi: 10.1007/s00520-003-0552-7
Pin S, Guilley E, Spini D, Lalive d’Epinay C (2005) The impact of social relationships on the maintenance of independence in advanced old age: findings of a Swiss longitudinal study. Z Gerontol Geriatr 38(3):203–209
Sammarco A (2001) Perceived social support, uncertainty, and quality of life of younger breast cancer survivors. Cancer Nurs 24(3):212–219
doi: 10.1097/00002820-200106000-00007
Wonghongkul T, Dechaprom N, Phumivichuvate L, Losawatkul S (2006) Uncertainty appraisal coping and quality of life in breast cancer survivors. Cancer Nurs 29(3):250–257
doi: 10.1097/00002820-200605000-00014