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Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study

Year 2024, , 128 - 140, 30.01.2024
https://doi.org/10.31020/mutftd.1397341

Abstract

Purpose: The purpose of this study was to evaluate the predictive effect of unmet care needs on the quality of life in the radiotherapy process, to determine the factors affecting unmet care needs.
Methods: The study was carried out with patients who received outpatient radiotherapy. Individual Identification Form, Supportive Care Needs Scale Short Form and European Cancer Research and Treatment Organization Quality of Life Scale were used to collect research data. Data were analyzed using descriptive statistics, correlation, and regression analysis.
Results: The unmet care needs of the patients are 66.48±14.76 out of a total of 145 points. As the total score patients receive from the scale increases, their unmet care needs also increase.. EORTC QLQ-C30 scale mean scores of the patients; functional dimension is 61.70±15.41, symptom dimension is 27.97±1421, general health dimension is 53.63±15.28. It was determined that the unmet health service and sexuality needs of the patients did not have a predictive effect on the quality of life, while female gender, the unmet daily life and psychological needs were effective in the estimation of the quality of life.
Conclusion: Health professionals can obtain information about the quality of life of patients receiving radiotherapy based on the presence of unmet psychological and daily life needs.

Project Number

-

References

  • 1. International Agency for Resarch on Cancer. Cancer today. [updated 2023; cited 2023 June 6]. Available from: https://gco.iarc.fr/today/about#about-cancer-today.
  • 2. Liu Y, et al. Abscopal effect of radiotherapy combined with immune checkpoint inhibitors. J Hematol & Oncol 2018;11(104).
  • 3. Çelik SA. Side effects caused by radiotherapy and the nursing approach. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2014;3(3):933-947.
  • 4. Fuzissaki AM, et al. The impact of radiodermatitis on breast cancerpatients’ quality of life during radiotherapy: A prospective cohort study. J Pain Symptom Manag 2019;58(1):92-99.
  • 5. Eicher M,et al. Interprofessional, psycho‐ social intervention to facilitate resilience and reduce supportive care needs for patients with cancer: Results of a noncomparative, randomized phase II trial. Psycho‐Oncol 2018;27(7):1833–1839.
  • 6. Lisy K, Langdon L, Piper A, Jefford M. Identifying the most prevalent unmet needs of cancer survivors in Australia: A systematic review. Asia-Pac J Clin Oncol 2019;15:e68-e78.
  • 7. Ferrari M, Ripamonti CI, Hulbert-Williams NJ, Miccinesi G. Relationships among unmet needs, depression, and anxiety in non–advanced cancer patients. Tumori Journal 2019;105(2):144-150.
  • 8. Unjaı S, Somajaıvong B, Boyes A. Supportive care needs of patients with cervical cancer in the Northeast of Thailand. Walaılak Journal of Scıence & Tecnolojgy 2021;18(9): 9512.
  • 9. Okediji PT, Salako O, Fatiregun OO. Pattern and predictors of unmet supportive care needs in cancer patients. Cureus 2017;9(5):e1234
  • 10. Beesley VL, et al. Changes in supportive care needs after first-line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs. Psycho-Oncology 2012;22:1565–1571. 11. Abdollahzadeh F, et al. Un-met Supportive Care Needs of Iranian Breast Cancer Patients. Asian Pacific Journal of Cancer Prevention 2014;15(9):3933-3938.
  • 12. Pereira MG, Vilaça M, Pereira M. The mediator role of unmet needs on quality of life in myeloma patients. Qual Life Res 2020;29:2641–2650.
  • 13. Mirzaei F,et al. Supportive care needs in females with breast cancer under chemotherapy and radiotherapy and its predictors. International Journal of Women’s Health and Reproduction Sciences 2019;7(3):366–371.
  • 14. Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Canadian Oncology Nursing Journal 2012;22(2):84-91.
