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Psychological Distress and Its Association with Unmet Needs and Symptom Burden in Outpatient Cancer Patients: A Cross-Sectional Study
Seminars in Oncology Nursing ( IF 2.2 ) Pub Date : 2021-09-02 , DOI: 10.1016/j.soncn.2021.151214
Gülyeter Erdoğan Yüce 1 , Ayser Döner 2 , Gamze Muz 3
Affiliation  

Objectives

To evaluate the relationships of sociodemographic and clinical characteristics, symptom burden, and supportive care needs of patients with a prevalence of psychological distress in outpatients with cancer.

Data Sources

The study was carried out with 298 outpatient cancer patients at an oncology center in Turkey, and a descriptive correlational design was used. The data were collected through Hospital Anxiety-Depression Scale (HADS), Nightingale Symptom Assessment Scale (N-SAS), and Supportive Care Needs Scale Short Form (SCNS-SF34). Descriptive statistics and hierarchical regression analyses were performed.

Conclusion

The study determined that the anxiety and depression scores of a significant portion of cancer patients receiving outpatient treatment were clinically significant. It was observed that the physical and psychological symptom burden of the patients and the increase in unmet care needs related to psychological, physical, and activities of daily life contributed to the development of anxiety and depression. Of the sociodemographic and disease-related characteristics of the patients, female sex was found to be an important factor for both anxiety and depression, and advanced age was found to be an important factor for depression. These results indicate that cancer patients receiving outpatient treatment need intensive supportive psychosocial care.

Implications for Nursing Practice

It is recommended that patients’ psychological distress levels and supportive care needs be included in the care process as a routine component of care, as in symptom assessment, and to develop a more sensitive and supportive care environment in meeting psychosocial care needs and accessing support.



中文翻译:

门诊癌症患者心理困扰及其与未满足需求和症状负担的关系:一项横断面研究

目标

评估社会人口统计学和临床​​特征、症状负担和癌症门诊患者普遍存在心理困扰的患者的支持性护理需求之间的关系。

数据源

该研究在土耳其的一个肿瘤中心对 298 名门诊癌症患者进行,并使用了描述性相关设计。数据是通过医院焦虑抑郁量表 (HADS)、南丁格尔症状评估量表 (N-SAS) 和支持性护理需求量表简表 (SCNS-SF34) 收集的。进行了描述性统计和层次回归分析。

结论

该研究确定,相当一部分接受门诊治疗的癌症患者的焦虑和抑郁评分具有临床意义。据观察,患者的生理和心理症状负担以及与心理、生理和日常生活活动相关的未满足护理需求的增加导致焦虑和抑郁的发展。在患者的社会人口学和疾病相关特征中,女性是焦虑和抑郁的重要因素,高龄是抑郁的重要因素。这些结果表明,接受门诊治疗的癌症患者需要强化的支持性社会心理护理。

对护理实践的影响

建议将患者的心理困扰水平和支持性护理需求纳入护理过程,作为护理的常规组成部分,如症状评估,并在满足心理社会护理需求和获得支持方面建立更敏感和支持性的护理环境。

更新日期:2021-10-02
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