Unmet supportive care needs of breast cancer survivors: a systematic scoping review

被引:32
作者
Fan, Rongrong [1 ]
Wang, Lili [1 ]
Bu, Xiaofan [2 ]
Wang, Wenxiu [1 ]
Zhu, Jing [1 ]
机构
[1] Sichuan Univ, West China Hosp, West China Sch Nursing, Dept Pulm & Crit Care Med, 37 Guoxue Lane, Chengdu, Sichuan, Peoples R China
[2] Hong Kong Polytech Univ, Sch Nursing, Hung Hom, Kowloon, Hong Kong, Peoples R China
关键词
Breast neoplasms; Unmet supportive care needs; Systematic scoping review; Influencing factors; Breast cancer survivors; QUALITY-OF-LIFE; YOUNG-WOMEN; INFORMATION NEEDS; POSTTREATMENT; PATIENT; CHINESE; HEALTH; EXPERIENCES; PEOPLE; DETERMINANTS;
D O I
10.1186/s12885-023-11087-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundBreast cancer is the most common type of cancer in women worldwide. Though improved treatments and prolonged overall survival, breast cancer survivors (BCSs) persistently suffer from various unmet supportive care needs (USCNs) throughout the disease. This scoping review aims to synthesize current literature regarding USCNs among BCSs.MethodsThis study followed a scoping review framework. Articles were retrieved from Cochrane Library, PubMed, Embase, Web of Science, and Medline from inception through June 2023, as well as reference lists of relevant literature. Peer-reviewed journal articles were included if USCNs among BCSs were reported. Inclusion/exclusion criteria were adopted to screen articles' titles and abstracts as well as to entirely assess any potentially pertinent records by two independent researchers. Methodological quality was independently appraised following Joanna Briggs Institute (JBI) critical appraisal tools. Content analytic approach and meta-analysis were performed for qualitative and quantitative studies respectively. Results were reported according to the PRISMA extension for scoping reviews.ResultsA total of 10,574 records were retrieved and 77 studies were included finally. The overall risk of bias was low to moderate. The self-made questionnaire was the most used instrument, followed by The Short-form Supportive Care Needs Survey questionnaire (SCNS-SF34). A total of 16 domains of USCNs were finally identified. Social support (74%), daily activity (54%), sexual/intimacy (52%), fear of cancer recurrence/ spreading (50%), and information support (45%) were the top unmet supportive care needs. Information needs and psychological/emotional needs appeared most frequently. The USCNs was found to be significantly associated with demographic factors, disease factors, and psychological factors.ConclusionBCSs are experiencing a large number of USCNs in fearing of cancer recurrence, daily activity, sexual/intimacy, psychology and information, with proportions ranging from 45% to 74%. Substantial heterogeneity in study populations and assessment tools was observed. There is a need for further research to identify a standard evaluation tool targeted to USCNs on BCSs. Effective interventions based on guidelines should be formulated and conducted to decrease USCNs among BCSs in the future.
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页数:24
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