Nguyen Thi Yen Hoai
Da Nang University of Medical Technology and Pharmacy, VietnamPresentation Title:
Post-discharge unmet supportive care needs of breast cancer: A systematic review
Abstract
Background: Breast cancer is the 2nd most common cancer worldwide. After discharge, most breast cancer expected to continue to receive health care service from medical staffs. If their post-discharge supportive care needs were not met, the patient's quality of life was put at risk of deterioration.
Objective: The review was conducted to identify the unmet supportive care needs of breast cancer patients after discharge, and to collect some related factors that affected the unmet supportive care needs of the patients.
Material and Methods: Three electronic databases including Pubmed, Wiley Online Library and Science Direct were used to identify studies published between 2011 and 2021. Databases were found in journals with predefined keywords such as'post-discharge', 'unmet supportive care needs' and 'Breast cancer'. Two reviewers independently performed the study selection and data extraction. The quality of studies was examined using the JBI Critical Appraisal Tools. Of the 455 articles found initially, the review was conducted on 17 articles that met all eligible criteria.
Results: 84% of participants indicated at least one unmet supportive care need when they move out of a treatment place. Moreover, the top one unmet supportive care need reported by participants was within the psychological domain, to help patients with fears about cancer spreading or coming back. The second most common unmet supportive care need was the health system and information, and it was providing one member of hospital staff with whom they can talk about all aspects of breast cancer condition, treatment, and follow-up. However, young age, higher education level, married patients; and breast cancer participants living with high level of anxiety, depression, and low quality of life shown a significant correlation with post-discharge unmet supportive care needs.
Conclusion: The identification and management of unmet supportive care needs is an essential component of health care services for people with cancer to decrease readmission, reduce uncomfortable physiology and worry feelings when they come back to a “normal life”. Futhermore, these results provide nurses with this needed knowledge, and re-evaluate the effectiveness of the provided care services to cancer patients, and hereby can inform service planning/redesign primary care process for the time of patients discharge.
Key words: breast cancer, post-discharge, systematic review, unmet supportive care needs
Biography
Nguyen Thi Yen Hoai graduated from Hue University of Medicine and Pharmacy in 2014. During her studies, she had one gap year to be an exchange student in Finland; and received five excellent scholarships at the university. In 2022, she received a Nursing master’s degree at the age of 31 years with terrific results. She was recognized as the top foreign student in graduation results from the Faculty of Health Science, University of Péc, Hungary. Her master's thesis was on home care for breast cancer patients and was highly appreciated by the thesis defense committee. She has currently worked as a Nursing lecturer at the Faculty of Nursing, Da Nang University of Medical Technology and Pharmacy, Vietnam since 2015. During her career, she has published more than 20 international articles, most of which are classified as good quality articles (including ISSN, Q4 to Q2, scopus) and participated as a guest reviewer for several journals. Moreover, she also published many research articles in domestic journals as well as participated in reporting at scientific conferences. Besides, she also guides nursing students to do their graduation thesis and supports students in participating in scientific research competitions. She received a certificate of merit from the university for her contributions to international scientific research continuously in the years 2019 to 2024.