4298.0: Tuesday, November 14, 2000 - Board 5

Abstract #13713

Determining the unmet needs of outpatients with lung cancer and the relationship between unmet needs and quality of life

Janine M. Davies, RNBN, Department of Community Health Sciences, University of Calgary, 3330 Hospital Dr. N.W, Calgary, AB T2N 4N1, Canada, (403) 220-5984, jmdavies@ucalgary.ca, H.Sharon Campbell, RN, PhD, National Cancer Institute of Canada/Canadian Cancer Society, Centre for Behavioural Research and Program Evaluation, and Ursula Dawe, RN, PhD, Calgary Regional Health Authority.

People with lung cancer are faced with challenges related to the illness, symptoms, treatment, and the effects of the disease on quality of life (QOL). While many studies have looked at patient satisfaction and/or QOL, few have specifically explored unmet needs. By identifying people's unmet needs and subsequently improving services and/or the provision of care, we may be able to improve patient's QOL. The objectives of this study were to determine the unmet needs and QOL of outpatients with lung cancer and to determine the relationship between unmet needs and QOL.

Methods: A survey of outpatients with lung cancer attending the Tom Baker Cancer Centre in Calgary, Canada was conducted. Patients completed two standardized questionnaires to assess needs and measure QOL. Demographic and illness information were also collected. The data were analyzed to determine the prevalence and magnitude of unmet needs by domain. Dimensions of patients' QOL were assessed. Correlations between the dimensions of QOL and domains of unmet need were calculated.

Results: 216 patients participated in the survey. The response rate was 81%. Patients' most prevalent unmet needs were related to health information needs and physical function and daily living needs. Relationships between certain domains of unmet needs and dimensions of quality of life were also noted.

Discussion: Given the relationship between QOL and unmet needs, the next step in this area of research will be to determine if fulfilling unmet needs improves QOL. Adequacy of the measurement tools for future research will be discussed.

Learning Objectives: At the end of the session, the learner will be able to: 1. identify the prevalence and magnitude of unmet need of outpatients with lung cancer; 2. describe the quality of life of outpatients with lung cancer; 3. describe the relationships between domains of unmet needs and dimensions of quality of life in this population; and 4. recognize the need for further research to improve quality of life by fulfilling people's unmet needs

Keywords: Cancer, Needs Assessment

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA