TY - JOUR
T1 - Prioritizing care for women with breast cancer based on survival stage
T2 - A study examining the association between physical symptoms, psychological distress and unmet needs
AU - Shih, I. Hsuan
AU - Lin, Chung Ying
AU - Fang, Su Ying
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/10
Y1 - 2020/10
N2 - Purpose: 1) To examine the differences in physical symptoms, psychological distress and unmet needs between short-term (2–5 years) and long-term (>5 years) breast cancer survivors (BCSs). 2) To explore how physical symptoms and psychological distress impact unmet needs among women in different survival stages. Method: Three hundred forty-nine people with breast cancer completed questionnaires. Short-term (2–5 years) and long-term (>5 years) survival stages were examined. Physical symptoms (number of physical symptoms); psychological distress, including fear of recurrence (FOR) (FOR visual analogue scale (VAS)) and depressive symptoms (Center for Epidemiological Studies-Depression Scale); and unmet needs (Chinese Cancer Survivors’ Unmet Needs scale) were measured. Structural equation modelling with multi-group analysis was used to assess differences between short- and long-term survivors in the magnitude of paths. Results: In total, 157 women who had survived <5 years and 192 women who had survived >5 years were recruited. The path coefficients from physical and depressive symptoms to unmet needs were similar between short-term BCSs and long-term BCSs (p >.05). However, the path coefficient from FOR to unmet needs among women who had survived for >5 years was significantly greater than that among those who had survived <5 years (p <.001). Conclusion: Based on these results, health care professionals should be aware of the FOR that women experience even 5 years after their initial diagnosis. Providing survivorship care plans with comprehensive side effect-related information soon after treatment is recommended.
AB - Purpose: 1) To examine the differences in physical symptoms, psychological distress and unmet needs between short-term (2–5 years) and long-term (>5 years) breast cancer survivors (BCSs). 2) To explore how physical symptoms and psychological distress impact unmet needs among women in different survival stages. Method: Three hundred forty-nine people with breast cancer completed questionnaires. Short-term (2–5 years) and long-term (>5 years) survival stages were examined. Physical symptoms (number of physical symptoms); psychological distress, including fear of recurrence (FOR) (FOR visual analogue scale (VAS)) and depressive symptoms (Center for Epidemiological Studies-Depression Scale); and unmet needs (Chinese Cancer Survivors’ Unmet Needs scale) were measured. Structural equation modelling with multi-group analysis was used to assess differences between short- and long-term survivors in the magnitude of paths. Results: In total, 157 women who had survived <5 years and 192 women who had survived >5 years were recruited. The path coefficients from physical and depressive symptoms to unmet needs were similar between short-term BCSs and long-term BCSs (p >.05). However, the path coefficient from FOR to unmet needs among women who had survived for >5 years was significantly greater than that among those who had survived <5 years (p <.001). Conclusion: Based on these results, health care professionals should be aware of the FOR that women experience even 5 years after their initial diagnosis. Providing survivorship care plans with comprehensive side effect-related information soon after treatment is recommended.
UR - http://www.scopus.com/inward/record.url?scp=85090550597&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85090550597&partnerID=8YFLogxK
U2 - 10.1016/j.ejon.2020.101816
DO - 10.1016/j.ejon.2020.101816
M3 - Article
C2 - 32937261
AN - SCOPUS:85090550597
SN - 1462-3889
VL - 48
JO - European Journal of Oncology Nursing
JF - European Journal of Oncology Nursing
M1 - 101816
ER -