Pancreatic Cancer Patients Supportive Care Needs: A Qualitative Analysis

被引:0
作者
Fleszar-Pavlovic, Sara E. [1 ]
Benzo, Roberto M. [2 ,3 ]
Gong, Rui [1 ,4 ]
Browder, Amber [1 ]
Nawab, Aria [1 ]
Brito, Arianna E. [1 ]
Merchant, Nipun B. [1 ,5 ]
Penedo, Frank J. [1 ,6 ]
机构
[1] Univ Miami, Sylvester Comprehens Canc Ctr, Miami, FL 33146 USA
[2] Ohio State Univ, Comprehens Canc Ctr, Columbus, OH USA
[3] Ohio State Univ, Coll Med, Dept Internal Med, Div Canc Prevent & Control, Columbus, OH USA
[4] Univ Miami, Miller Sch Med, Dept Med, Div Med Oncol, Miami, FL USA
[5] Univ Miami, Miller Sch Med, Dept Surg, Miami, FL USA
[6] Univ Miami, Dept Psychol, Miami, FL 33146 USA
基金
美国国家卫生研究院;
关键词
cancer; oncology; pancreatic neoplasms; psychosocial support systems; qualitative research; quality of life; supportive care needs; OF-LIFE; OUTCOMES; DISPARITIES; STAGE;
D O I
10.1002/pon.70135
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
ObjectivePancreatic cancer (PaCa) patients face a 5-year survival rate of just 13%. Most patients present with unresectable disease and endure aggressive treatments with significant chronic and debilitating side effects. PaCa patients also experience significant unmet supportive care needs (e.g., physical, psychological, informational/educational); however, limited qualitative studies have explored the specific needs of racially and ethnically diverse PaCa populations.AimsThis study identified supportive care needs in a racially and ethnically diverse sample of PaCa survivors.MethodsAs part of a larger project to develop a psychosocial symptom management intervention, semi-structured qualitative interviews were conducted with PaCa survivors to explore the supportive care needs at diagnosis and after treatment. Qualitative data were analyzed using Rapid Qualitative Analysis, and personal/medical characteristics were analyzed using descriptive statistics.ResultsPaCa survivors (n = 18; Mage = 64) participated, with the majority identifying as female (66.7%), White (88.9%), and Hispanic (55.6%). Over one-third completed interviews in Spanish. Four themes emerged: (1) information/health system needs, including difficulty understanding complex medical concepts, limited holistic care, post-treatment symptom management, and health behaviors; (2) psychosocial needs related to quality of life and relationships with family and healthcare providers; (3) physical and functional needs, including persistent side effects and lifestyle changes; and (4) positivity and gratitude.ConclusionsWe emphasize the themes of unmet supportive care needs in a racially and ethnically diverse sample of PaCa survivors. These findings underscore the importance of developing interventions to address these gaps and improve the overall quality of life for diverse PaCa patients.
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页数:11
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