Supportive care needs of patients following treatment for colorectal cancer: risk factors for unmet needs and the association between unmet needs and health-related quality of life—results from the ColoREctal Wellbeing (CREW) study
Abstract:PurposeTo investigate unmet needs of patients with colorectal cancer (CRC) at the end of treatment and whether unmet needs improve over time. Identify predictors of need following treatment and whether unmet need is associated with worse health-related quality of life (HRQoL).MethodsAs part of the UK ColoREctal Wellbeing (CREW) cohort study, patients treated for CRC completed the Supportive Care Needs Survey Short Form-34 (SCNS SF-34) 15 and 24 months following surgery, along with questionnaires measuring HRQo… Show more
“…17 The results of research in this literature review also describe patients with breast cancer who experience problems with anxiety and depression, as well as the physical and psychological burdens they receive from the treatment they are given and the presence of a sense of concern for their future health and the fate of their close family. 18 This has an impact on the deteriorating quality of life. Women with breast cancer tend to have mental health problems with a high prevalence such as depression and anxiety.…”
Background: Breast cancer is the second type of cancer diagnosed in women and is the first cancer in women worldwide. Breast cancer also causes high morbidity and mortality in women and becomes a heavy burden due to the incidence of disability due to the disease. Purpose: This literature review aims to examine how social support affects anxiety, depression and quality of life in breast cancer sufferers. Method: The data were obtained by searching for reputable and trustworthy journals. have high quality criteria, namely Scopus, Proquest, Science Direct, Elsevier, Pubmed. Journals or articles used in this review literature are searched using keywords and Boolean operators (AND, OR NOT, or AND NOT). Keywords in this review literature are as follows: social support OR family support, quality of life OR Quality, anxiety OR depression, AND Cancer OR cancer treatment OR Chronic disease. Results: The results of this literature review show that there is a significant influence between the social support received by breast cancer patients on the improvement of their quality of life. The social support provided is also able to reduce anxiety and depression in breast cancer sufferersConclusion: Social support given to breast cancer patients is proven to have an effect on improving the quality of life, reducing anxiety and depression.
“…17 The results of research in this literature review also describe patients with breast cancer who experience problems with anxiety and depression, as well as the physical and psychological burdens they receive from the treatment they are given and the presence of a sense of concern for their future health and the fate of their close family. 18 This has an impact on the deteriorating quality of life. Women with breast cancer tend to have mental health problems with a high prevalence such as depression and anxiety.…”
Background: Breast cancer is the second type of cancer diagnosed in women and is the first cancer in women worldwide. Breast cancer also causes high morbidity and mortality in women and becomes a heavy burden due to the incidence of disability due to the disease. Purpose: This literature review aims to examine how social support affects anxiety, depression and quality of life in breast cancer sufferers. Method: The data were obtained by searching for reputable and trustworthy journals. have high quality criteria, namely Scopus, Proquest, Science Direct, Elsevier, Pubmed. Journals or articles used in this review literature are searched using keywords and Boolean operators (AND, OR NOT, or AND NOT). Keywords in this review literature are as follows: social support OR family support, quality of life OR Quality, anxiety OR depression, AND Cancer OR cancer treatment OR Chronic disease. Results: The results of this literature review show that there is a significant influence between the social support received by breast cancer patients on the improvement of their quality of life. The social support provided is also able to reduce anxiety and depression in breast cancer sufferersConclusion: Social support given to breast cancer patients is proven to have an effect on improving the quality of life, reducing anxiety and depression.
