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Published on: January 18, 2018
Symptom Burden and Palliative Care Needs in Advanced Breast Cancer Patients
1Author Affiliation: College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea.
Korean women with advanced breast cancer face significant social and physical symptom burdens. Their greatest palliative care needs include psychological support, financial aid, and information, highlighting a need for comprehensive care strategies.
Area of Science:
- Oncology
- Palliative Care
- Psychosocial Oncology
Background:
- Advanced breast cancer (Stage III and IV) presents complex symptom burdens and palliative care requirements.
- Understanding the specific needs of diverse patient populations, such as Korean women, is crucial for effective care delivery.
- Palliative care integration is essential for managing symptoms and improving quality of life in advanced cancer patients.
Purpose of the Study:
- To examine the symptom burden and palliative care needs of Korean women diagnosed with Stage III and IV breast cancer.
- To identify the most significant symptom burdens and unmet palliative care needs within this population.
- To explore factors associated with palliative care needs in Korean women with advanced breast cancer.
Main Methods:
- A descriptive cross-sectional study design was employed.
- An online survey was administered to 132 Korean women with Stage III and IV breast cancer.
- Validated instruments, including the Functional Assessment of Cancer Therapy-General (FACT-G) and the Problems and Needs in Palliative Care questionnaire-short version (PNPC-SV), were used for data collection.
Main Results:
- The highest symptom burden was reported in social well-being, followed by physical, functional, and emotional well-being.
- Psychological support was identified as the most critical palliative care need, followed by financial assistance and information provision.
- Hierarchical regression analysis indicated that lower functional well-being and higher economic status were significant predictors of greater palliative care needs, accounting for 31.7% of the variance.
Conclusions:
- Korean women with advanced breast cancer experience multifaceted symptom burdens and significant unmet palliative care needs.
- There is a pressing need for enhanced psychosocial support, financial counseling, and resources to maintain daily functioning for these patients.
- Findings underscore the importance of tailored palliative care interventions that address the unique psychosocial and practical challenges faced by Korean women with advanced breast cancer.
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