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Wang S, Li Y, Li S, Zhang E, Dai Z, Cui J, Wang X, Fang Q. Association between type D personality and supportive care needs in elderly patients with breast cancer: a prospective longitudinal observational study. BMC Geriatr 2023; 23:721. [PMID: 37936092 PMCID: PMC10631036 DOI: 10.1186/s12877-023-04407-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 10/14/2023] [Indexed: 11/09/2023] Open
Abstract
BACKGROUND Elderly patients with breast cancer often have more unmet needs after receiving common treatments such as surgery and chemotherapy. Type D personality has been related to supportive care needs in the general population. However, its association with supportive care needs in elderly breast cancer patients has not been prospectively explored. This study aimed to address this gap. OBJECTIVES The aim was to understand the impact of Type D personality on the supportive care needs of elderly breast cancer patients at diagnosis, 2 weeks postoperatively, 3 months postoperatively, and 6 months postoperatively and to analyse the impact of Type D personality on the changing trajectory of supportive care needs after controlling for confounding factors such as demographics, symptom distress and social support. METHODS A total of 122 elderly patients (≥ 65 years) with breast cancer in Ruijin Hospital, Shanghai, China, were included from September 2021 until August 2022. Supportive care needs were measured by the Supportive Care Needs Survey Short Form and tracked at diagnosis, 2 weeks postoperatively, 3 months postoperatively, and 6 months postoperatively. To investigate changes in the supportive care needs of elderly breast cancer patients and the effect of Type D personality on these needs, a linear mixed model was applied. RESULTS A total of 122 elderly patients participated. There was an overall decreasing trend in supportive care needs, with Type D personality patients having significantly higher levels of supportive care needs than the non-Type D personality patients at all stages. Through linear mixed models, it was found that the Type D personality group had a lower overall downward trend than the non-Type D personality group, with need levels remaining consistently higher. This difference persisted after controlling for demographic information, symptom burden, social support. CONCLUSIONS Elderly breast cancer patients with Type D personality had higher levels of supportive care needs and a slower rate of decline that was maintained over a longer period than those with non-Type D personality.
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Affiliation(s)
- Suxing Wang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Yuan Li
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Shu Li
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Enming Zhang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Zhengyue Dai
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Jiasong Cui
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Xiaolong Wang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China
| | - Qiong Fang
- School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
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Yang Y, Chen X, Pan X, Tang X, Fan J, Li Y. The unmet needs of patients in the early rehabilitation stage after lung cancer surgery: a qualitative study based on Maslow's hierarchy of needs theory. Support Care Cancer 2023; 31:677. [PMID: 37934256 DOI: 10.1007/s00520-023-08129-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 10/19/2023] [Indexed: 11/08/2023]
Abstract
PURPOSE This study aimed to explore the unmet needs of lung cancer patients in early rehabilitation, based on Maslow's hierarchy of needs theory. METHODS Information on the experiences of 20 patients was collected through semi-structured interviews. The interviews were conducted in the surgical nursing clinic within 1 week of discharge from hospital. The data were analysed using a combination of deductive (theory-driven) and inductive (data-driven) methods, using Maslow's Hierarchy of Needs as a framework for identifying and organising themes. RESULTS Patients had a mean age of 50.92 years (SD 11.88); n = 11 (55%) were female. Major themes aligned with the dimensions of Maslow's hierarchy of needs model. Five major themes with 12 corresponding sub-themes emerged: (1) physiological needs, including "self-care and independence in life", "return to pre-operative status as soon as possible", "increase exercise under specialist guidance" and "reduce cough and pain and improve sleep quality"; (2) safety and security needs, such as "symptom management", "regulation of the emotions of worry and fear" and "access accurate treatment information"; (3) love and belonging needs, including "accompany family members" and "chat with friends";(4)Esteem needs: "live with dignity";(5) Self-actualization, such as "accept and submit to the reality of cancer" and "live meaningfully". CONCLUSIONS The findings of this study indicated that there were many unmet needs for patients during the early recovery period after lung cancer surgery. An overview of the different areas of need identified in this study may guide future research and development of interventions to improve patients' quality of life during the home rehabilitation phase.
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Affiliation(s)
- Yingzi Yang
- School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China
- Department of Nursing, Huadong Sanatorium, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214100, People's Republic of China
| | - Xinxin Chen
- School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China
- Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, No.507, Zhengmin Road, Shanghai, 200433, People's Republic of China
| | - Xiaoting Pan
- School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China
| | - Xuefeng Tang
- Department of Nursing, Huadong Sanatorium, No. 67, Dajishan, Wuxi City, Jiangsu Province, 214100, People's Republic of China
| | - Jiaxin Fan
- School of Medicine, Tongji University, 1239 Siping Road, Shanghai, 200092, People's Republic of China
| | - Yumei Li
- Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, No.507, Zhengmin Road, Shanghai, 200433, People's Republic of China.
