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Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study
Rong Hu
School of Nursing, Fujian Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9949-7528
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Health and Quality of Life Outcomes.
Background Patients with acute leukaemia (AL) usually require prolonged periods of hospitalisation. The treatment and clinical symptoms may lead to patients’ supportive care needs (SCNs) not being met and impairs their quality of life (QoL). Studies on QoL and SCNs among AL patients are limited. This study aimed to identify the unmet SCNs and its relation to QoL of adult AL patients in China.
Methods This multicentre cross-sectional study recruited 346 participants to complete a self-developed questionnaire, detailing demographic information and disease-related variables. A 34-item Supportive Care Needs Survey (SCNS-SF34) was used to identify unmet SCNs, and the Functional Assessment of Cancer Therapy-Leukaemia (FACT-Leu) questionnaire measured patients’ QoL.
Results Unmet SCN rates for the 34 items ranged from17.6% to 81.7%. Patients’ needs were high for health systems and information, but low in the sexual domain. The results reveal nine factors associated with the unmet SCNs of adult AL patients, including marital status, original residence, age, education, occupation, other diseases, chemotherapy course, disease course, and treatment stage ( p <0.05). The total score of the FACT-Leu negatively correlated with the SCNS-SF34 in the physical/daily living (r = - 0.527, p <0.01), psychological (r = - 0.688, p <0.01), sexual (r = - 0.170, p <0.01), patient care and support (r = - 0.352, p <0.01), and health systems and information (r = - 0.220, p <0.01) domains.
Conclusions Adult AL patients exhibit a high demand for unmet SCNs, especially in the domain of health systems and information. There was a significant association between patients’ unmet SCNs and QoL. Future research should develop tailored interventions to address the unmet SCNs of adult AL patients, to further improve their QoL.
Keywords
Acute leukaemia, Supportive care, Cancer patients, Life quality, Needs domains, Chemotherapy
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Posted 04 Jun, 2020
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On 23 Jun, 2020
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On 11 Jun, 2020
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Received 10 Jun, 2020
Review #3 received
Received 10 Jun, 2020
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Received 06 Jun, 2020
Reviewer #3 agreed
On 03 Jun, 2020
Reviewers invited
Invitations sent on 02 Jun, 2020
Reviewer #1 agreed
On 02 Jun, 2020
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On 02 Jun, 2020
Editor assigned
On 29 May, 2020
Submission checks complete
On 28 May, 2020
Editor invited
On 28 May, 2020
No comments provided
Editorial decision: Major Revision
On 06 May, 2020
Review #3 received
Received 04 May, 2020
Review #1 received
Received 03 May, 2020
Reviewer #3 agreed
On 14 Apr, 2020
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Received 27 Mar, 2020
Reviewer #2 agreed
On 16 Mar, 2020
Reviewers invited
Invitations sent on 12 Mar, 2020
Reviewer #1 agreed
On 12 Mar, 2020
Editor assigned
On 27 Feb, 2020
Submission checks complete
On 26 Feb, 2020
Editor invited
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This preprint is under consideration at Health and Quality of Life Outcomes. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
Unmet supportive care needs and its relation to quality of life among adult acute leukaemia patients in China: a cross-sectional study
Rong Hu
School of Nursing, Fujian Medical University
Corresponding Author
ORCiD: https://orcid.org/0000-0001-9949-7528
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 2
Posted 04 Jun, 2020
Published
On 23 Jun, 2020
No community comments so far
Editorial decision: Accept
On 11 Jun, 2020
Review #2 received
Received 10 Jun, 2020
Review #3 received
Received 10 Jun, 2020
Review #1 received
Received 06 Jun, 2020
Reviewer #3 agreed
On 03 Jun, 2020
Reviewers invited
Invitations sent on 02 Jun, 2020
Reviewer #1 agreed
On 02 Jun, 2020
Reviewer #2 agreed
On 02 Jun, 2020
Editor assigned
On 29 May, 2020
Submission checks complete
On 28 May, 2020
Editor invited
On 28 May, 2020
No comments provided
Editorial decision: Major Revision
On 06 May, 2020
Review #3 received
Received 04 May, 2020
Review #1 received
Received 03 May, 2020
Reviewer #3 agreed
On 14 Apr, 2020
Review #2 received
Received 27 Mar, 2020
Reviewer #2 agreed
On 16 Mar, 2020
Reviewers invited
Invitations sent on 12 Mar, 2020
Reviewer #1 agreed
On 12 Mar, 2020
Editor assigned
On 27 Feb, 2020
Submission checks complete
On 26 Feb, 2020
Editor invited
On 26 Feb, 2020
First submitted
On 23 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at Health and Quality of Life Outcomes.
Background Patients with acute leukaemia (AL) usually require prolonged periods of hospitalisation. The treatment and clinical symptoms may lead to patients’ supportive care needs (SCNs) not being met and impairs their quality of life (QoL). Studies on QoL and SCNs among AL patients are limited. This study aimed to identify the unmet SCNs and its relation to QoL of adult AL patients in China.
Methods This multicentre cross-sectional study recruited 346 participants to complete a self-developed questionnaire, detailing demographic information and disease-related variables. A 34-item Supportive Care Needs Survey (SCNS-SF34) was used to identify unmet SCNs, and the Functional Assessment of Cancer Therapy-Leukaemia (FACT-Leu) questionnaire measured patients’ QoL.
Results Unmet SCN rates for the 34 items ranged from17.6% to 81.7%. Patients’ needs were high for health systems and information, but low in the sexual domain. The results reveal nine factors associated with the unmet SCNs of adult AL patients, including marital status, original residence, age, education, occupation, other diseases, chemotherapy course, disease course, and treatment stage ( p <0.05). The total score of the FACT-Leu negatively correlated with the SCNS-SF34 in the physical/daily living (r = - 0.527, p <0.01), psychological (r = - 0.688, p <0.01), sexual (r = - 0.170, p <0.01), patient care and support (r = - 0.352, p <0.01), and health systems and information (r = - 0.220, p <0.01) domains.
Conclusions Adult AL patients exhibit a high demand for unmet SCNs, especially in the domain of health systems and information. There was a significant association between patients’ unmet SCNs and QoL. Future research should develop tailored interventions to address the unmet SCNs of adult AL patients, to further improve their QoL.