Relatives' Unmet Needs in the Last Year of Life of Patients With Advanced Cancer: Results of a Dutch Prospective, Longitudinal Study (eQuiPe).

IF 1.3 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Laurien Ham, Heidi P Fransen, Alexander de Graeff, Mathijs P Hendriks, Wouter K de Jong, Jeroen Kloover, Evelien Kuip, Caroline Mandigers, Dirkje Sommeijer, Lonneke van de Poll, Natasja Raijmakers, Lia van Zuylen
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Abstract

Objective(s): Unmet needs of relatives of patients with advanced cancer not only reduce their own health-related quality of life, but may also negatively affect patients' health outcomes. The aim of this study was to assess changes in relatives' unmet needs of patients with advanced cancer in the last year of life and to identify differences in unmet needs by gender and type of relationship. Methods: Relatives of patients with advanced cancer in the Netherlands were included in a prospective, longitudinal, observational study. Relatives' unmet needs were measured every 3 months with an adapted version of the Problems and Needs in Palliative Care (PNPC) questionnaire Caregiver form (44 items, 12 domains). Questionnaires completed in the patients' last year of life were analyzed. Change of unmet needs in the last year, and differences in unmet needs by gender and type of relationship were analyzed. Results: A total of 409 relatives were included with a median of 4 unmet needs in the patient's last year. Unmet needs were most prevalent at all time points during the last year in the domains "caring for the patient" (highest need = 35%) and "psychological issues" (highest need = 40%). The number of unmet needs of relatives did not change significantly during the last year of life (P=.807). There were no significant differences in the number of unmet needs between male and female partners and between partners and other relatives. Conclusion: The most unmet needs for relatives were in the domains "caring for the patient" and "psychological issues." Professional support should focus on these items. Within these domains, it seems especially important that relatives get more knowledge and support about what scenarios to expect and how to deal with them.

晚期癌症患者最后一年生活中亲属未满足的需求:荷兰前瞻性纵向研究(eQuiPe)的结果。
目的晚期癌症患者亲属的需求未得到满足不仅会降低其自身的健康相关生活质量,还可能对患者的健康状况产生负面影响。本研究旨在评估晚期癌症患者亲属在生命最后一年未得到满足的需求的变化情况,并根据性别和关系类型确定未得到满足的需求的差异。研究方法一项前瞻性纵向观察研究纳入了荷兰晚期癌症患者的亲属。研究人员每 3 个月使用改编版姑息治疗中的问题与需求(PNPC)问卷的护理人员表格(44 个项目,12 个领域)对亲属未满足的需求进行测量。对患者生命最后一年完成的问卷进行了分析。分析了过去一年未满足需求的变化情况,以及不同性别和关系类型的未满足需求差异。结果共纳入了 409 名亲属,他们在患者生命最后一年未满足的需求中位数为 4。在过去一年中的所有时间点,未满足的需求最普遍的领域是 "照顾病人"(最高需求 = 35%)和 "心理问题"(最高需求 = 40%)。在生命的最后一年,亲属未满足需求的数量没有显著变化(P=.807)。男性和女性伴侣之间以及伴侣和其他亲属之间未满足的需求数量没有明显差异。结论亲属未满足需求最多的领域是 "照顾病人 "和 "心理问题"。专业支持应侧重于这些项目。在这些领域中,似乎尤为重要的是,亲属应获得更多的知识和支持,以了解预期会出现哪些情景以及如何应对这些情景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Palliative Care
Journal of Palliative Care 医学-卫生保健
CiteScore
3.20
自引率
5.90%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Palliative Care is a quarterly, peer-reviewed, international and interdisciplinary forum for practical, critical thought on palliative care and palliative medicine. JPC publishes high-quality original research, opinion papers/commentaries, narrative and humanities works, case reports/case series, and reports on international activities and comparative palliative care.
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