Psycho-social Needs of Japanese Patients with Cancer

Accession number;07A0118850
Title;Psycho-social Needs of Japanese Patients with Cancer
Author; NAKAMURA CHIZU (Kyoto Notre Dame Univ., JPN) KAWASE MASATOSHI (Kyoto Notre Dame Univ., JPN)
Journal Title;Japanese Journal of Psychosomatic Medicine
Journal Code:Z0162B
ISSN:0385-0307
VOL.47;NO.2;PAGE.111-121(2007)
Figure&Table&Reference;TBL.12, REF.20
Pub. Country;Japan
Language;Japanese
Abstract;Introduction: We are exploring a support program for cancer patients including psychological, psychosocial and spiritual aspects. The aim of this study was to clarify the present conditions and the needs of cancer patients. Methods: We used a questionnaire method. The subjects were in-and out-patients with cancer whose performance status was 0, 1 and 2 (WHO-Zubrod scale). We prepared the original questionnaire to clarify both the present conditions and the needs for psychological and psychosocial aspects. They were assessed by psychological instruments such as Self-Rating Depression Scale (SDS), State Trait Anxiety Inventory (STAI) and The Subjective Well-being Inventory (SUBI). Results: The data of 132 patients were analyzed. Seven factors were extracted as follows: (Present conditions)1)Dacceptance, 2)family, 3)social resources, 4)spirituality, 5)self-effort, 6)friends, 7) calmness; (Needs) 1) acceptance of disease and death, 2)self-respect, 3)social resources, 4)family, 5)spirituality, 6)independence and cooperation, 7)tolerance. The results suggested that cancer patients need psycho-social support. The experience of self-help group and the levels of anxiety, depression and well-being produced differences of satisfaction in the Present conditions and the Needs. For example, low level depression made high scores of need for "acceptance", "self-respect" and "independence and cooperation". Low level anxiety made high scores of need for "self-respect", "family" and "tolerance". Conclusion: It is therefore suggested that it is important to modify psycho-educational programs for cancer patients according to their psychological state. These modifications are appropriate for the needs of patients. (author abst.)