Unmet Supportive Care Needs of Women with Gynecological Cancer in Manipur, North East India

Thungchanbeni Ezung; Anu Gauba; Raj Kumar Lenin  Singh

doi:10.55489/njcm.150320243631

Authors

Thungchanbeni Amity university, Haryana, India https://orcid.org/0009-0002-4492-884X
Anu Gauba Amity university, Haryana, India
Raj Kumar Lenin Singh Regional Institute of Medical Sciences, Imphal, Manipur, India

DOI:

https://doi.org/10.55489/njcm.150320243631

Keywords:

gynaecological cancer, psychosocial needs, supportive care, unmet needs, Cancer, perceived needs

Abstract

Background; Gynecological cancer significantly affects femininity, sexuality, fertility, physical and psychosocial relationships leading to impaired quality of life. There is a dearth of literature that identifies the unmet psychosocial supportive care needs of gynecological cancer patients in North East, India especially in Manipur. The study aims to explore the unmet supportive care needs of women with gynecological cancers and to determine correlates with demographic variables.

Methodology: A cross-sectional study using the “Supportive Care Needs Survey questionnaire (SCNS SF-34) in conjunction with demographic data was done on 72 participants recruited through purposive sampling. Ethical clearance was obtained. Data was analyzed with SPSS version 26.

Results: Physical and daily living were the domains with the highest unmet supportive needs. The top five items with highest unmet needs were lack of energy, feelings of sadness, not being able to do things they used to do, pain, feeling unwell and feeling depressed. Age, education, occupation, income, type of cancer, and comorbidities showed a significant difference in sexual and psychological unmet needs (p=<0.05).

Conclusion: Gynecological cancer patients reveal substantial unmet psychosocial needs, emphasizing the importance of early screening for targeted interventions that can enhance their quality of life.

References

Mathur P, Krishnan S, Chaturvedi M, et al. Cancer Statistics, 2020: Report From National Cancer Registry Programme, India. InJCO Global Oncol.2020;6. Doi: https://doi.org/10.1200/GO.20.00122 PMid:32673076 PMCid:PMC7392737

Al-Omari A, Al-Rawashdeh N, Damsees R, et al. Supportive Care Needs Assessment for Cancer Survivors at a Comprehensive Cancer Center in the Middle East: Mending the Gap. Cancers (Basel). 2022;14(4). Doi: https://doi.org/10.3390/cancers14041002 PMid:35205749 PMCid:PMC8870293

Devi MR, Keerthivasan V, Tikhak J. Histomorphological Spectrum of Ovarian Tumours, 4 Years Experience in a Regional Institute. Journal of Evidence Based Medicine and Healthcare. 2020;7(4):173-176. Doi: https://doi.org/10.18410/jebmh/2020/36

Tsao Y, Kuo HC, Chen ZJ, et al. A longitudinal study to explore unmet care needs, social support, and hope of women with gynecological cancer. Nurs Health Sci. 2022;24(3):742-751. Doi: https://doi.org/10.1111/nhs.12975 PMid:35841279

Paterson C, Toohey K, Bacon R, et al. What Are the Unmet Supportive Care Needs of People Affected by Cancer: An Umbrella Systematic Review. Semin Oncol Nurs.2022:(151):35-53. Doi: https://doi.org/10.1016/j.soncn.2022.151353 PMid:36435657

Dhakal K, Wang P, Mboineki JF, et al. The distinct experience of supportive care needs among cervical cancer patients: A qualitative study 2022;109(4):394-405 Doi: https://doi.org/10.1177/03008916221128064 PMid:37470217

Dewi SK, Afiyanti Y, Rachmawati IN. Fear of recurrence among gynaecological cancer survivors: A qualitative study. Enferm Clin. 2021;31(1):352-355. Doi: https://doi.org/10.1016/j.enfcli.2020.12.039

Williams N, Griffin G, Farrell V, et al. Gaining insight into the supportive care needs of women experiencing gynaecological cancer: A qualitative study. J Clin Nurs. 2020;29(9-10):1684-1694. Doi: https://doi.org/10.1111/jocn.15221 PMid:32065476

Afrooz R, Rahmani A, Zamanzadeh V, et al. The nature of hope among Iranian cancer patients. Asian Pacific Journal of Cancer Prevention. 2014;15(21):9307-9312. Doi: https://doi.org/10.7314/APJCP.2014.15.21.9307 PMid:25422217

