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Article

Unmet Supportive Care Needs of Survival Patients with Nasopharyngeal Carcinoma

1
Department of Public Health, China Medical University, Taichung 40402, Taiwan
2
Department of Nursing, Taichung Hospital, Ministry of Health Welfare, Taichung 40343, Taiwan
3
School of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan
4
Department of Otolaryngology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan
5
Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan
6
Department of Otorhinolaryngology, China Medical University Hospital, Taichung 40402, Taiwan
7
Department of Nursing, China Medical University Hospital, Taichung 40402, Taiwan
8
Chinese Medicine Research Center, China Medical University, Taichung 40402, Taiwan
9
Research Center for Chinese Herbal Medicine, China Medical University, Taichung 40402, Taiwan
10
Department of Nursing, Asia University, Taichung 41354, Taiwan
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(10), 3519; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17103519
Received: 15 March 2020 / Revised: 14 May 2020 / Accepted: 15 May 2020 / Published: 18 May 2020
(This article belongs to the Special Issue Nursing Research)
This study examined unmet supportive care needs for nasopharyngeal carcinoma (NPC) patients by cancer stage and treatment phase, as well as the factors associated with these unmet needs. At a cancer center in central Taiwan, information on consultations and services patients received at the resource center was described in the service chart. We extracted data available for NPC patients to evaluate their unmet supportive care needs (health information, patient care, treatment, nutritional, psychosocial, and economic) and their association with sex, age, cancer stage, and treatment phase. The 145 NPC patients were 68.3% male, 60.0% less than 50 years old, and 83.5% diagnosed at stages III and IV. The most prevalent unmet need was nutritional (40.7%), followed by psychosocial and patient care, with economic unmet needs the least (4.8%). Women were more likely than men to have patient care unmet needs (32.6% vs. 15.2%). Nutritional unmet need was higher in older patients than in younger ones (83.3% vs. 35.6%), with an adjusted odds ratio (aOR) of 9.39 (95% confidence interval (CI) = 2.17–40.70). Psychosocial unmet needs were higher in younger patients than old patients (34.5% vs. 0%) and in patients interviewed during follow-up period than those at newly diagnosed (55.2% vs. 23.1%). In conclusion, the most commonly reported concern was nutritional unmet needs for NPC patients. Their unmet needs may vary by demographic and disease factors, including patient sex and age, cancer stage, and treatment phase. View Full-Text
Keywords: unmet care needs; survival patients; nasopharyngeal carcinoma; cancer stages and treatment unmet care needs; survival patients; nasopharyngeal carcinoma; cancer stages and treatment
MDPI and ACS Style

Lin, Y.-L.; Chuang, C.-Y.; Hsieh, V.C.-R.; Tsai, M.-S.; Liu, Y.-F.; Chen, X.-X.; Shieh, S.-H. Unmet Supportive Care Needs of Survival Patients with Nasopharyngeal Carcinoma. Int. J. Environ. Res. Public Health 2020, 17, 3519. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17103519

AMA Style

Lin Y-L, Chuang C-Y, Hsieh VC-R, Tsai M-S, Liu Y-F, Chen X-X, Shieh S-H. Unmet Supportive Care Needs of Survival Patients with Nasopharyngeal Carcinoma. International Journal of Environmental Research and Public Health. 2020; 17(10):3519. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17103519

Chicago/Turabian Style

Lin, Ya-Ling, Chun-Yi Chuang, Vivian C.-R. Hsieh, Ming-Shou Tsai, Yen-Fang Liu, Xian-Xiu Chen, and Shwn-Huey Shieh. 2020. "Unmet Supportive Care Needs of Survival Patients with Nasopharyngeal Carcinoma" International Journal of Environmental Research and Public Health 17, no. 10: 3519. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17103519

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