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Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer: A Longitudinal Study(English)

Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed with Colorectal Cancer: A Longitudinal Study(English)

          
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This dissertation, "Unmet Supportive Care Needs in Hong Kong Chinese Patients Newly Diagnosed With Colorectal Cancer: a Longitudinal Study" by King-fung, Sam, 岑檠峰, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Introduction Patient-centered care is a recognized approach to enhance quality of oncological care. While most studies on supportive care needs among cancer patients focused on the time patients receiving or completing adjuvant treatment, little is known about the extent of unmet supportive care needs among cancer patients at the time awaiting surgery which is often a primary treatment for some cancer types such as breast, lung and colorectal cancer. There is growing attention in supportive care need of colorectal cancer patient in recent decades with the advocacy of holistic care. The influence of supportive care unmet need on physical symptom and psychological distress is being concerned as a risk factor of the distress. Meanwhile, colorectal cancer in Hong Kong are being concerned by its growing incidence. Studies often targeted on prevalence of the needs but seldom on the association between supportive care needs and physical symptom and psychological distress. Moreover, surgery is often the primary treatment for curative colorectal cancer. There is little known about the influence of supportive care need during the surgical phase. The aim of this study was to investigate the extent of pre-surgical unmet supportive care needs among Hong Kong Chinese patients with colorectal cancer. It is hypothesized in this study that pre-surgical unmet needs influence on physical symptom and psychological distress at 4-week post-surgery. Methods Quantitative study was applied to analyze data of longitudinal study in supportive care needs, physical symptom distress, and psychological distress of Chinese patient with colorectal cancer. The data was collected at Queen Mary Hospital by School of Public Health, The University of Hong Kong. 503 patients were approached and 303 patients were eligible in this study. A total of 246 colorectal cancer patients provided written consent and enrolled to the longitudinal study. Primary outcomes were supportive care needs at pre-surgery, physical symptom distress and psychological distress in terms of anxiety and depression at 4-week post-surgery. A multiple linear regression was used to analyze the influence of supportive care needs on physical symptom and psychological distress at 4-week post-surgery, adjusted with participant's baseline distress level, demographic and clinical characteristics. Results The present study showed a moderate pre-surgical unmet supportive care needs in health service and information (HSI) need with SCNS-SF34-C mean score of 36.29 (95% CI: 33.31, 39.27), ranging from 0 to 100. The extent of supportive care needs was small on Patient care and support (PCS) (mean score 18.35, 95% CI: 16.22, 20.48), Psychological (PSY) (mean score 11.15, 95% CI: 9.34, 12.96) and Physical and daily living (PDL) (mean score 10.10, 95% CI: 8.56, 11.69) domains. Low sexuality needs (Sex) (mean score 2.10, 95% CI: 0.98, 3.22) was observed in the present study. Furthermore, there was low level of post-surgical distress observed in this study. Physical symptom distress was reported with MSAS-SF mean score 0.42 (possible range of score 0 to 4) (95% CI: 0.36, 0.48). HADS Anxiety was reported with mean score of 1.64 (possible range of score 0 to 14) (95% CI: 1.26, 2.02) and HADS depression with mean score of 2.93 (possible range of score 0 to 14) (95% CI: 2.42, 3.43). In this study, the associations


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Product Details
  • ISBN-13: 9781361020579
  • Publisher: Open Dissertation Press
  • Publisher Imprint: Open Dissertation Press
  • Height: 279 mm
  • No of Pages: 76
  • Spine Width: 6 mm
  • Weight: 472 gr
  • ISBN-10: 1361020571
  • Publisher Date: 26 Jan 2017
  • Binding: Hardback
  • Language: English
  • Series Title: English
  • Sub Title: A Longitudinal Study
  • Width: 216 mm


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