Analysis of supportive care needs and their influencing factors among lymphoma patients
10.3760/cma.j.cn115356-20250226-00027
- VernacularTitle:淋巴瘤患者支持性照护需求现况及其影响因素分析
- Author:
Chunrong CHEN
1
;
Yanfang LIN
;
Rong HU
Author Information
1. 福建医科大学附属协和医院血液科护理病房，福州 350001
- Keywords:
Lymphoma;
Patient care;
Supportive care needs
- From:
Journal of Leukemia & Lymphoma
2025;34(10):606-612
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of supportive care needs in lymphoma patients and the influencing factors.Methods:A single-center cross-sectional survey was conducted. By using convenience sampling, lymphoma patients hospitalized in the Fujian Medical University Union Hospital from September 2020 to April 2021 were prospectively selected as the research objects. A self-designed general information questionnaire (including gender, age, residence, education level, occupation, monthly household income per capita, payment method for medical expenses, commercial insurance status, disease duration, and treatment course) and the hematological malignancy specific supportive care needs scale were used for face-to-face interviews in lymphoma patients. Differences in supportive care needs scores among patients with different characteristics were compared, and the unmet rate of supportive care needs for each item was calculated. A generalized linear model was used to analyze the effects of social demographic characteristics and disease characteristics on supportive care needs scores.Results:A total of 340 subjects were enrolled. During data collection, 30 questionnaires that did not meet the requirements were excluded, resulting in 310 valid questionnaires from patients, yielding a qualification rate of 91.2%. The age of the 310 lymphoma patients was (43±14) years, including 176 males (56.8%) and 134 females (43.2%). The median total score [ M ( Q1, Q3)] of supportive care needs was 170 (114, 220) points, ranging from 51 to 255 points. There were 44 items with unmet rate >60% for supportive care needs, accounting for 86.3% of the total 51 items. The total supportive care needs score increased with higher educational level and fewer treatment cycles, and the differences in supportive care needs score between patients stratified by these 2 characteristics were statistically significant (both P < 0.05),while there were no statistically significant differences in the supportive care needs total score among patients stratified by gender, age, monthly household income per capita, payment method for medical expenses, commercial insurance condition, occupation, or disease duration (all P > 0.05). Generalized linear model analysis showed that education level (compared to college or above, high school/vocational school: β = -29.92, 95% CI: -47.42--12.41, P = 0.001), number of treatment courses (compared to 8 courses, 0-4 courses: β = 25.60, 95% CI: 4.76-46.45, P = 0.016), and age (compared to ≥66 years, 41-65 years: β = -29.76, 95% CI: -56.69--2.83, P = 0.030) were independent influencing factors for the supportive care needs score. Interaction effects among independent variables analysis showed that interaction effects were found between education level and payment method for medical expenses ( P = 0.005). Conclusions:Lymphoma patients generally exhibit high levels of supportive care needs. Healthcare professionals should therefore provide personalized supportive care based on factors such as the patients' number of age, treatment cycles, and educational level.
