新西兰前列腺癌患者的支持性护理需求:一项跨种族分析。

IF 3.3 2区 医学 Q2 ONCOLOGY
Hui Xiao, G David Baxter, Lizhou Liu, Tobias Hoeta, Erik Wibowo
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引用次数: 0

摘要

背景:前列腺癌(PCa)在新西兰(NZ)是一个重要的健康负担。前列腺癌生存率的提高使得人们将重点从生存转向生活质量(QoL)和延长生存期的支持性护理。方法:我们在全国范围内开展了一项横断面调查,招募了三组1000名前列腺癌男性(诊断为前列腺癌的男性1年内,1 - 3年,3 - 5年)以及另外一个Māori男性组(N = 4000)。调查工具测量了生活质量、支持性护理需求和护理服务利用率。结果:对1075份回复的分析显示Māori男性经历了较低的生活质量,并报告了更多未满足的支持性护理需求。信息和心理需求主要报告在Māori和非Māori组。这些需求的主要预测因素包括心理健康状况、荷尔蒙失衡和就业状况。结论:该研究突出了新西兰前列腺癌幸存者(PCS)在支持性护理需求方面的显著种族差异,强调了量身定制的、文化敏感的医疗保健干预措施的必要性。解决这些需求的复杂决定因素对于增进所有PCS的福祉至关重要。对癌症幸存者的启示:积极寻求健康信息和心理健康咨询将通过减少未满足的支持性护理需求和提高整体生活质量,显着使PCS受益。这种方法鼓励幸存者在他们的医疗保健中发挥积极作用,可能导致更好的健康结果和提高福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Landscape of Supportive Care Needs Among Prostate Cancer Patients in New Zealand: A Cross-Ethnic Analysis.

Background: Prostate cancer (PCa) is a significant health burden within New Zealand (NZ). Survival gains from prostate cancer have created a shift in focus from survival towards quality of life (QoL) and supportive care during extended survivorship.

Method: We launched a nation-wide cross-sectional survey and recruited three cohorts of 1000 men with prostate cancer (men diagnosed with prostate cancer within 1 year, between 1 and 3 years, and between 3 and 5 years) as well as an additional Māori men group (N = 4000 in total). The survey instruments measured quality of life, supportive care needs, and care service utilization.

Results: Analysis of 1075 responses revealed that Māori men experienced lower quality of life and reported greater unmet supportive care needs. Information and psychology needs were mostly reported in both Māori and non- Māori groups. Key predictors of these needs included mental health conditions, hormonal imbalances, and employment status.

Conclusion: The study highlights significant ethnic disparities in the supportive care needs of New Zealand prostate cancer survivors (PCS), emphasizing the necessity for tailored, culturally sensitive healthcare interventions. Addressing the complex determinants of these needs is crucial for enhancing the well-being of all PCS.

Implications for cancer survivors: Actively seeking health information and mental health counselling would significantly benefit PCS by reducing unmet supportive care needs and improving overall quality of life. This approach encourages survivors to take an active role in their healthcare, potentially leading to better health outcomes and enhanced well-being.

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来源期刊
Psycho‐Oncology
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.
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