Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment

Objectives: This study investigated physical symptoms, unmet supportive care needs, and quality of life (QoL) perception among different types of Thai cancer survivors who had completed first-line treatment. Methods: A cross-sectional study recruited breast, gynecological, colorectal, lung, and head...

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Main Authors: Kanaungnit Pongthavornkamol, Pichitra Lekdamrongkul, Pimchan Pinsuntorn, Alex Molassiotis
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Asia-Pacific Journal of Oncology Nursing
Subjects:
Online Access:http://www.apjon.org/article.asp?issn=2347-5625;year=2019;volume=6;issue=4;spage=363;epage=371;aulast=Pongthavornkamol
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author Kanaungnit Pongthavornkamol
Pichitra Lekdamrongkul
Pimchan Pinsuntorn
Alex Molassiotis
author_facet Kanaungnit Pongthavornkamol
Pichitra Lekdamrongkul
Pimchan Pinsuntorn
Alex Molassiotis
author_sort Kanaungnit Pongthavornkamol
collection DOAJ
description Objectives: This study investigated physical symptoms, unmet supportive care needs, and quality of life (QoL) perception among different types of Thai cancer survivors who had completed first-line treatment. Methods: A cross-sectional study recruited breast, gynecological, colorectal, lung, and head and neck cancer survivors (n = 236) who were attending follow-up visits at a regional cancer hospital in central Thailand. Data were collected by the Physical Symptom Concerns Survey, the Cancer Survivors' Unmet Needs Scale, and a single item measuring global QoL. Descriptive statistics, one-way analysis of variance (ANOVA), and Welch's ANOVA were used for data analysis. Results: Cancer survivors generally perceived good QoL, with significantly low QoL for lung cancer survivors (P < 0.001). There were no differences in symptom experiences among the five cancer groups, except for pain, which was significantly higher in lung cancer survivors than in the other four groups. The most frequently reported symptoms across all groups were numbness in the hands/feet, sleep disturbances, fatigue, and pain. The top unmet supportive care need among all participants was related to concerns of cancer recurrence (44.5%). Head and neck cancer survivors reported the highest number of unmet needs among the five cancer groups. Conclusions: This study mapped the unmet supportive care needs in Thai cancer patients and showed that patients with head and neck cancer and lung cancer were strongly affected. A survivorship care plan focusing on managing physical symptoms and providing supportive and psychosocial care should be developed to meet the needs of each cancer survivor group and to enhance QoL after the completion of treatment.
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spelling doaj.art-d15128916f7040a8b929409bee2243952023-09-02T16:15:44ZengElsevierAsia-Pacific Journal of Oncology Nursing2347-56252349-66732019-01-016436337110.4103/apjon.apjon_26_19Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary TreatmentKanaungnit PongthavornkamolPichitra LekdamrongkulPimchan PinsuntornAlex MolassiotisObjectives: This study investigated physical symptoms, unmet supportive care needs, and quality of life (QoL) perception among different types of Thai cancer survivors who had completed first-line treatment. Methods: A cross-sectional study recruited breast, gynecological, colorectal, lung, and head and neck cancer survivors (n = 236) who were attending follow-up visits at a regional cancer hospital in central Thailand. Data were collected by the Physical Symptom Concerns Survey, the Cancer Survivors' Unmet Needs Scale, and a single item measuring global QoL. Descriptive statistics, one-way analysis of variance (ANOVA), and Welch's ANOVA were used for data analysis. Results: Cancer survivors generally perceived good QoL, with significantly low QoL for lung cancer survivors (P < 0.001). There were no differences in symptom experiences among the five cancer groups, except for pain, which was significantly higher in lung cancer survivors than in the other four groups. The most frequently reported symptoms across all groups were numbness in the hands/feet, sleep disturbances, fatigue, and pain. The top unmet supportive care need among all participants was related to concerns of cancer recurrence (44.5%). Head and neck cancer survivors reported the highest number of unmet needs among the five cancer groups. Conclusions: This study mapped the unmet supportive care needs in Thai cancer patients and showed that patients with head and neck cancer and lung cancer were strongly affected. A survivorship care plan focusing on managing physical symptoms and providing supportive and psychosocial care should be developed to meet the needs of each cancer survivor group and to enhance QoL after the completion of treatment.http://www.apjon.org/article.asp?issn=2347-5625;year=2019;volume=6;issue=4;spage=363;epage=371;aulast=PongthavornkamolCancer survivorphysical symptomsquality of lifeThaiunmet needs
spellingShingle Kanaungnit Pongthavornkamol
Pichitra Lekdamrongkul
Pimchan Pinsuntorn
Alex Molassiotis
Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
Asia-Pacific Journal of Oncology Nursing
Cancer survivor
physical symptoms
quality of life
Thai
unmet needs
title Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
title_full Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
title_fullStr Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
title_full_unstemmed Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
title_short Physical Symptoms, Unmet Needs, and Quality of Life in Thai Cancer Survivors after the Completion of Primary Treatment
title_sort physical symptoms unmet needs and quality of life in thai cancer survivors after the completion of primary treatment
topic Cancer survivor
physical symptoms
quality of life
Thai
unmet needs
url http://www.apjon.org/article.asp?issn=2347-5625;year=2019;volume=6;issue=4;spage=363;epage=371;aulast=Pongthavornkamol
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