Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer
PURPOSE: Diagnosis and treatment of cancer are associated with significant psychological distress, and patients face a broad range of challenges that create a vacuum of unmet needs felt by patients, such as a loss of personal control and frustration. The aim of the current study was to determine the...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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American Society of Clinical Oncology
2019-06-01
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| Series: | Journal of Global Oncology |
| Online Access: | http://ascopubs.org/doi/10.1200/JGO.19.00043 |
| _version_ | 1819010868896071680 |
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| author | Olamijulo Fatiregun Anthonia Chima Sowunmi Muhammad Habeebu Paul Okediji Adewumi Alabi Omolara Fatiregun Adeoluwa Adeniji Opeyemi Awofeso Bolanle Adegboyega |
| author_facet | Olamijulo Fatiregun Anthonia Chima Sowunmi Muhammad Habeebu Paul Okediji Adewumi Alabi Omolara Fatiregun Adeoluwa Adeniji Opeyemi Awofeso Bolanle Adegboyega |
| author_sort | Olamijulo Fatiregun |
| collection | DOAJ |
| description | PURPOSE: Diagnosis and treatment of cancer are associated with significant psychological distress, and patients face a broad range of challenges that create a vacuum of unmet needs felt by patients, such as a loss of personal control and frustration. The aim of the current study was to determine the magnitude, distribution, and correlates of unmet needs in Nigerian patients with cancer. PATIENTS AND METHODS: Using a descriptive cross-sectional approach, we assessed 205 patients with cancer who attended oncology outpatient clinics at the Lagos University Teaching Hospital. Eligible patients were administered the Supportive Care Needs Survey (SCNS) –Short Form 34 with a focus on five domains of need: psychological, health system and information, physical and daily living, patient care and support, and sexuality. RESULTS: Mean age was 47.4 ± 12.3 years and patients were predominantly female (96.6%). The most common diagnosis was breast cancer (92.2%), and mean duration since diagnosis was 20.9 ± 21.9 months for all patients. Mean SCNS score was 83.9 ± 24.8 and at least 46% of participants indicated unmet needs in 15 items of the SCNS. The most frequent unattended needs were related to the health information (53.4%), physical and daily living (49.4%), psychological (48.5%), sexuality, and patient care and support domains. None of the factors considered—age, sex marital status, family type, educational attainment, employment status, economic status, the presence of financial support, social support, and cancer type—was significantly predictive of unmet needs in these patients (P > .05). CONCLUSION: Nigerian patients with cancer experience considerable levels of unmet needs. These needs require urgent and long-term interventions to help patients achieve increased care satisfaction and a better quality of life. |
| first_indexed | 2024-12-21T01:19:06Z |
| format | Article |
| id | doaj.art-ea882cc5077143d6b023fd9bb98aa2c1 |
| institution | Directory Open Access Journal |
| issn | 2378-9506 |
| language | English |
| last_indexed | 2024-12-21T01:19:06Z |
| publishDate | 2019-06-01 |
| publisher | American Society of Clinical Oncology |
| record_format | Article |
| series | Journal of Global Oncology |
| spelling | doaj.art-ea882cc5077143d6b023fd9bb98aa2c12022-12-21T19:20:43ZengAmerican Society of Clinical OncologyJournal of Global Oncology2378-95062019-06-0151910.1200/JGO.19.000431Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With CancerOlamijulo Fatiregun0Anthonia Chima Sowunmi1Muhammad Habeebu2Paul Okediji3Adewumi Alabi4Omolara Fatiregun5Adeoluwa Adeniji6Opeyemi Awofeso7Bolanle Adegboyega8Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.University of Lagos, Lagos, NigeriaUniversity of Lagos, Lagos, NigeriaSolar Center for International Development and Research, Abuja, NigeriaLagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.Lagos University Teaching Hospital, Idi-araba, Lagos, Nigeria.PURPOSE: Diagnosis and treatment of cancer are associated with significant psychological distress, and patients face a broad range of challenges that create a vacuum of unmet needs felt by patients, such as a loss of personal control and frustration. The aim of the current study was to determine the magnitude, distribution, and correlates of unmet needs in Nigerian patients with cancer. PATIENTS AND METHODS: Using a descriptive cross-sectional approach, we assessed 205 patients with cancer who attended oncology outpatient clinics at the Lagos University Teaching Hospital. Eligible patients were administered the Supportive Care Needs Survey (SCNS) –Short Form 34 with a focus on five domains of need: psychological, health system and information, physical and daily living, patient care and support, and sexuality. RESULTS: Mean age was 47.4 ± 12.3 years and patients were predominantly female (96.6%). The most common diagnosis was breast cancer (92.2%), and mean duration since diagnosis was 20.9 ± 21.9 months for all patients. Mean SCNS score was 83.9 ± 24.8 and at least 46% of participants indicated unmet needs in 15 items of the SCNS. The most frequent unattended needs were related to the health information (53.4%), physical and daily living (49.4%), psychological (48.5%), sexuality, and patient care and support domains. None of the factors considered—age, sex marital status, family type, educational attainment, employment status, economic status, the presence of financial support, social support, and cancer type—was significantly predictive of unmet needs in these patients (P > .05). CONCLUSION: Nigerian patients with cancer experience considerable levels of unmet needs. These needs require urgent and long-term interventions to help patients achieve increased care satisfaction and a better quality of life.http://ascopubs.org/doi/10.1200/JGO.19.00043 |
| spellingShingle | Olamijulo Fatiregun Anthonia Chima Sowunmi Muhammad Habeebu Paul Okediji Adewumi Alabi Omolara Fatiregun Adeoluwa Adeniji Opeyemi Awofeso Bolanle Adegboyega Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer Journal of Global Oncology |
| title | Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer |
| title_full | Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer |
| title_fullStr | Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer |
| title_full_unstemmed | Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer |
| title_short | Prevalence and Correlates of Unmet Supportive Needs of Nigerian Patients With Cancer |
| title_sort | prevalence and correlates of unmet supportive needs of nigerian patients with cancer |
| url | http://ascopubs.org/doi/10.1200/JGO.19.00043 |
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