Care Needs and Symptoms Burden of Breast Cancer Patients in Jordan: A Cross-Sectional Study

被引:5
|
作者
Shamieh, Omar [1 ,2 ,3 ]
Alarjeh, Ghadeer [1 ,2 ]
Li, Houshen [4 ]
Abu Naser, Mahmoud [1 ,5 ]
Abu Farsakh, Fadi [1 ]
Abdel-Razeq, Rashid [5 ]
Edilbi, Adib [1 ]
Al-Ani, Ruba [1 ]
Harding, Richard [4 ]
Guo, Ping [4 ,6 ]
机构
[1] King Hussein Canc Ctr, Dept Palliat Care, 202 Queen Rania Al Abdulla St, Amman 11941, Jordan
[2] King Hussein Canc Ctr, Ctr Palliat & Canc Care Conflict, Amman 11941, Jordan
[3] Univ Jordan, Fac Med, Amman 11942, Jordan
[4] Kings Coll London, Cicely Saunders Inst, Florence Nightingale Fac Nursing, Midwifery & Palliat Care, London SE5 9PJ, England
[5] King Hussein Canc Ctr, Dept Med, Amman 11941, Jordan
[6] Univ Birmingham, Inst Clin Sci, Sch Nursing Midwifery, Coll Med & Dent Sci, Birmingham B15 2TT, England
关键词
breast cancer; neoplasm; palliative care; curative; symptoms; QUALITY-OF-LIFE; PALLIATIVE CARE; ASSESSMENT SYSTEM; PAIN;
D O I
10.3390/ijerph191710787
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Breast cancer is the most common malignancy in Jordan. Rigorous needs assessment for breast cancer patients can prioritize both cancer care and palliative care to propose the appropriate services effectively. We conducted a cross-sectional study of breast cancer patients in a cancer center in Jordan. We assessed symptom burden, comorbidities, and performance using the Edmonton Symptom Assessment System (ESAS), the Charlson Comorbidity Index (CCI), and the Australia-modified Karnofsky performance scale (AKPS). Descriptive analysis and regression models to predict the highest symptom burden were used. A total of 233 participants were enrolled: curative vs. palliative intent groups (147 (63%) vs. 86 (37%) patients), respectively. Tiredness was the most reported symptom in 189 patients (81%), while nausea was the least in 61 patients (26.2%). A relationship between the AKPS score and total ESAS was seen (correlation coefficient of -0.487; p < 0.0001). The prevalence of anxiety (p = 0.014), lack of appetite (p = 0.002), poor well-being (p < 0.001), and sleep disorder (p = 0.035) was higher in the palliative care intent group than in the curative one. We identified unmet needs in breast cancer patients. Both groups showed a prevalence of distressing symptoms suggesting that even those with non-palliative intent have high needs and should receive integrated palliative care.
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页数:10
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