癌症患者需求未满足及其影响因素分析  

Analysis of unmet needs of cancer patients and the influence factors

作　　者：郑瑾[1] 杨昱[1] 尤黎明[2] 张美芬[2] 

机构地区：[1]中国医科大学附属第一医院泌尿外科,辽宁省沈阳市110001 [2]中山医科大学护理学院,广东省广州市510089

出　　处：《中国临床康复》2004年第8期1401-1403,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:确定癌症患者的需要以及哪些需要没有得到满足,探讨癌症患者需要未满足的影响因素。方法:用癌症患者需要调查问卷(SCNS)对317例第一诊断为乳腺癌、胃癌、直肠癌、肺癌的患者进行问卷调查。结果:在调查的5个需要领域中,癌症患者在健康信息领域需要最多,需要未得到满足也最多,在性领域需要的帮助最少。在对各需要领域未满足的影响因素中:年龄与心理领域的需要有关,健康状态与患者生理与日常生活、心理需要有关,诊断与癌患者的心理需要有关,治疗方式是癌症患者需要的重要影响因素,影响着患者生理与日常生活、心理、性、照顾与支持4个领域的需要。结论:癌症患者在多个领域有较多的需要和未满足的需要,提示目前社会及医务人员对癌症患者的支持效果未能令人满意,患者的需要没有得到很好的满足。研究为临床有效评估癌症患者在哪些方面存在需要提供依据,根据患者的不同需要给予相应的支持。AIM:To identify cancer patients' needs and their unmet needs,and to explore the factors related to cancer patients' needs. METHODS:Supportive care needs survey(SCNS) was performed in 317 cancer patients with the first diagnosis of breast cancer,stomach cancer,rectum cancer and lung cancer. RESULTS:Cancer patients needing help was mostly in the domain of health system and information,the unmet needs were also the most,while sexuality was the lowest.Of all the factors related to cancer patients' needs,age was related to the domain of psychology,health status was related to the domain of physical,daily life and psychological needs,diagnosis was related to the domains of psychological needs and treatment,the most important factor was related to four domains of daily life,psychology,sexuality and care and support. CONCLUSION:Cancer patients still have a great deal of needs and unmet needs in many domains which implies that the supports from society and medical staff can not meet cancer patients' needs satisfactorily. Furthermore,the survey provides the information about cancer patients' needs and the extent to which cancer patients need help,thus the supportive care from nursing staff can be regulated for the patients.

关 键 词：癌症 需求未满足 影响因素 调查 整体护理 

分 类 号：R473.73[医药卫生—护理学] R730[医药卫生—临床医学]