Research On Supportive Care Needs And Quality Of Life Based On The Report Outcome Of Gynecological Cancer Patients With Chemotherapy

Objective: Investigation and study of gynecologic cancer chemotherapy patients with supportive care needs and the quality of life,to reflect the gynecologic cancer chemotherapy patients' self-reported outcome supportive care needs,the characteristics of the quality of life,and the related influencing factors.Exploring the diagnosis and treatment chemical phase the correlation of supportive care needs and quality of life.Methods: Using the convenience sampling method,the patients with gynecological malignant tumor who received chemotherapy in the two hospitals of 3 grade in lanzhou city from September2016 to November 2017 were selected as the investigation subjects.This research tools are the general information questionnaire,SCNS scale,QLQ-C30 scale,and the cross-sectional study was conducted by way of patient report outcome.Results: Analyzing the result of the outcome of the patient report,the supportive care needs of patients with gynecological malignant tumor chemotherapy are high in each dimension.Their rankings are the health information demand dimension(41.70± 15.84),psychological demand dimension(38.19±9.86),care and support requirements dimension(19.00±5.63),physical and daily life demand dimension(14.70±5.64),sexual needs dimension(2.16±3.44).The unmeet demand rate of each dimension is very high.Their rankings are the dimension of health information demand(76.0%),psychological demand dimension(72.8%),care and support demand dimension(71.4%),physiological and daily life demand dimension(61.3%),and sexual demand dimension(23.1%).The quality of life of patients with gynecological malignant tumor chemotherapy was lower.The score of the patients' functional scale was(67.17±15.12)and the score of the symptom scale was(34.03±19.21).Analysis of the influencing factors of supportive care needs of patients with gynecological malignant tumor chemotherapy,the younger the patient was,the greater the sexual demand.The higher the level of the patient's culture,the more demand for the health information,the heavier the psychological burden and the higher demand.The psychological needs of unmarried patients were higher than those of other marital types.The demand for care and support of farmers is higher than that of non-farmers.The average monthly income of the family is less than 2000,and the patients who care and support the demand,psychological needs,physiological and daily needs are higher than those of other incomes.Public medical treatment is the main reason for the high demand of patient care and support.Patients who are completely unaware of the condition have higher requirements for health information than those who fully understand the condition.The psychological needs of endometrial cancer patients were higher than that of other gynecological malignant tumors.The age,marital status,cultural level,occupation,economic level,type of medical insurance and degree of knowledge of illness are factors that affect the quality of life of patients.The supportive care needs of patients with gynecological malignant tumor chemotherapy were negatively correlated with the dimensions of life quality.However,the sex demand dimension only affected the overall health level of the patients,and the differences in the functional and symptomatic areas of the quality of life were not significant,and the differences between the other dimensions were significant.Conclusion: The cross-sectional study of patients with gynecological malignant tumor chemotherapy with patient report outcomes showed that the patients were not satisfied with each dimension of supportive care,and the demand rate was high.The quality of life was poor during chemotherapy.In addition,the quality of life is reduce because multiple needs are not met.The age,marital status,cultural level,occupation,economic status,type of medical insurance and the degree of disease awareness are important factors affecting the patients' needs and quality of life.Medical staff should identify the related factors of affect the patients demand timely.To assess the patient's needs and degree of the needs,and to meet the needs of patients,to improve the quality of life of patients.The future research should be longitudinal analysis of patients' chemotherapy time and further understand the supportive care needs and quality of life of patients in different chemotherapy stages.