  • 15. Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: Development and validation of the 34-item Supportive CareNeeds Survey (SCNS-SF34). J Eval Clin Pract 2009;15(4):602-6.
  • 16. Özbayır T, Geçkil Ö, Aslan A. An adaptation of the short-form supportive care needs survey questionnaire (SCNS-SF 34) into Turkish. Eur J Breast Health 2017;13:183-8.
  • 17. Aaronson NK, et al. The European Organisation for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365- 376.
  • 18. Sowunmi AC, et al. Side effects of radiotherapy on breast cancer patients in the Department of Radiotherapy, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria. Journal of Clinical Sciences 2021;17:30-7.
  • 19. Naidu G, et al. Evaluation of oral health related quality of life in subjects diagnosed with head and neck malignancies undergoing chemotherapy, radiotherapy, and surgery. J Indian Acad Oral Med Radiol 2019;31(3):228-33.
  • 20. Afiyanti Y, Milanti A, Putri RH. Supportive care needs in predicting the quality of life among gynecological cancer patients. Canadian Oncology Nursing Journal 2018;28(1).
  • 21. Kokkonen K, et al. The functional capacity and quality of life of women with advanced breast cancer. Breast Cancer 2017;24: 128–136
  • 22. Sender A, et al. Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors. Eur J Oncol Nurs 2020;4:101708.
  • 23. Pergolotti M,et al. Activities, function, and health-related quality of life (HRQOL) of older adults with cancer. Journal of Geriatric Oncology 2017;8(4):249-254.
  • 24. Klompstra L, et al. Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period. BMC Geriatrics 2019;19:187.
  • 25. Cochrane A, Woods S, Dunne S, Gallagher P. Unmet supportive care needs associated with quality of life for people ith lung cacer: A systematic review of the evidence 2007-2020. Eur J Cancer Care 2022;31:e13525;1-10
  • 26. Rha SY, Lee HJ, Lee J. Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients. Supportive Care in Cancer 2020;28:1419– 1431.
  • 27. Rajagopal R, Ganesan P, Veeraiah S. Does perceived social support, psychological problems, and fatigue impact quality of life of geriatric patients with cancer? Indian J Cancer 2021;Jan 27.
  • 28. Basto R, et al. Assessment of psychiatric disorder in patients with metastatic breast cancer: A cross-sectional study. Ann Oncol 2021;32(5):S1097.
  • 29. Arvanitou E,et al. Anxiety and depression in cancer patients receiving oncology treatment: Associated factors. Ann Oncol 2021;32(5):S1098.
  • 30. Oberguggenberger A, et al. Self reported sexual health: Breast cancer survivors compared to women from the general population-an observational study. BMC Cancer 2017;17:599.
  • 31. Tostivint V, et al. Quality of life and functional outcomes after radical cystectomy with ileal orthotopic neobladder replacement for bladder cancer: a multicentre observational study. World J Urology 2021;39:2525–2530.
  • 32. Smith L,et al. Sexual activity is associated with greater enjoyment of life in older adults. Sexual Med 2019;7(1):11-18.
  • 33. Jie Y,et al. Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study. Health Qual Life Outcomes 2020;18(199).
  • 34. Palmer NR, et al. Rural cancer survivors’ health information needs post-treatment. Patient Educ and Couns 2020;103(8):1606-1614.
  • 35. Tabriz ER, et al. Unmet needs in Iranian cancer patients. Med J Islam Repub Iran 2017;31:35.
  • 36. Sharouri LA, et al. Quality of life, care needs, and information needs among patients diagnosed with cancer during their treatment phase. Psychol Health Med 2020;25(2):252–258.
  • 37. Oberoi DV, et al. Distress and unmet needs during treatment and quality of life in early cancer survivorship: A longitudinal study of haematological cancer patients. Eur J Haematol 2017;99(5):423–430.
  • 38. Bubis LD, et al. Symptom burden in the first year after cancer diagnosis: an analysis of patientreported outcomes. Journal of Clinical Oncology 2018;36(11):1103–1111

