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Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients

 Sun Young Rha  ;  Hyo Jin Lee  ;  Jiyeon Lee 
 SUPPORTIVE CARE IN CANCER, Vol.28(3) : 1419-1431, 2020 
Journal Title
Issue Date
Adult ; Aged ; Aged, 80 and over ; Anxiety/etiology ; Anxiety/psychology ; Cross-Sectional Studies ; Depression/etiology ; Depression/psychology ; Female ; Health Services Needs and Demand* ; Humans ; Male ; Middle Aged ; Needs Assessment* ; Palliative Care/methods* ; Physical Examination ; Quality of Life/psychology* ; Stomach Neoplasms/psychology*
Depression ; Quality of life ; Symptom experience ; Unmet needs
PURPOSE: Gastric cancer patients are expected to have considerable supportive care needs; however, few studies have been conducted. This study aimed to understand the unmet needs of gastric cancer patients at different phases of the cancer journey, identify factors contributing to their unmet needs and quality of life (QOL) and explore the relationships among unmet needs, symptom experience, anxiety, depression, and QOL. METHODS: A correlational study was conducted using data from 223 gastric cancer patients. The instruments include the SCNS-SF 34, HADS, MDASI, and EORTC QLQ-C 30 (Korean version). Descriptive statistics, t test/ANOVA, Pearson's correlation, multiple regression, and path analyses were used to analyze the data. RESULTS: Unmet needs in the health system and information domain were the highest. The phase of the cancer journey had a significant association only with physical and daily living unmet needs (p = 0.027). Physical and daily living unmet needs, symptom severity, symptom interference, and depression demonstrated direct effects on QOL. The physical and daily living unmet needs mediated the association between symptom experience (symptom severity and interference with daily living caused by symptoms) and QOL. The overall paths explained 51.6% of the variance in the QOL of gastric cancer patients (p < 0.001). CONCLUSION: The health system and information unmet needs of gastric cancer patients should be fulfilled by reinforcing the continuity of care, professional counseling, and self-care education. Unmet needs in the physical and daily living domain have to be appraised to facilitate improved symptom management to minimize the negative influence on QOL. Factors contributing to the unmet needs and QOL of gastric cancer patients need to be reflected in supportive care planning.
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3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Rha, Sun Young(라선영) ORCID logo https://orcid.org/0000-0002-2512-4531
Lee, Jiyeon(이지연) ORCID logo https://orcid.org/0000-0001-6413-329X
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