“…Poor social support also was associated with the receipt of mental health services postoperatively. Social support often is a vital component of successful recovery from surgery . Patients recovering from surgery may need assistance with medication adherence, dressing changes, completion of ADLs and iADLs, communication with the health care team, and transportation to follow‐up appointments.…”
BACKGROUND: Surgery is a notable stressor for older adults with cancer, who often are medically and psychosocially complex. The current study examined rates of preoperative psychosocial risk factors in older adults with cancer who were undergoing elective surgery and the relationship between these risk factors and the provision of mental health services during the postoperative hospitalization. METHODS: A total of 1211 patients aged ≥75 years who were referred to the geriatrics service at a comprehensive cancer center were enrolled. Patients underwent elective surgery with a length of stay of ≥3 days and were followed for at least 30 days after surgery. A comprehensive geriatric assessment was administered as part of routine preoperative care. Bivariate relationships between demographic and surgical characteristics and the preoperative comprehensive geriatric assessment and the receipt of mental health services during the postoperative hospitalization period were examined. Characteristics with bivariate relationships that were significant at the level of P < .10 were entered into a multivariable regression predicting postoperative mental health service use. RESULTS: Approximately one-fifth of the total sample (20.6%) received postoperative mental health services. In multivariable analyses, high distress (P = .007) and poor social support (P = .02) were found to be associated with a greater likelihood of the receipt of mental health services. Of those patients with high distress and poor social support, only approximately one-quarter (24.6%-25.5%) received mental health care. CONCLUSIONS: Distressed older adults and those with low levels of support preoperatively were found to be more likely to receive mental health services after surgery. Nevertheless, less than one-third of these patients received inpatient postoperative mental health care, indicating that barriers to translating screening into the provision of psychosocial services remain. Cancer 2020;126:602-610.
“…Assessing unmet care needs can provide specific information to present patients' physical, psychological and social needs and also let health care providers know what care resources should be offered to the patients (Li et al, 2013). Recently, many assessment tools are available to evaluate care needs of patients in other populations (e.g., patients with cancer) (Fang, Cheng, & Lin, 2018; Sodergren et al, 2019). The commonly reported domains of care needs include psychological, health system and information, physical and daily living, patient care and support, and sexual needs (Li et al, 2013; Sodergren et al, 2019).…”
Section: Literature Reviewmentioning
confidence: 99%
“…Recently, many assessment tools are available to evaluate care needs of patients in other populations (e.g., patients with cancer) (Fang, Cheng, & Lin, 2018; Sodergren et al, 2019). The commonly reported domains of care needs include psychological, health system and information, physical and daily living, patient care and support, and sexual needs (Li et al, 2013; Sodergren et al, 2019). Although renal transplantation constitutes the largest group of solid organ transplant (Tsai & Yu, 2016), no reliable instrument is available to assess renal transplant recipients' care needs until now.…”
Background
Needs assessment can determine how large the gap is between needs and available services; however, no tools are available to assess the unmet needs of renal transplant recipients.
Objectives
The aim of this study was to develop the Care Needs for Organ Transplant Recipients Scale (CNOTRS) and examine its psychometric properties.
Design
A cross‐sectional design for instrument development and psychometric testing.
Participants
In total, 217 renal transplant recipients were recruited through convenience sampling.
Methods
An initial 36‐item CNOTRS was developed after a comprehensive literature review. After the CNOTRS was tested through content validity and face validity, the factor structure was explored using exploratory factor analysis (EFA). Convergent validity was examined using Pearson's correlation between the CNOTRS and Hospital Anxiety and Depression Scale (HADS). Known‐group validity was tested by comparing CNOTRS scores of patients grouped based on whether they had experienced complications or rejection.
Results
Twenty‐eight items with three factors (namely daily care and social interaction needs, psychological needs, and health system and service needs) were identified in EFA by parallel analysis and Velicer's MAP test. The psychological needs domain had a stronger positive correlation with the HADS than the other two domains. The known‐group validity was supported as a significant association between complications or rejection occurrence and unmet needs. The Cronbach's α of the CNOTRS was 0.94.
Conclusions
The CNOTRS demonstrated satisfactory reliability and validity to assess the care needs for renal transplant recipients and can assist health care professionals to tailor more personalised care for their individual needs.
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