Radyoterapi sırasında karşılanmayan bakım gereksinimlerinden yaşam kalitesinin öngörülebilirliği: Kesitsel bir çalışma

Year 2024, , 128 - 140, 30.01.2024
https://doi.org/10.31020/mutftd.1397341

Abstract

Amaç: Bu araştırmanın amacı, radyoterapi uygulanan kanser hastalarının karşılanmamış bakım gereksinimlerinin yaşam kalitesine yordayıcı etkisini değerlendirmek, karşılanmayan bakım gereksinimlerini etkileyen faktörleri belirlemektir.
Method: Çalışma ayaktan radyoterapi alan hastalarla yürütüldü. Araştırma verilerinin toplanmasında Bireysel Tanımlama Formu, Destekleyici Bakım Gereksinimleri Ölçeği Kısa Formu ve Kanserin Tedavisi ve Araştırması için Avrupa Örgütü Yaşam Kalitesi Ölçeği kullanıldı. Verilerin analizinde tanımlayıcı istatistikler, korelasyon ve regresyon analizleri kullanıldı.
Bulgular: Hastaların karşılanmayan bakım gereksinimleri puanı toplam 145 puan üzerinden 66,48±14,76'dır. Hastaların ölçekten aldıkları toplam puan arttıkça karşılanmayan bakım gereksinimleri artmaktadır. Hastaların Kanserin Tedavisi ve Araştırması için Avrupa Örgütü Yaşam Kalitesi Ölçeği ortalama puanları; fonksiyonel boyut 61,70±15,41, semptom boyutu 27,97±1421, genel sağlık boyutu 53,63±15,28'dır. Hastaların karşılanmayan sağlık hizmeti ve cinsellik gereksinimlerinin yaşam kalitesine yordayıcı etkisinin olmadığı, yaşam kalitesinin tahmininde kadın cinsiyetin, karşılanmayan günlük yaşam ve psikolojik gereksinimlerin etkili olduğu belirlendi.
Sonuç: Sağlık uzmanları radyoterapi uygulanan hastaların karşılanmayan psikolojik ve günlük yaşam gereksinimlerinin varlığına göre hastaların yaşam kalitesi hakkında bilgi sahibi olabilir.

Ethical Statement

Bu araştırma ESOGÜ Girişimsel Olmayan Etik Kurul tarafından incelenmiş ve onaylanmıştır. İlgili kurum ve hastalardan izinler alınmıştır. Araştırma süresince Helsinki Bildirgesine bağlı kalınmıştır

Supporting Institution

-

Project Number

-

Thanks

Araştırma süresince COVİD-19 Pandemi döneminde verilerin toplanması için uygun ortam sağlayan Prof. Dr. Durmuş Etiz'e sonsuz teşekkür ederiz.

