Fear of Recurrence as a Predictor of Care Needs for Long-Term Breast Cancer Survivors.
Cancer Nurs
; 41(1): 69-76, 2018.
Article
en En
| MEDLINE
| ID: mdl-27922923
ABSTRACT
BACKGROUND:
The improved survival rate for breast cancer has increased the number of women living with the diagnosis for more than 5 years. Limited studies have focused on the care needs for long-term healthy survivors of breast cancer.OBJECTIVE:
The aims of this study were to understand the care needs of long-term breast cancer survivors and identify related factors that influence these needs.METHODS:
A convenience sampling with a correlational study design was used. Women at least 20 years old, who were given a diagnosis of breast cancer at least 5 years, were recruited from 2 hospital clinics in southern Taiwan. A self-administered questionnaire measuring cancer survivors' unmet needs was administered after obtaining informed consent. Binary logistic regression was used to examine variables associated with unmet care needs.RESULTS:
Of the 192 women participating, the highest unmet needs related to existential survivorship. The most frequently endorsed unmet need was for an ongoing case manager. Fear of recurrence was associated with 3 aspects including existential survivorship, comprehensive cancer, and quality-of-life unmet needs (odds ratio, 1.14-1.21).CONCLUSIONS:
Even 5 years after the diagnosis and completion of therapy, women continue to report unmet needs. Evaluating women's fear of recurrence to identify high-risk women with unmet needs is critical to providing quality care. IMPLICATION FOR PRACTICE Developing appropriate survivorship care programs combined with managing concerns regarding recurrence by a nursing case manager is needed.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias de la Mama
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Miedo
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Supervivientes de Cáncer
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Necesidades y Demandas de Servicios de Salud
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Recurrencia Local de Neoplasia
Tipo de estudio:
Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
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Aged
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Female
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Humans
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Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Cancer Nurs
Año:
2018
Tipo del documento:
Article