Unmet Psychosocial Needs and Quality of Life of Young Women with Breast Cancer: A Scoping Systematic Review.

Shaza Hasan, Keng Sheng Chew
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Abstract

Background: The diagnosis and treatment of breast cancer are very distressing for young women and can result in a lot of unmet psychosocial needs and a lower quality of life.

Objective: Although unmet psychosocial needs in young women with breast cancer can negatively impact their quality of life, these needs have not been systematically reviewed. The primary objective of this scoping review was to identify the categories of unmet psychosocial needs among young women with breast cancer. The secondary objective was to examine the relationship between these unmet psychosocial needs and their quality of life.

Methods: Five electronic databases (MEDLINE from the National Library of Medicine, Cumulative Index of Nursing and Allied Health Literature (CINAHL), SCOPUS, Web of Science WOS, and Google Scholar), as well as reference lists of relevant literature were systematically searched to identify the relevant literature following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement for reporting systematic reviews.

Results: From an initial yield of 2505 articles, 30 articles were included and analyzed. The results identified 13 main domains of unmet psychosocial needs among young women with breast cancer: information needs, psychological needs, physical/symptoms needs, fear of recurrence and spreading, identity-related needs, social needs, sexual needs, social support, financial support, practical needs, spiritual needs, communication-related issues with health care providers, and coping needs. Data were extracted and summarized in a narrative synthesis.

Conclusion: Ongoing assessment of informational needs and a clear understanding of the relationship between unmet psychosocial needs and quality of life are essential for healthcare providers to develop robust support systems for young women with breast cancer.

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未满足的心理社会需求和年轻女性乳腺癌患者的生活质量:一项范围系统评价。
背景:乳腺癌的诊断和治疗对年轻女性来说是非常痛苦的,并可能导致许多未满足的心理社会需求和较低的生活质量。目的:尽管患有乳腺癌的年轻女性未满足的心理社会需求会对她们的生活质量产生负面影响,但这些需求尚未得到系统的审查。本综述的主要目的是确定年轻乳腺癌女性未满足的心理社会需求类别。次要目的是检查这些未满足的社会心理需求与其生活质量之间的关系。方法:系统检索美国国家医学图书馆MEDLINE、护理与相关健康文献累积索引(CINAHL)、SCOPUS、Web of Science WOS和谷歌Scholar等5个电子数据库以及相关文献参考文献列表,根据系统评价和meta分析首选报告项目(PRISMA)声明进行系统评价报告,确定相关文献。结果:从最初的2505篇文献中,纳入并分析了30篇文献。结果确定了患有乳腺癌的年轻妇女未满足的13个主要社会心理需求领域:信息需求、心理需求、身体/症状需求、对复发和传播的恐惧、与身份相关的需求、社会需求、性需求、社会支持、经济支持、实际需求、精神需求、与保健提供者沟通相关的问题以及应对需求。数据被提取出来并以叙述综合的方式进行总结。结论:对信息需求的持续评估和对未满足的心理社会需求与生活质量之间关系的清晰理解对于医疗保健提供者为年轻乳腺癌女性建立健全的支持系统至关重要。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
779
审稿时长
3 months
期刊介绍: Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.
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