Open Access, Peer-reviewed
pISSN 2287-2434
eISSN 2287-447X
    Asian Oncol Nurs. 2016 Dec;16(4):217-225. Korean.
    Published online Dec 31, 2016.
    https://doi.org/10.5388/aon.2016.16.4.217
    © 2016 Korean Oncology Nursing Society
    Original Article

    Changes of Supportive Care Needs and Quality of Life in Patients with Breast Cancer

    Jin-Hee Park,1 Mison Chun,2 Yong-Sik Jung,3 and Young-Mi Jung4
      • 1College of Nursing · The Institute of Nursing Science, Ajou University, Suwon, Korea.
      • 2School of Medicine, Department of Radiation Oncology, Ajou University, Suwon, Korea.
      • 3School of Medicine, Department of Surgery, Ajou University, Suwon, Korea.
      • 4College of Nursing, Ajou University, Suwon, Korea.
    • Address reprint requests to: Jung, Young-Mi. College of Nursing, Ajou University, 164 World cup-ro, Yongtong-gu 16499, Suwon, Korea. Tel: +82-31-219-7019, Fax: +82-31-219-7020, Email: j-dudal@hanmail.net
    Received November 11, 2016; Revised December 02, 2016; Accepted December 19, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The purpose of this study was to identify changes of supportive care needs and relationship to quality of life (QOL) in patients with breast cancer.

    Methods

    117 patients with breast cancer were administered the Supportive Care Needs Survey-Short form 34 and the Functional Assessment of Cancer Therapy-Breast before adjuvant therapy after mastectomy (T1), at the end of completing adjuvant therapy (T2), as well as 6 months after the completion of adjuvant therapy (T3). Data were analyzed using SPSS/Win 21.0.

    Results

    The highest unmet supportive care needs were observed in the health system and information domain and the psychological domain at each time point. The health system and information (F=22.49, p<.001) and physical and daily living needs (F=5.72, p=.004) were higher at T1 and T2 than T3. The psychological (F=7.43, p=.001) and patient care and support needs were higher at T1 than T2 and T3. Multiple regression analysis showed that breast cancer patients with greater physical and daily living and psychological needs were significantly associated with poorer QOL at all times.

    Conclusion

    Supportive care should be timely provided to breast cancer patients to improve their ability to cope with physical and psychological problem and QOL. Breast cancer patients who had more unmet needs in psychological and physical domains were more likely to have a poor QOL.

    Keywords
    Breast Neoplasms; Quality of Life; Needs

    Tables

    Table 1
    Demographic and Clinical Characteristics of the Participants (N=117)

    Table 2
    Prevalence of Top 10 Unmet Supportive Care Needs (N=117)

    Table 3
    Change in Supportive Care Needs Over Time (N=117)

    Table 4
    Regression Model with Quality of life as the Dependent Variable (N=117)

    Notes

    This study was supported by a grant from the National R&D Program for Cancer Control, Ministry of Health & Welfare, Republic of Korea (N0:1320290)

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    MeSH Terms
    Breast Neoplasms*
    Breast*
    Humans
    Mastectomy
    Patient Care
    Quality of Life*
    Metrics
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