Korean J Adult Nurs.  2011 Oct;23(5):460-471.

Predictive Factors of Supportive Care Needs in Patients with Hematologic Malignancy

• Jung AR
• Yi M

Abstract

PURPOSE
This study was designed to investigate the levels of anxiety, depression, physical symptoms, and supportive care needs in patients with hematologic malignancy and to identify predictive factors of supportive care needs.
METHODS
The data were collected from 100 subjects undergoing treatments during 2010 in Korea. The questionnaires included the Hospital Anxiety-Depression Scale, the M. D. Anderson Symptom Inventory, and the Supportive Care Needs Survey-Short Form 34. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression.
RESULTS
Forty percent of the subjects had anxiety and 58% had depression. Thirty-eight percent of the subjects reported to have moderate-to-severe levels of physical symptoms. The most severe physical symptom was lack of appetite, followed by fatigue and pain. In terms of supportive care needs, the health system and information domain showed the highest among all domains. Supportive care needs had a significant positive correlation with anxiety, depression, and physical symptoms. And its predictive factors were identified as anxiety, physical symptoms and marital status, with the explanatory power of 48.9%.
CONCLUSION
These findings demonstrate that anxiety and physical symptoms should be assessed and treated to meet the supportive care needs of patients with hematologic malignancies.

MeSH Terms

Anxiety
Appetite
Depression
Fatigue
Health Surveys
Hematologic Neoplasms
Humans
Korea
Marital Status
Needs Assessment
Surveys and Questionnaires