Supportive Care in Cancer

, Volume 16, Issue 3, pp 251–259 | Cite as

Why patients with lung cancer do not want help with some needs

Original Article

Abstract

Goal

The purpose of this exploratory study was to understand what motivates patients to ask or not ask for assistance when they have expressed need in specific areas.

Materials and methods

A qualitative approach was used to explore the desire for assistance of patients with lung cancer who attended a regional cancer centre. The research questions were: (1) Why do patients with lung cancer not desire help for certain areas of need?; (2) What resources currently exist outside the cancer centre that patients with lung cancer use to help meet their needs?; and (3) What resources (internal and external to the cancer centre) would be helpful for patients with lung cancer? Fifty-nine patients participated in this study by completing a self-report questionnaire; 34 of these patients were then interviewed using a semi-structured interview guide.

Main results

The data indicated varied reasons for not asking for help, such as believing that staff were too busy or the problem would go away over time. Participants identified a number of outside resources they currently used and gave suggestions about needed resources within the cancer centre and in the community.

Conclusions

Patients with lung cancer may have a number of supportive care concerns, but they do not always ask for help with those issues. Some patients may be unaware of possible help, and others may not want help from professionals. Supportive care needs must be identified quickly and effectively so that appropriate interventions can be offered to those who want them.

Keywords

Lung cancer Identified needs Desire for assistance 

References

  1. 1.
    Ashbury FD, Findley H, Reynolds B, McKerracher K (1998) A Canadian survey of cancer patients experiences: are their needs being met? J Pain Symptom Manage 16:298–306PubMedCrossRefGoogle Scholar
  2. 2.
    Bailey AJ, Parmar MK, Stephens RJ (1998) Patient-reported short-term and long-term physical and psychologic symptoms. J Clin Oncol 16:3082–3093PubMedGoogle Scholar
  3. 3.
    Bonevski B, Sanson-Fisher R, Girgis A, Burton L, Cook P, Boyes A, The Supportive Care Review Group (2000) Evaluation of an instrument to assess the needs of patients with cancer. Cancer 88:217–225PubMedCrossRefGoogle Scholar
  4. 4.
    Brown J, Radke K (1998) Nutritional assessment, intervention, and evaluation of weight loss in patients with non-small cell lung cancer. Oncol Nurs Forum 25:547–553PubMedGoogle Scholar
  5. 5.
    Charles K, Sellick SM, Montesanto B, Mohide EA (1996) Priorities for cancer survivors regarding psychosocial needs. J Psychosoc Oncol 14:57–72CrossRefGoogle Scholar
  6. 6.
    Davidson BJ, Degner LF (1997) Empowerment of men newly diagnosed with prostate cancer. Cancer Nurs 20:187–196CrossRefGoogle Scholar
  7. 7.
    Edmonds P, Karlsen S, Khan S, Addington-Hall J (2001) A comparison of the palliative care needs of patients dying from chronic respiratory diseases and lung cancer. Palliat Med 15:287–295PubMedCrossRefGoogle Scholar
  8. 8.
    Faller H, Schmidt M (2004) Prognostic value of depressive coping and depressions in survival of lung cancer patients. Psychooncology 13:359–363PubMedCrossRefGoogle Scholar
  9. 9.
    Given CW, Given BA, Stommel M (1994) The impact of age, treatment, and symptoms on the physical and mental health of cancer patients. Cancer 74:2128–2138PubMedCrossRefGoogle Scholar
  10. 10.
    Guba EG, Lincoln YS (1994) Competing paradigms in qualitative research. In: Denzin NK, Lincoln YS (eds) Handbook of qualitative research. Sage, Thousand Oaks, CA, pp 105–117Google Scholar
  11. 11.
    Hopwood P, Stephens RJ (1995) Symptoms at presentation for treatment in patients with lung cancer: implications for the evaluation of palliative treatment. Br J Cancer 71:633–636PubMedGoogle Scholar
  12. 12.
    Krishnasamy M, Wilkie E, Haviland J (2001) Lung cancer health care needs assessment: patients’ and informal carers’ responses to a national mail questionnaire survey. Palliat Med 15:213–227PubMedCrossRefGoogle Scholar
  13. 13.
    Leydon GM, Boulton M, Moynihan C, Jones A, Mossman J, Boudioni M, McPherson K (2000) Cancer patients’ information needs and information seeking behaviour: in depth interview study. Br Med J 320:909–913CrossRefGoogle Scholar
  14. 14.
    Lock K, Willson B (2002) Information needs of cancer patients receiving chemotherapy in an ambulatory-care setting. Can J Nurs Res 34:83–93PubMedGoogle Scholar
  15. 15.
    Maliski S, Sarna L, Evangelista L, Padilla G (2003) The aftermath of lung cancer: balancing the good and bad. Cancer Nurs 26:237–244PubMedCrossRefGoogle Scholar
  16. 16.
    Morasso G, Capelli M, Viterbori P, DiLeo S, Alberisio A, Costantini M et al (1999) Psychological and symptom distress in terminal cancer patients with met and unmet needs. J Pain Symptom Manage 17(6):402–409PubMedCrossRefGoogle Scholar
  17. 17.
    National Cancer Institute of Canada (2006) Canadian cancer statistics 2006. National Cancer Institute of Canada, Toronto CanadaGoogle Scholar
  18. 18.
    Sarna L, Brown JK, Cooley ME, Williams RD, Chernecky C, Padilla G, Danao LL (2005) Quality of life and meaning of illness of women with lung cancer. Oncol Nurs Forum Online 32:E9–E19CrossRefGoogle Scholar
  19. 19.
    Sarna L, Evangelista L, Tashkin D, Padilla G, Holmes C, Brecht M, Grannis F (2004) Impact of respiratory symptoms and pulmonary function on quality of life of long-term survivors of non-small cell lung cancer. Chest 125:439–445PubMedCrossRefGoogle Scholar
  20. 20.
    Sarna L, Lindsey AM, Dean H, Brecht ML, McCorkle R (1994) Weight change and lung cancer: relationships with symptom distress, functional status and smoking. Res Nurs Health 17:371–379PubMedCrossRefGoogle Scholar
  21. 21.
    Streubert HJ, Carpenter DR (1999) Qualitative research in nursing. Lippincott, New YorkGoogle Scholar
  22. 22.
    Whelan TJ, Mohide ES, Willan AR, Arnold A, Tew A, Sellick S et al (1997) The supportive care needs of newly diagnosed cancer patients attending a regional cancer centre. Cancer 80:1518–1524PubMedCrossRefGoogle Scholar
  23. 23.
    Zabora J, Brintzenhofeszoc K, Curbow B, Hooker C, Piantadosi S (2001) The prevalence of psychological distress by cancer site. Psychooncology 10:19–28PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.School of Nursing, Rm. 342 HNES Building, Faculty of HealthYork UniversityTorontoCanada
  2. 2.Oncology Nursing and Supportive CareToronto-Sunnybrook Regional Cancer CentreTorontoCanada

Personalised recommendations