Details

Autor(en) / Beteiligte

• Lee, Yun-Hsiang
• Siao, Chia-Li
• Yang, Hui-Ying
• Lai, Yeur-Hur
• Liang, Yi-Hsin
• Chen, Yu-Fan
• Wu, Mei-Chih

Titel

Immunotherapy-associated symptoms, distress, financial toxicity and unmet supportive care needs of patients with cancer

Ist Teil von

• European journal of oncology nursing : the official journal of European Oncology Nursing Society, 2024-02, Vol.68, p.102486-102486, Article 102486

Ort / Verlag

Scotland: Elsevier Ltd

Erscheinungsjahr

2024

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• To examine the unmet care needs (i.e., overall needs and need subdomains [physical and daily living needs, psychological and emotional needs, care and support needs, and health-system and informational needs]) of patients with cancer undergoing immunotherapy alone or in combination with other anticancer therapies, as well as related influencing factors. A cross-sectional design was adopted. Cancer patients who received immunotherapy completed consent and questionnaires. Unmet care needs were evaluated with the Chinese version of the Supportive Care Needs Survey Screening Tool, symptom severity with the Symptom Severity Scale, distress severity with the Distress Thermometer Scale, and financial toxicity using the Financial Toxicity - Functional Assessment of Chronic Illness Therapy Questionnaire. In total, 105 patients were surveyed. The most frequently reported unmet needs were psychological and emotional needs (56.2%) followed by health-system and informational needs (36.2%). The major factors associated with unmet care needs and their subdomains were years of education, symptoms, distress, and financial toxicity. Years of education predicted overall unmet care needs, psychological and emotional needs, and care and support needs; symptoms predicted overall unmet care needs and all four subdomains; distress predicted psychological and emotional needs and health-system and informational needs; and financial toxicity predicted overall needs and psychological and emotional needs. Patients with higher education, severe symptoms, distress, and financial toxicity reported more unmet care needs. The findings of this study could be incorporated into immunotherapy-related clinical practice guidelines and future interventions to improve the quality of cancer care. •Health system and information needs are the most common unmet care needs for cancer patients.•Psychological and emotional support topped the list of unmet needs in immunotherapy patients.•Immunotherapy patients with higher education levels reported more significant unmet care needs.•Clinical guidelines suggested symptom management, distress relief, and financial support.