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The unmet supportive care needs-what advanced lung cancer patients' caregivers need and related factors
Shu-Ching Chen1,2, Shiuan-Chen Chiou3, Chong-Jen Yu4
1Department of Nursing, College of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.
Purpose:
To identify the unmet supportive care needs and related factors in caregivers of patients with advanced lung cancer.
Methods:
A cross-sectional study of 166 lung cancer patient-caregivers dyads was recruited at a medical center. The supportive care needs, fatigue, and sleep disturbance of caregivers were collected. Patients were assessed for symptom severity, anxiety, and depression. Logistic regression was used to reveal the related factors of unmet supportive care needs.
Results:
Of the 166 dyads surveyed, the top unmet needs were information needs, health care professional/health care service needs, and daily living needs. Patients' anxiety was positively correlated to overall caregiving needs, health care professional/health care service needs, interpersonal communication needs, and psychological/emotional needs of caregivers. The information needs and health care professional/health care service needs were related to the caregivers' fatigue. The sleep disturbance of caregivers was associated with their overall caregiving needs, daily living needs, and psychological/emotional needs.
Conclusions:
Future interventions to meet the needs of caregivers should include specific needs assessment and continuing education in caregiving.
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