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Walshaw EG, Rogers S, Wu J, Sandars J, Kanatas A. The Evaluation of Training Oral and Maxillofacial Trainees in Head and Neck Cancer Doctor-Patient Communication Using the Patient Concerns Inventory. ACTA MEDICA (HRADEC KRALOVE) 2023; 66:146-153. [PMID: 38588392 DOI: 10.14712/18059694.2024.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
Abstract
Head and neck cancer has a significant impact on a patient's health related quality of life (HRQOL). The head and neck specific Patient Concerns Inventory (PCI-HN) has been utilised to enhance doctor-patient dialogue in routine consultations. To date there has been no formal training for oral and maxillofacial surgery (OMFS) surgical trainees in the use of the PCI-HN in consultations. The aim of the study was to evaluate training for OMFS surgical trainees in the use of the PCI-HN, using simulated follow-up HNC consultations, in order to improve doctor-patient communication skills. MATERIAL AND METHODS Ten oral and maxillofacial surgical trainees completed actor simulated HNC consultations before and after training. A study-specific mark scheme was developed based on the ComOn-Coaching rating scales and used to score the doctor-patient interaction. A group debrief afterwards explored the trainee's experiences of the training and consultations. RESULTS All trainees showed an improvement in doctor-patient communication scores following their training. Overall, the six participants who were Specialty registrars, year 3 (ST3) or above, scored higher, than the four Specialty registrars, year 1-2 (ST1-2). The scores were higher if fewer PCI-HN items were discussed (3-4). The most frequently avoided PCI-HN items were intimacy and relationships. The trainees considered that their training was useful for organising their consultations and for providing holistic care. CONCLUSION Although training improved surgeon-patient communication, further evaluation is required with a larger number of trainees and actual consultations in clinic.
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Affiliation(s)
- Emma G Walshaw
- Bradford Teaching Hospitals NHS Trust, BD9 6DA, United Kingdom
| | - Simon Rogers
- Maxillofacial Department, Wirral University Teaching Hospital, Wirral, CH49 5PE, United Kingdom
| | - Jianhua Wu
- School of Dentistry, University of Leeds, UK and Wolfson Institute of Population Health, Queen Mary University of London, United Kingdom
| | - John Sandars
- Edgehill University, St Helens Rd, Ormskirk L39 4QP, United Kingdom
| | - Anastasios Kanatas
- Leeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute and Leeds General Infirmary, LS1 3EX, United Kingdom.
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Bellas O, Kemp E, Edney L, Oster C, Roseleur J. The impacts of unmet supportive care needs of cancer survivors in Australia: A qualitative systematic review. Eur J Cancer Care (Engl) 2022; 31:e13726. [PMID: 36226338 DOI: 10.1111/ecc.13726] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 08/26/2022] [Accepted: 09/27/2022] [Indexed: 11/28/2022]
Abstract
INTRODUCTION Cancer incidence and survivorship are increasing worldwide. With more people living through and beyond cancer, there is a subsequent increase in their supportive care needs. This systematic review of qualitative studies aimed to describe the impacts of unmet supportive care needs on cancer survivors in Australia. METHODS Databases MEDLINE, EMBASE and Scopus were searched, and after screening and applying eligibility criteria, 27 qualitative studies were included. Findings were synthesised according to the Supportive Care Framework for Cancer Care, including informational, physical, practical, emotional, psychological, social and spiritual need domains. RESULTS The systematic review identified impacts of unmet informational, physical, practical, emotional and psychological needs. Frequently identified impacts of unmet informational needs were feelings of abandonment and isolation, distress, confusion and regret. Common impacts of unmet physical and practical needs were financial burden and return-to-work difficulties. Over half of all unmet supportive care needs caused emotional and psychological impacts. CONCLUSIONS Findings identify the detrimental emotional and psychological impacts resulting from a range of unmet supportive care needs. The review highlights the interconnections between supportive care need domains thereby enhancing the understanding of the impacts of unmet SCNs. Findings may inform policy and practice change to improve supportive cancer care.
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Affiliation(s)
- Olivia Bellas
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia
| | - Emma Kemp
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.,College of Education, Psychology and Social Work, Flinders University, Adelaide, South Australia, Australia
| | - Laura Edney
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia
| | - Candice Oster
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Jackie Roseleur
- Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia
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Wang L, Huang J. Mediating Role of Entrepreneurial Self-Efficacy and Prosocial Tendency in the Relation Between College Students' Post-traumatic Growth and Entrepreneurial Intention in the Post-COVID-19 Era. Front Psychol 2022; 13:861484. [PMID: 35465517 PMCID: PMC9021958 DOI: 10.3389/fpsyg.2022.861484] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 03/04/2022] [Indexed: 11/21/2022] Open
Abstract
In this study, we explore the psychological mechanisms underlying the relation between college students' post-traumatic growth and their entrepreneurial intentions in the post-COVID-19 era. Using the post-traumatic growth, entrepreneurial self-efficacy, prosocial tendency, and entrepreneurial intention scales, we tested 690 valid samples of Chinese undergraduates (including 445 men and 245 women). The results revealed that post-traumatic growth of college students in the post-COVID-19 era will have a significant and positive effect on their entrepreneurial intentions. Additionally, the results indicated that students' entrepreneurial self-efficacy and prosocial tendencies play a partial mediation role between post-traumatic growth and entrepreneurial intentions in the post-COVID-19 era and that there is a chain mediating effect between students' entrepreneurial self-efficacy and prosocial tendencies. This study provides valuable insights into the influence of post-traumatic growth on entrepreneurial intentions among college students in the post-COVID-19 era and suggests that colleges and universities can improve students' entrepreneurial intentions by adopting measures to foster their post-traumatic growth, entrepreneurial self-efficacy, and prosocial tendencies.
