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Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients.

ABSTRACT: PURPOSE:Mexican breast cancer patients are generally diagnosed in advanced stages of the disease and often experience delays in cancer treatment delivery. Currently, little is known about these patients' psychological care needs. This study assessed levels and correlates of supportive care needs of Mexican breast cancer patients around the time of cancer diagnosis. METHODS:One hundred seventy-three newly diagnosed Mexican breast cancer patients participated in the study. Supportive care needs, anxiety, depression, and patients' sociodemographic and clinical characteristics were assessed. Multiple regression analyses were used to examine factors associated with care needs. RESULTS:Up to 44% of patients showed unmet care needs. Health system/information needs were the most prevalent (68%), while physical/daily living needs the least (19%). Level of depressive symptoms was most consistently related to care needs. Patients with higher levels of depressive symptoms had higher psychological (? = 0.38), physical/daily living (? = 0.43), patient care/support (? = 0.17), and additional unmet care needs (? = 0.30), than patients with lower levels of depressive symptoms. CONCLUSIONS:This study suggests that mainly health system/information needs arise at the time of cancer diagnosis among Mexican breast cancer patients. Patients suffering high levels of depressive symptoms reported the highest levels of unmet needs. Future studies should be conducted to elucidate the care needs throughout the disease trajectory, as such information can inform health care professionals and policy makers and lead to improvements in the organization and provision of health care services for Mexican breast cancer patients.

SUBMITTER: Perez-Fortis A

PROVIDER: S-EPMC5577048 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients.

Pérez-Fortis Adriana A Fleer Joke J Sánchez-Sosa Juan José JJ Veloz-Martínez María Guadalupe MG Alanís-López Patricia P Schroevers Maya J MJ Ranchor Adelita V AV

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 20170517 10

<h4>Purpose</h4>Mexican breast cancer patients are generally diagnosed in advanced stages of the disease and often experience delays in cancer treatment delivery. Currently, little is known about these patients' psychological care needs. This study assessed levels and correlates of supportive care needs of Mexican breast cancer patients around the time of cancer diagnosis.<h4>Methods</h4>One hundred seventy-three newly diagnosed Mexican breast cancer patients participated in the study. Supportiv ...[more]

PMID: 28516220

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Project description:PurposeResilience is the individual's ability to bounce back from trauma. It has been studied for some time in the U.S., but few studies in China have addressed this important construct. In mainland China, relatively little is known about the resilience of patients in clinical settings, especially among patients with breast cancer. In this study, we aimed to evaluate the level of resilience and identify predictors of resilience among mainland Chinese women newly diagnosed with breast cancer.MethodsA cross-sectional descriptive study was conducted with 213 mainland Chinese women newly diagnosed with breast cancer between November 2014 and June 2015. Participants were assessed with the Connor-Davidson Resilience Scale (CD-RISC), Social Support Rating Scale (SSRS), Medical Coping Modes Questionnaire (MCMQ, including 3 subscales: confrontation, avoidance, and acceptance-resignation), Herth Hope Index (HHI), and demographic and disease-related information. Descriptive statistics, bivariate analyses and multiple stepwise regression were conducted to explore predictors for resilience.ResultsThe average score for CD-RISC was 60.97, ranging from 37 to 69. Resilience was positively associated with educational level, family income, time span after diagnosis, social support, confrontation, avoidance, and hope. However, resilience was negatively associated with age, body mass index (BMI), and acceptance-resignation. Multiple stepwise regression analysis indicated that hope (? = 0.343, P<0.001), educational level of junior college or above (? = 0.272, P<0.001), educational level of high school (? = 0.235, P<0.001), avoidance (? = 0.220, P<0.001), confrontation (? = 0.187, P = 0.001), and age (? = -0.108, P = 0.037) significantly affected resilience and explained 50.1% of the total variance in resilience.ConclusionsWomen with newly diagnosed breast cancer from mainland China demonstrated particularly low resilience level, which was predicted by hope educational level, avoidance, confrontation, and age.

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Dataset Information

Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients.

Publications

Prevalence and factors associated with supportive care needs among newly diagnosed Mexican breast cancer patients.

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