References

  • 1. International Agency for Resarch on Cancer. Cancer today. [updated 2023; cited 2023 June 6]. Available from: https://gco.iarc.fr/today/about#about-cancer-today.
  • 2. Liu Y, et al. Abscopal effect of radiotherapy combined with immune checkpoint inhibitors. J Hematol & Oncol 2018;11(104).
  • 3. Çelik SA. Side effects caused by radiotherapy and the nursing approach. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2014;3(3):933-947.
  • 4. Fuzissaki AM, et al. The impact of radiodermatitis on breast cancerpatients’ quality of life during radiotherapy: A prospective cohort study. J Pain Symptom Manag 2019;58(1):92-99.
  • 5. Eicher M,et al. Interprofessional, psycho‐ social intervention to facilitate resilience and reduce supportive care needs for patients with cancer: Results of a noncomparative, randomized phase II trial. Psycho‐Oncol 2018;27(7):1833–1839.
  • 6. Lisy K, Langdon L, Piper A, Jefford M. Identifying the most prevalent unmet needs of cancer survivors in Australia: A systematic review. Asia-Pac J Clin Oncol 2019;15:e68-e78.
  • 7. Ferrari M, Ripamonti CI, Hulbert-Williams NJ, Miccinesi G. Relationships among unmet needs, depression, and anxiety in non–advanced cancer patients. Tumori Journal 2019;105(2):144-150.
  • 8. Unjaı S, Somajaıvong B, Boyes A. Supportive care needs of patients with cervical cancer in the Northeast of Thailand. Walaılak Journal of Scıence & Tecnolojgy 2021;18(9): 9512.
  • 9. Okediji PT, Salako O, Fatiregun OO. Pattern and predictors of unmet supportive care needs in cancer patients. Cureus 2017;9(5):e1234
  • 10. Beesley VL, et al. Changes in supportive care needs after first-line treatment for ovarian cancer: identifying care priorities and risk factors for future unmet needs. Psycho-Oncology 2012;22:1565–1571. 11. Abdollahzadeh F, et al. Un-met Supportive Care Needs of Iranian Breast Cancer Patients. Asian Pacific Journal of Cancer Prevention 2014;15(9):3933-3938.
  • 12. Pereira MG, Vilaça M, Pereira M. The mediator role of unmet needs on quality of life in myeloma patients. Qual Life Res 2020;29:2641–2650.
  • 13. Mirzaei F,et al. Supportive care needs in females with breast cancer under chemotherapy and radiotherapy and its predictors. International Journal of Women’s Health and Reproduction Sciences 2019;7(3):366–371.
  • 14. Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Canadian Oncology Nursing Journal 2012;22(2):84-91.
  • 15. Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: Development and validation of the 34-item Supportive CareNeeds Survey (SCNS-SF34). J Eval Clin Pract 2009;15(4):602-6.
  • 16. Özbayır T, Geçkil Ö, Aslan A. An adaptation of the short-form supportive care needs survey questionnaire (SCNS-SF 34) into Turkish. Eur J Breast Health 2017;13:183-8.
  • 17. Aaronson NK, et al. The European Organisation for research and treatment of cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993;85:365- 376.
  • 18. Sowunmi AC, et al. Side effects of radiotherapy on breast cancer patients in the Department of Radiotherapy, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria. Journal of Clinical Sciences 2021;17:30-7.
  • 19. Naidu G, et al. Evaluation of oral health related quality of life in subjects diagnosed with head and neck malignancies undergoing chemotherapy, radiotherapy, and surgery. J Indian Acad Oral Med Radiol 2019;31(3):228-33.
  • 20. Afiyanti Y, Milanti A, Putri RH. Supportive care needs in predicting the quality of life among gynecological cancer patients. Canadian Oncology Nursing Journal 2018;28(1).
  • 21. Kokkonen K, et al. The functional capacity and quality of life of women with advanced breast cancer. Breast Cancer 2017;24: 128–136
  • 22. Sender A, et al. Cancer-specific distress, supportive care needs and satisfaction with psychosocial care in young adult cancer survivors. Eur J Oncol Nurs 2020;4:101708.
  • 23. Pergolotti M,et al. Activities, function, and health-related quality of life (HRQOL) of older adults with cancer. Journal of Geriatric Oncology 2017;8(4):249-254.
  • 24. Klompstra L, et al. Factors related to health-related quality of life in older people with multimorbidity and high health care consumption over a two-year period. BMC Geriatrics 2019;19:187.
  • 25. Cochrane A, Woods S, Dunne S, Gallagher P. Unmet supportive care needs associated with quality of life for people ith lung cacer: A systematic review of the evidence 2007-2020. Eur J Cancer Care 2022;31:e13525;1-10
  • 26. Rha SY, Lee HJ, Lee J. Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients. Supportive Care in Cancer 2020;28:1419– 1431.
  • 27. Rajagopal R, Ganesan P, Veeraiah S. Does perceived social support, psychological problems, and fatigue impact quality of life of geriatric patients with cancer? Indian J Cancer 2021;Jan 27.
  • 28. Basto R, et al. Assessment of psychiatric disorder in patients with metastatic breast cancer: A cross-sectional study. Ann Oncol 2021;32(5):S1097.
  • 29. Arvanitou E,et al. Anxiety and depression in cancer patients receiving oncology treatment: Associated factors. Ann Oncol 2021;32(5):S1098.
  • 30. Oberguggenberger A, et al. Self reported sexual health: Breast cancer survivors compared to women from the general population-an observational study. BMC Cancer 2017;17:599.
  • 31. Tostivint V, et al. Quality of life and functional outcomes after radical cystectomy with ileal orthotopic neobladder replacement for bladder cancer: a multicentre observational study. World J Urology 2021;39:2525–2530.
  • 32. Smith L,et al. Sexual activity is associated with greater enjoyment of life in older adults. Sexual Med 2019;7(1):11-18.
  • 33. Jie Y,et al. Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study. Health Qual Life Outcomes 2020;18(199).
  • 34. Palmer NR, et al. Rural cancer survivors’ health information needs post-treatment. Patient Educ and Couns 2020;103(8):1606-1614.
  • 35. Tabriz ER, et al. Unmet needs in Iranian cancer patients. Med J Islam Repub Iran 2017;31:35.
  • 36. Sharouri LA, et al. Quality of life, care needs, and information needs among patients diagnosed with cancer during their treatment phase. Psychol Health Med 2020;25(2):252–258.
  • 37. Oberoi DV, et al. Distress and unmet needs during treatment and quality of life in early cancer survivorship: A longitudinal study of haematological cancer patients. Eur J Haematol 2017;99(5):423–430.
  • 38. Bubis LD, et al. Symptom burden in the first year after cancer diagnosis: an analysis of patientreported outcomes. Journal of Clinical Oncology 2018;36(11):1103–1111
There are 37 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Research Article
Authors

