Browse > Article

Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy  

Jung, Ah-Rang (Hematology-Oncology, Asan Medical Center)
Yi, Myung-Sun (College of Nursing, Seoul National University)
Publication Information
Korean Journal of Adult Nursing / v.23, no.5, 2011 , pp. 460-471 More about this Journal
Abstract
Purpose: This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs. Methods: The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%. Conclusion: These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.
Keywords
Hematologic neoplasms; Anxiety; Depression; Needs assessment; Health surveys;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Armstrong, T. S., Gning, I., Mendoza, T. R., Weinberg, J. S., Gilbert, M. R., Tortorice, M. L., et al. (2009). Clinical utility of the MDASI-BT in patients with brain metastases. Journal of Pain and Symptom Management, 37, 331-340. doi: 10.1016/j.jpainsymman.2008.02.011
2 Bok, J. N., Sohng, K. Y., & Park, H. J. (2005). Quality of life and family burden in hemopoietic stem cell transplantation recipients. Journal of Korean Oncology Nursing, 5, 136-145.
3 Boyes, A., Girgis, A., & Lecathelinais, C. (2009). Brief assessment of adult cancer patients' perceived needs: Development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). Journal of Evaluation in Clinical Practice, 15, 602-606. doi: 10.1111/j.1365-2753.2008.01057.x
4 Boyes, A., Hall, A., Zucca, A., & Girgis, A. (2010). Supportive care needs survey. supplement 2: Reference data for cancer survivors 5-9 months post-diagnosis. Newcastle: Centre for Health Research & Psycho-oncology.
5 Choi, S. E., Park, H. R., & Ban, J. Y. (2006). Anxiety in patients undergone hemopoietic stem cell transplantation. Journal of Korean Oncology Nursing, 6, 37-46.
6 Cleeland, C. S., Mendoza, T. R., Wang, X. S., Chou, C., Harle, M. T., Morrissey, M., et al. (2000). Assessing symptom distress in cancer patients: The M. D. Anderson Symptom Inventory. Cancer, 89, 1634-1646.
7 Coluzzi, P. H., Grant, M., Doroshow, J. H., Rhiner, M., Ferrell, B., & Rivera, L. (1995). Survey of the provision of supportive care services at National Cancer Institute: Designated cancer centers. Journal of Clinical Oncology, 13, 756-764.
8 Dahl, A. A., Haaland, C. F., Mykletun, A., Bremnes, R., Dahl, O., Klepp, O., et al. (2005). Study of anxiety disorder and depression in long-term survivors of testicular cancer. Journal of Clinical Oncology, 23, 2389-2395.
9 Ham, Y. H. (2009). Supportive care needs of patients with advanced lung cancer. Unpublished master's thesis, Sungkyunkwan University, Seoul.
10 Hodgkinson, K., Butow, P., Hunt, G. E., Pendlebury, S., Hobbs, K. M., & Wain, G. (2007). Breast cancer survivors' supportive care needs 2-10 years after diagnosis. Supportive Care in Cancer, 15, 515-523. doi: 10.1007/s00520-006-0170-2
11 Kim, M. Y. (2009). Transition of symptoms and quality of life in cancer patients on chemotherapy. Journal of Korean Academy of Nursing, 39, 433-445.
12 Lee, H. J., Kwon, H. J., & Kim, K. H. (1997). A study on the patient's treatment experiences in bone marrow transplantation. Journal of Korean Academic Society of Adult Nursing, 9, 239-250.
13 Lee, S. Y., & Park, H. R. (2006). Depression and depression relating variables in hemopoietic stem cell transplantation recipients with leukemia. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15, 89-98.
14 Levy, M. H. (2005). Supportive oncology-palliative care: What's in a name? Seminars in Oncology, 32, 131-133.
15 Oh, P. J. (1998). A study on the lived experience in people with leukemia. Journal of Korean Academic Society of Adult Nursing, 10, 148-159.
16 McElduff, P., Boyes, A., Zucca, A., & Girgis, A. (2004). Supportive care needs survey: A guide to administration, scoring and analysis. Newcastle: Centre for Health Research & Psycho-oncology.
17 National Cancer Information Center. (2010). NCIC Resources. Retrieved March 10, 2010, from http://www.cancer.go.kr
18 Nirenberg, A., Bush, A. P., Davis, A., Friese, C. R., Gillespie, T. W., & Rice, R. D. (2006). Neutropenia: State of the knowledge part I. Oncology Nursing Forum, 33 , 1193-1201. doi: 10.1188/06.ONF.1193-1201
19 Oh, S. M., Min, K. J., & Park, D. B. (1999). A study on the standardization of the hospital anxiety and depression scale for Koreans. Journal of the Korean Neuropsychiatric Association, 38, 289-296.
20 Sanson-Fisher, R., Girgis, A., Boyes, A., Bonevski, B., Burton, L., Cook, P., & Supportive Care Review Group. (2000). The unmet supportive care needs of patients with cancer. Cancer, 88, 226-237. doi:10.1002/(SICI)1097-0142(20000101)88:1<226:AID-CNCR30>3.0.CO;2-P
21 Song, B. Y., Kang, H. R., & Kim, K. S. (2008). Quality of life in patients with hematopoietic stem cell transplant. Journal of Korean Oncology Nursing, 8 , 40-49.
22 Smith, D. P., Supramaniam, R., King, M. T., Ward, J., Berry, M., & Armstrong, B. K. (2007). Age, health, and education determine supportive care needs of men younger than 70 years with prostate cancer. Journal of Clinical Oncology, 25 , 2560-2566. doi:10.1200/jco.2006.09.8046
23 So, W. K. W., Marsh, G., Ling, W. M., Leung, F. Y., Lo, J. C. K., Yeung, M., et al. (2009). The symptom cluster of fatigue, pain, anxiety, and depression and the effect on the quality of life of women receiving treatment for breast cancer: A multicenter study. Oncology Nursing Forum, 36 , E205-E214. doi:10.1188/09.ONF.E205-E214   DOI   ScienceOn
24 Son, H. G., Kim, S. H., & Sohn, S. K. (2007). Relationship between fatigue and depression in patients with hemato-malignancy receiving chemotherapy. Journal of Korean Oncology Nursing, 7 , 14-25.
25 Suh, S. R., Park, Y. S., & Park, J. H. (1994). A study on the depression and symptom distress of cancer patients. Journal of Korean Academy of Adult Nursing, 6, 287-298.
26 The Korean Society of Hematology. (2006). Hematology. Seoul:Epublic.
27 Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67, 361-370. doi:10.1111/j.1600-0447.1983.tb09716.x
28 Walker, M. S., Ristvedt, S. L., & Haughey, B. H. (2003). Patient care in multidisciplinary cancer clinics: Does attention to psychosocial needs predict patient satisfaction? Psycho-Oncology, 12, 291-300. doi:10.1002/pon.651
29 Wang, X. S., Williams, L. A., Eng, C., Mendoza, T. R., Shah, N. A., Kirkendoll, K. J., et al. (2010). Validation and application of a module of the M. D. Anderson Symptom Inventory for measuring multiple symptoms in patients with gastrointestinal cancer (the MDASI-GI). Cancer, 116 , 2053-2063. doi:10.1002/Cncr.24920
30 Yun, Y. H., Mendoza, T. R., Kang, I. O., You, C. H., Roh, J. W., Lee, C. G., et al. (2006). Validation study of the Korean version of the M. D. Anderson Symptom Inventory. Journal of Pain and Symptom Management, 31, 345-352. doi: 10.1016/j.jpainsymman.2005.07.013