Kim W, Ray CD, Larkey L, et al. Factors Predicting Unmet Supportive Care Needs among Adult Cancer Patients. Health Behav Policy Rev. 2018;5(6):38-49. doi:10.14485/hbpr.5.6.3 Doi: https://doi.org/10.14485/HBPR.5.6.3

Lopez ALJ, Butow PN, Philp S, et al. Age-related supportive care needs of women with gynaecological cancer: A qualitative exploration. Eur J Cancer Care (Engl). 2019;28(4):1-6. Doi: https://doi.org/10.1111/ecc.13070

Gao Y, Zhu L, Xie J, et al. Unmet needs from the first diagnosis of cancer until the end of medical treatment: A longitudinal study. Psychooncology. 2021;30(4):554-563. Doi: https://doi.org/10.1002/pon.5602 PMid:33232546

Zeneli A, Fabbri E, Donati E, et al. Translation of Supportive Care Needs Survey Short Form 34 (SCNS-SF34) into Italian and cultural validation study. Supportive Care in Cancer. 2016;24(2):843-848. Doi: https://doi.org/10.1007/s00520-015-2852-0 PMid:26166001

Gebresillassie BM, Ayele AA, Abegaz TM. Unmet supportive care needs and determinants among cancer patients treated at University of Gondar Specialized Hospital, Northwest Ethiopia: A prospective cross-sectional study. Journal of Oncology Pharmacy Practice. 2021;27(8):1869-1877. Doi: https://doi.org/10.1177/1078155220971035 PMid:33148130

Nasution LA, Afiyanti Y, Raudotul A,et al. The most unmet needs on Gynecological and Breast Cancer Survivors, A Systematic Review. Doi: https://doi.org/10.6018/eglobal.530511

Bell SG, Appiah-Kubi A, Konney TO, et al. Barriers to adequate pain control among women with cervical cancer: exploring unmet pain control needs in Ghana. AJOG Global Reports. 2022;2(3):1-6. Doi: https://doi.org/10.1016/j.xagr.2022.100065 PMid:36276786 PMCid:PMC9563934

Kadravello A, Tan SB, Ho GF,et al. Exploring Unmet Needs from an Online Metastatic Breast Cancer Support Group: A Qualitative Study. Medicina (Kaunas). 2021;57(7):1-8. Doi: https://doi.org/10.3390/medicina57070693 PMid:34356974 PMCid:PMC8305467

Kim SJ, Rha SY, Song SK, et al. Prevalence and associated factors of psychological distress among Korean cancer patients. Gen Hosp Psychiatry. 2011;33(3):246-252. Doi: https://doi.org/10.1016/j.genhosppsych.2011.02.008 PMid:21601721

Sanders SL, Bantum EO, Owen JE, et al. Supportive care needs in patients with lung cancer. Psychooncology. 2010;19(5):480-489. Doi: https://doi.org/10.1002/pon.1577 PMid:19434625

Roseleur J, Edney LC, Jung J,et al. Prevalence of unmet supportive care needs reported by individuals ever diagnosed with cancer in Australia: a systematic review to support service prioritisation. Supportive Care in Cancer. 2023;31(12):1-14. Doi: https://doi.org/10.1007/s00520-023-08146-y PMid:37934313 PMCid:PMC10630245

Unjai S, Somjaivong B, Boyes A. Supportive Care Needs of Patients with Cervical Cancer in the Northeast of Thailand. Walailak Journal of Science and Technology (WJST). 2021;18(9):1-10. Doi: https://doi.org/10.48048/wjst.2021.9512

Fatiregun O, Sowunmi AC, Habeebu M, et al. Prevalence and correlates of unmet supportive needs of Nigerian patients with cancer. J Glob Oncol. 2019;2019(5):1-8. Doi: https://doi.org/10.1200/JGO.19.00043 PMCid:PMC6613661

Pernelle D, Kaneez K, Manuela UM, et al. Sexual, psychological, interpersonal well-being and (unmet) supportive care needs of couples after a gynecological cancer treatment. Eur J Gynaecol Oncol. 2021;42(6):12-28. Doi: https://doi.org/10.31083/j.ejgo4206178

