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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients
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Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients

机译：身体和日常生植物的未满足需求介导症状经验对胃癌患者生活质量的影响

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Purpose Gastric cancer patients are expected to have considerable supportive care needs; however, few studies have been conducted. This study aimed to understand the unmet needs of gastric cancer patients at different phases of the cancer journey, identify factors contributing to their unmet needs and quality of life (QOL) and explore the relationships among unmet needs, symptom experience, anxiety, depression, and QOL. Methods A correlational study was conducted using data from 223 gastric cancer patients. The instruments include the SCNS-SF 34, HADS, MDASI, and EORTC QLQ-C 30 (Korean version). Descriptive statistics, t test/ANOVA, Pearson's correlation, multiple regression, and path analyses were used to analyze the data. Results Unmet needs in the health system and information domain were the highest. The phase of the cancer journey had a significant association only with physical and daily living unmet needs (p = 0.027). Physical and daily living unmet needs, symptom severity, symptom interference, and depression demonstrated direct effects on QOL. The physical and daily living unmet needs mediated the association between symptom experience (symptom severity and interference with daily living caused by symptoms) and QOL. The overall paths explained 51.6% of the variance in the QOL of gastric cancer patients (p < 0.001). Conclusion The health system and information unmet needs of gastric cancer patients should be fulfilled by reinforcing the continuity of care, professional counseling, and self-care education. Unmet needs in the physical and daily living domain have to be appraised to facilitate improved symptom management to minimize the negative influence on QOL. Factors contributing to the unmet needs and QOL of gastric cancer patients need to be reflected in supportive care planning.
机译：目的胃癌患者预计会有相当大的支持性护理需求;但是，已经进行了很少的研究。本研究旨在了解癌症旅程不同阶段的胃癌患者的未满足需求，确定有助于其未满足需求和生活质量（QOL）的因素，并探索未满足需求，症状经验，焦虑，抑郁症之间的关系QOL。方法采用来自223例胃癌患者的数据进行相关研究。该仪器包括SCNS-SF 34，HATS，MDASI和EORTC QLQ-C 30（韩版）。描述性统计，T测试/ Anova，Pearson的相关性，多元回归和路径分析用于分析数据。结果健康系统和信息域中的未满足需求最高。癌症旅程的阶段只有一个重要的关联，只有物理和日常生活的未满足需求（p = 0.027）。物理和日常生活未满足的需求，症状严重程度，症状干扰和抑郁症对QOL进行了直接影响。物理和日常生活未满足的需求介导症状经验（症状严重程度和症状导致日常生活的干扰）和QOL之间的关联。整体路径解释了胃癌患者QoL方差的51.6％（P <0.001）。结论应通过加强护理连续性，专业咨询和自我保健教育，实现卫生系统和信息未满足需求。必须评估物理和日常生活领域的未满足需求，以促进改进的症状管理，以最大限度地减少对QOL的负面影响。有助于未满足的需求和胃癌患者的QoL的因素需要反映在支持性护理计划中。

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