Analysis of unmet nursing needs and related factors in patients with radiotherapy for head and neck malignancies
Objective To explore the development trajectory and related factors of unmet nursing needs in radiotherapy patients with head and neck malignancies.Methods A total of 230 patients with head and neck malignant tumors who received radiotherapy in the hospital from January 2020 to July 2022 were se-lected as study objects.The unmet nursing needs of cancer patients were evaluated by the Brief Scale of Unmet Needs of Cancer Patients(SF-SUNS)before radiotherapy(T1),after radiotherapy(T2),3 months after radiotherapy(T3)and 6 months after radiotherapy(T4).The development trajectory of un-met nursing needs of radiotherapy patients for head and neck malignancies was analyzed based on the latent category growth model,and the influencing factors were screened by multi-classification Logistic regres-sion model.Results The T1-T4 time points were scored(70.23±5.20),(78.10±6.15),(72.65±6.84)and(72.20±6.21).There was significant difference between TL-T4 time points SF-SUNS scores(F=66.330,P＜0.05).According to the analysis of latent category growth model,when the number of latent variable categories was 3,the AIC and aBIC values were the smallest,and the category 3 model was the best model.According to the unmet needs scale score＞60,high unmet needs were classified as a refer-ence.Category 1 SF-SUNS score was higher than this level at T1,and then decreased at T4,so it was named as the high demand reduction group,with a total of 69 cases(31.36％);Category 2 started with high SF-SUNS score and then slowly decreased and was named as high-demand stable group,with 77 cases(35.00％).Category 3 started with a low SF-SUNS score and then increased and was named as the low de-mand SUNS rising group,with 74 cases(33.64％).There were statistically significant differences in age,years of education,monthly family income and SSRS scores among the 3 groups(P＜0.05).Multiple Logistic regression analysis showed that SSRS score and years of education were risk factors for the in-crease of unmet demand for care in radiotherapy patients with head and neck malignancies,and age and monthly family income＞5 000 yuan were protective factors for the increase of unmet demand(P＜0.05).Conclusion The patients with head and neck malignant tumor radiotherapy have individual differences in the development trajectory of unmet nursing needs.The patients'age,years of education,family economic status and social support should be paid attention to,and personalized intervention programs should be de-veloped according to the types of unmet development trajectory and influencing factors of the patients with head and neck malignant tumor radiotherapy.
head and neck malignanciesradiotherapyunmet needsdevelopment track
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