| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 107 === The purposes of this study were to (1) explore the level of symptom severity, body image changes, fear cancer recurrence (FCR), and supportive care need; and (2) the relationship between care needs and disease/ treatments and above mentioned factors in Differentiated Thyroid Cancer (DTC) patients within three year post surgery.
A cross-sectional design with consecutive sampling was conducted to recruit DTC patients in one medical center in Northern Taiwan. Two research nurses assessed for patients’ Symptom Severity, Body Image, Fear of Cancer Recurrence, (4) Supportive Care Needs. The descriptive statistics, Mann-Whitney U Test, Kruskal–Wallis H test, Spearman''s rank correlation, and logistic regression were applied for data analysis.
A total of 150 participants were recruited. The results showed that (1) in general, DTC patients experienced mild symptom severity; (2) having mild body image change and majority of patients had mild levels of FCR; (3) patients care needs as its descending order are system and information needs, nutritional and symptom requirement needs and psychological needs; (4) overall care needs were associated to gender, stage of cancer, higher symptom severity, higher body image score, and higher FCR. Symptoms severity and FCR are the two most robust factors to predict the overall care needs based on the logistic regression. Providing appropriate care through needs assessments are strongly suggested to decrease the unmet care needs in DTC patients.
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