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Posttraumatic growth and its association with unmet supportive care needs and fear of cancer progression among head and neck cancer patients. PLoS One 2022; 17:e0265502. [PMID: 35290419 PMCID: PMC8923508 DOI: 10.1371/journal.pone.0265502] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 03/02/2022] [Indexed: 01/04/2023] Open
Abstract
Background and aims The assessment of supportive care needs and fear of cancer progression are important variables to be considered when evaluating the psychological aspects of cancer patients. However, data on how these variables affect posttraumatic growth (PTG) are lacking. This study aimed to investigate the level of PTG among head and neck cancer (HNC) patients within the first year of cancer diagnosis and to determine the association between unmet supportive care needs, fear of cancer progression, and the level of PTG. Methods Participants were administered socio-demographic and clinical characteristics questionnaire; the 34-item Supportive Care Needs Survey (SCNS-34) to measure the unmet needs; 12-item Fear of Progression Questionnaire-Short Form (FoP-Q-SF) to measure the fear of progression of cancer; and the Posttraumatic Growth Inventory—Short Form (PTGI-SF) to measure the degree of PTG. Results A total of 190 HNC participants reported a mean total PTGI-SF score of 39.3 (standard deviation = 9.5). General linear model revealed that higher degree of patients’ physical and daily living unmet needs and fear of cancer progression significantly predicted lower PTG, after controlling for sociodemographic and clinical factors. Conclusion HNC patients within the first year of cancer diagnosis reported a high level of PTG. Despite that, psychosocial intervention for HNC patients should emphasize on counteracting patients’ physical and daily living unmet needs and fear of cancer progression to improve the psychological well-being of patients.
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Al-Omari A, Al-Rawashdeh N, Damsees R, Ammar K, Alananzeh I, Inserat B, Al-Rimawi D, Tbayshat S, Ababneh H, Alishreim H, Abu Serhan H, Al-Noaaimi F, Abdel-Razeq H. Supportive Care Needs Assessment for Cancer Survivors at a Comprehensive Cancer Center in the Middle East: Mending the Gap. Cancers (Basel) 2022; 14:1002. [PMID: 35205749 PMCID: PMC8870293 DOI: 10.3390/cancers14041002] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2021] [Revised: 02/02/2022] [Accepted: 02/09/2022] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Cancer survivors are often underprepared for what to expect post-treatment, and there are knowledge gaps regarding cancer survivors' supportive care needs in Jordan and neighboring Arab countries. This study aimed to identify gaps in supportive care needs among adult cancer survivors seen at King Hussein Cancer Center in Amman, Jordan, and explore predictors of unmet needs. METHODS This was an observational cross-sectional study using a modified version of the Supportive Care Needs Survey 34 item short form (SCNS-SF34). RESULTS Two hundred and forty adult cancer survivors completed the study questionnaire. The assessed needs were highest in the financial domain, including covering living expenses, managing cancer treatment adverse effects and co-morbidities. The least prevalent reported needs were in sexuality and reproductive consultations. Late-stage diagnosis was independently associated with higher physical, psychological, health system/information, financial and overall need scores, with p-values of 0.032, 0.027, 0.052, 0.002 and 0.024, respectively. The overall quality of life score was independently and inversely associated with physical, psychological, health system/information, financial and overall need domains, with p-values of 0.015, <0.0001, 0.015, 0.004 and 0.0003, respectively. CONCLUSIONS This needs assessment identified problem areas for targeting interventions across the Jordanian cancer survivor population, and understanding these findings highlights opportunities for intervention to address gaps in care.
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Affiliation(s)
- Amal Al-Omari
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Nedal Al-Rawashdeh
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Rana Damsees
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Khawlah Ammar
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Ibrahim Alananzeh
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia;
| | - Bayan Inserat
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Dalia Al-Rimawi
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Shrouq Tbayshat
- Department of Internal Medicine, King Hussein Cancer Center, Amman 11941, Jordan; (S.T.); (H.A.-R.)
| | - Hazim Ababneh
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Haneen Alishreim
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Hashem Abu Serhan
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Faisal Al-Noaaimi
- The Office of Scientific Affairs and Research, King Hussein Cancer Center, Amman 11941, Jordan; (N.A.-R.); (R.D.); (K.A.); (B.I.); (D.A.-R.); (H.A.); (H.A.); (H.A.S.); (F.A.-N.)
| | - Hikmat Abdel-Razeq
- Department of Internal Medicine, King Hussein Cancer Center, Amman 11941, Jordan; (S.T.); (H.A.-R.)
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