RESUMO
PURPOSE/OBJECTIVES: To explore the association between supportive care needs and type D personality, and to identify personality traits, including negative affectivity (NA) and social inhibition (SI), and their influence on the supportive care needs of patients with colorectal cancer (CRC). DESIGN: Cross-sectional, correlational survey. SETTING: Oncology and surgical outpatient clinics at a medical center in northern Taiwan. SAMPLE: 277 patients diagnosed with CRC. METHODS: Data were collected using a set of structured questionnaires to measure supportive care needs, symptom distress, anxiety, depression, and personality traits. The associations between type D personality and supportive care needs were verified by the Mann-Whitney U test. The significant roles of personality traits were identified by generalized estimating equations, controlling for biophysical and psychological factors overall, and for the five supportive care domains. MAIN RESEARCH VARIABLES: Supportive care needs, type D personality. FINDINGS: Patients with CRC reported the most unmet needs in the health system and the information domain. Type D patients had higher needs overall and in most domains, except for sexuality needs. A higher level of NA indicated higher overall and psychological needs. A higher level of SI indicated lower needs in health system and information. CONCLUSIONS: The level of unmet supportive care needs of patients with CRC is highly associated with type D personality. The trait of NA alters levels of overall supportive care and psychological needs, and the trait of SI influences needs in health system and information. IMPLICATIONS FOR NURSING: Assessing personality traits before providing an education program is highly recommended for patients with cancer. The assessment could improve the quality of personalized education programs and better meet patient needs.
Assuntos
Adenocarcinoma/psicologia , Neoplasias Colorretais/psicologia , Pacientes Internados/psicologia , Avaliação das Necessidades , Educação de Pacientes como Assunto , Autocuidado/psicologia , Personalidade Tipo D , Adenocarcinoma/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Ansiedade/etiologia , Neoplasias Colorretais/cirurgia , Colostomia/psicologia , Estudos Transversais , Depressão/etiologia , Medo , Feminino , Necessidades e Demandas de Serviços de Saúde , Hospitais Universitários , Humanos , Comportamento de Busca de Informação , Masculino , Pessoa de Meia-Idade , Negativismo , Serviço Hospitalar de Oncologia , Sexualidade/psicologia , Estresse Psicológico/etiologia , Centro Cirúrgico Hospitalar , Inquéritos e Questionários , Taiwan , Adulto JovemRESUMO
Gastric cancer is the fourth most common cancer globally, and is the second most common cause of death from cancer worldwide. About three-quarters of newly diagnosed cases in 2008 were from Asian countries. With a high mortality-to-incidence ratio, management of gastric cancer is challenging. We discuss evidence for optimum management of gastric cancer in aspects of screening and early detection, diagnosis, and staging; endoscopic and surgical intervention; and the concepts of perioperative, postoperative, and palliative chemotherapy and use of molecularly targeted therapy. Recommendations are formulated on the basis of the framework provided by the Breast Health Global Initiative, using the categories of basic, limited, enhanced, and maximum level. We aim to provide a stepwise strategy for management of gastric cancer applicable to different levels of health-care resources in Asian countries.