Supportive Care Needs of Individuals With Colorectal Cancer in a Low- and Middle-Income Setting: Implications for Advancing Patient-Centered Cancer Care.

IF 3.5 2区医学 Q2 ONCOLOGY

Psycho‐Oncology Pub Date : 2025-06-01 DOI:10.1002/pon.70190

Nur-Nadiatul-Asyikin Bujang, Mahmoud Danaee, Yek-Ching Kong, Muthukkumaran Thiagarajan, Harenthri Devy Alagir Rajah, William E Rosa, Muhd Ash-Shafawi Adznan, Hazzeeq-Safin Hashim, Nur Akmalrudin Nur Dzainuddin, Muhammad Radzi Abu Hassan, April Camilla Roslani, Meheshinder Singh, Wan Zamaniah Wan Ishak, Nirmala Bhoo-Pathy

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引用次数: 0

Abstract

Background: Increasing prevalence of colorectal cancer (CRC) demands comprehensive understanding of the corresponding supportive care needs (SCN), especially in low and middle-income settings.

Aims: We measured SCN following CRC in a multiethnic, upper middle-income setting, and the associated factors.

Methods: Six-hundred-thirty individuals with CRC were recruited from seven oncology centres and a non-governmental organization in Malaysia. A locally developed, and validated 48-item bilingual Needs Assessment Tool for Colorectal Cancer with a 6-point Likert scale was used to assess six domains: diagnosis, psychosocial and information, healthcare, practical, financial, and employment. Vulnerable subgroups were identified using multivariable generalized linear models.

Results: High healthcare needs (78.6%) namely shorter hospital waiting times (79.7%) and conveniently located hospital facilities (79.5%), as well as, psychosocial and information needs (70.0%) including easily understood information (87.9%) and compassion from healthcare teams (73.0%) were highly prevalent. High diagnosis (59.4%), financial (36.8%), employment (31.7%), and practical needs (26.7%) also prevailed. Multivariable analyses identified several vulnerable subgroups with high SCN across multiple domains: Younger age (< 60 years) was significantly associated with heightened SCN, especially in psychosocial and information, financial, employment and practical domains. Receiving care in public hospitals was significantly associated with increased psychosocial and information needs, and healthcare needs. Those living with CRC over longer terms (> 3 years vs. 1 year) reported higher practical needs.

Conclusion: As the SCN of patients with CRC extend beyond the traditional scope of disease-directed oncology care, addressing high levels of needs in resource-limited settings will require collective action across diverse disciplines and sectors.

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低收入和中等收入地区结直肠癌患者的支持性护理需求：促进以患者为中心的癌症护理的意义

背景：越来越多的结直肠癌（CRC）患病率要求全面了解相应的支持性护理需求（SCN），特别是在低收入和中等收入环境中。目的：我们测量了多种族、中高收入环境下结直肠癌后的SCN及其相关因素。方法：从马来西亚的7个肿瘤中心和一个非政府组织招募了630名结直肠癌患者。使用本地开发并经过验证的48项双语结直肠癌需求评估工具和6点李克特量表来评估六个领域：诊断，心理社会和信息，医疗保健，实践，财务和就业。利用多变量广义线性模型识别弱势亚群。结果：高医疗需求（78.6%），即较短的候诊时间（79.7%）和便利的医院设施（79.5%），以及心理社会和信息需求（70.0%），包括易于理解的信息（87.9%）和医疗团队的同情（73.0%）非常普遍。高诊断（59.4%）、经济（36.8%）、就业（31.7%）和实际需要（26.7%）也占多数。多变量分析确定了几个跨多个领域的高SCN易感亚组：年龄较小（3岁vs. 1岁）的实际需求更高。结论：随着结直肠癌患者的SCN扩展到传统的以疾病为导向的肿瘤治疗范围之外，在资源有限的环境中解决高水平的需求将需要跨不同学科和部门的集体行动。

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

Psycho‐Oncology 医学-心理学

CiteScore

6.30

自引率

8.30%

发文量

220

审稿时长

3-8 weeks

期刊介绍： Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.