Åkeflo L, Dunberger G, Elmerstig E, et al. Sexual health and wellbeing among female pelvic cancer survivors following individualized interventions in a nurse-led clinic. Supportive Care in Cancer. 2022;30(11):8981-8996. Doi: https://doi.org/10.1007/s00520-022-07294-x PMid:35931832 PMCid:PMC9633476

Alananzeh I, Green H, Meedya S, et al. Sexual activity and cancer: A systematic review of prevalence, predictors and information needs among female Arab cancer survivors. Eur J Cancer Care (Engl). 2022;31(6).:1-9. Doi: https://doi.org/10.1111/ecc.13644 PMid:35816027 PMCid:PMC9786682

Afiyanti Y, Gayatri D, Besral,et al. Unmet supportive care needs of Indonesian gynecological cancer survivors. Enferm Clin.2019;(1):1-9. Doi: https://doi.org/10.1016/j.enfcli.2019.04.131

Amiri P, Mohammadi A, Bahaadinbeigy K, et al. Identifying unmet information needs of advanced cancer patients in Iran: An in-depth qualitative study. Health Sci Rep. 2022;5(6):1-12. Doi: https://doi.org/10.1002/hsr2.914 PMid:36320651 PMCid:PMC9617646

Chua GP, Tan HK. A qualitative approach in determining the patient-centered information and supportive care needs of cancer patients in Singapore. BMJ Open. 2020;10(2):1-8. Doi: https://doi.org/10.1136/bmjopen-2019-034178 PMid:32114472 PMCid:PMC7050354

Lisy K, Langdon L, Piper A, et al. Identifying the most prevalent unmet needs of cancer survivors in Australia: A systematic review. Asia Pac J Clin Oncol. 2019;15(5):68-78. Doi: https://doi.org/10.1111/ajco.13176 PMid:31215167

Sun Y, Ma Y, Li Q, Ge J. Supportive care needs of women with gynaecological cancer: A systematic review and synthesis of qualitative studies. J Adv Nurs. 2023.;(1):1-12. Doi: https://doi.org/10.1111/jan.15614 PMid:36811244

Kim L, Khanna V, Yanez V, Hite S. A Comprehensive Approach to Psychosocial Distress and Anxiety in Breast and Gynecological Cancers. In: Breast Cancer and Gynecologic Cancer Rehabilitation. Elsevier; 2021;(1):63-74. Doi: https://doi.org/10.1016/B978-0-323-72166-0.00006-2

Okediji PT, Salako O, Fatiregun OO. Pattern and Predictors of Unmet Supportive Care Needs in Cancer Patients. Cureus. 2017;9(5):1-10. Doi: https://doi.org/10.7759/cureus.1234

Fischer OJ, Marguerie M, Brotto LA. Sexual Function, Quality of Life, and Experiences of Women with Ovarian Cancer: A Mixed-Methods Study. Sex Med. 2019;7(4):530-539. Doi: https://doi.org/10.1016/j.esxm.2019.07.005 PMid:31501030 PMCid:PMC6963110

Fong EJ, Cheah WL. Unmet Supportive Care Needs among Breast Cancer Survivors of Community-Based Support Group in Kuching, Sarawak. Int J Breast Cancer. 2016;20(16);1-8. Doi: https://doi.org/10.1155/2016/7297813 PMid:27239346 PMCid:PMC4863116

Molassiotis A, Yates P, Li Q, et al. Mapping unmet supportive care needs, quality-of-life perceptions and current symptoms in cancer survivors across the Asia-Pacific region: Results from the International STEP Study. Annals of Oncology. 2017;28(10):2552-2558. Doi: https://doi.org/10.1093/annonc/mdx350 PMid:28961835

Walton LM, Reeve J, Brown PM, et al. Gynaecologic cancer patients' needs and experiences of supportive health services in New Zealand. Psychooncology. 2010;19(2):201-208. Doi: https://doi.org/10.1002/pon.1553 PMid:19253918

Seyedrasooli A, Rahmani A, Howard F, et al. Iranian cancer patient perceptions of prognosis and the relationship to hope. Asian Pac J Cancer Prev. 2014;15(15):6205-6210. Doi: https://doi.org/10.7314/APJCP.2014.15.15.6205 PMid:25124599

Beesley V, Eakin E, Steginga S, ,et al. Unmet needs of gynaecological cancer survivors: Implications for developing community support services. Psychooncology. 2008;17(4):392-400. Doi: https://doi.org/10.1002/pon.1249 PMid:17680554