Hazbiye Salaşi 0000-0003-1933-7896

Ayşe Özkaraman 0000-0002-0507-4100

Project Number -
Publication Date January 30, 2024
Submission Date November 28, 2023
Acceptance Date January 12, 2024
Published in Issue Year 2024

Cite

APA Salaşi, H., & Özkaraman, A. (2024). Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, 14(1), 128-140. https://doi.org/10.31020/mutftd.1397341
AMA Salaşi H, Özkaraman A. Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. January 2024;14(1):128-140. doi:10.31020/mutftd.1397341
Chicago Salaşi, Hazbiye, and Ayşe Özkaraman. “Predictability of Quality of Life from Unmet Care Needs During Radiotherapy: A Cross-Sectional Study”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi 14, no. 1 (January 2024): 128-40. https://doi.org/10.31020/mutftd.1397341.
EndNote Salaşi H, Özkaraman A (January 1, 2024) Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 14 1 128–140.
IEEE H. Salaşi and A. Özkaraman, “Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study”, Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi, vol. 14, no. 1, pp. 128–140, 2024, doi: 10.31020/mutftd.1397341.
ISNAD Salaşi, Hazbiye - Özkaraman, Ayşe. “Predictability of Quality of Life from Unmet Care Needs During Radiotherapy: A Cross-Sectional Study”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi 14/1 (January 2024), 128-140. https://doi.org/10.31020/mutftd.1397341.
JAMA Salaşi H, Özkaraman A. Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2024;14:128–140.
MLA Salaşi, Hazbiye and Ayşe Özkaraman. “Predictability of Quality of Life from Unmet Care Needs During Radiotherapy: A Cross-Sectional Study”. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi, vol. 14, no. 1, 2024, pp. 128-40, doi:10.31020/mutftd.1397341.
Vancouver Salaşi H, Özkaraman A. Predictability of quality of life from unmet care needs during radiotherapy: A cross-sectional study. Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi ve Folklorik Tıp Dergisi. 2024;14(1):128-40.
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