Background: Breast cancer (BC) is the most common cancer among women in Palestine, where the need for supportive care frequently goes unmet. Therefore, this study aims to assess the supportive care services provided at the governmental hospitals in the southern area of the West Bank and to determine the factors associated with the unmet needs of these services.Methods: A cross-sectional study was conducted on 362 women with BC. Data were collected using a face-to-face questionnaire that included the Supportive Care Needs Survey (SCNS-SF34), patients’ sociodemographic, economic, and clinical characteristics, as well as familial history of cancer and social support.Results: The study revealed that 61% of participants had unmet supportive care needs, with health system information, physical support, and psychological support being the most unmet needs. Factors contributing to unmet needs included age, marital status, familial support, and a family history of cancer. Chemotherapy and surgery increased the probability of physical care needs by fivefold, while hormone therapy reduced the probability of psychological needs (AOR = 0.36,p< 0.001) and patient care and support needs (AOR = 0.49,p= 0.01). Additionally, radiotherapy reduced sexual care needs by 58% and biological therapy by 60%.Conclusions: There is an urgent need for enhanced supportive care services for BC patients in the West Bank, especially regarding health system information, physical care, and psychological support. Addressing these needs through targeted interventions could significantly improve patients’ quality of life.
背景：乳腺癌是巴勒斯坦女性中最常见的癌症，其支持性护理需求往往未能得到满足。因此，本研究旨在评估约旦河西岸南部地区政府医院提供的支持性护理服务，并确定与这些服务未满足需求相关的因素。 方法：对362名乳腺癌女性患者进行横断面研究。数据通过面对面问卷调查收集，问卷内容包括支持性护理需求调查简表（SCNS-SF34）、患者的社会人口学特征、经济与临床特征、癌症家族史以及社会支持情况。 结果：研究发现，61%的参与者存在未满足的支持性护理需求，其中健康系统信息、生理支持及心理支持是最主要的未满足需求。导致需求未满足的因素包括年龄、婚姻状况、家庭支持及癌症家族史。化疗和手术使生理护理需求的可能性增加五倍，而激素治疗降低了心理需求（调整后比值比AOR = 0.36，p < 0.001）及患者护理与支持需求（AOR = 0.49，p = 0.01）的可能性。此外，放疗使性健康护理需求降低58%，生物治疗使其降低60%。 结论：约旦河西岸地区亟需加强针对乳腺癌患者的支持性护理服务，特别是在健康系统信息、生理护理和心理支持方面。通过针对性干预措施满足这些需求，可显著改善患者的生活质量。
肿瘤(癌症)患者之家