title: [Exploration of the Care Needs of Post-Chemotherapy Lung Cancer Patients and Related Factors].
abstract: BACKGROUND
  Chemotherapy (CT) is the first priority treatment for advanced stage lung cancer. However, symptom distress, impaired ability to conduct daily activities, and post-CT care needs are potential side effects of CT.
  
  
  OBJECTIVE
  To explore the factors related to the care needs of post-chemotherapy lung cancer patients.
  
  
  METHODS
  A cross-sectional study was used. One hundred and twenty-one adult patients who had been diagnosed with advanced-stage lung cancer and who had undergone CT using the Platinum and Docetaxel doublet regimen were recruited from a medical center in southern Taiwan. The instruments used included a nursing care needs survey, symptoms distress scale, daily activity interference scale, and patient characteristics datasheet.
  
  
  RESULTS
  Participants self-prioritized their emergency management, health consultation, and emotional support activities based on their perceived care needs. The top three post-CT symptoms in terms of severity were: fatigue, appetite change, and sleep disorder. Primary disruptions in daily activities during the post-CT period related to: holding social activities, work, and stair climbing. Significant and positive correlations were found among daily activity interference (r = .30, p < .01), symptoms distress (r = .23, p < .01), and care needs. The regression model indicated daily activity interference as a predictor of care needs, accounting for 10.7% of the total variance.
  
  
  CONCLUSIONS
  These results highlight the relationships among care needs, symptom distress, and daily activity interference in post-chemotherapy lung-cancer patients. The present study provides a reference for nursing care to reduce the symptom distress, to enhance the performance of daily activities, and to meet the care needs of lung-cancer patients.
authors.affiliation: MSN, RN, Case Manager, Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Hui-Ying
authors.initials: HY
authors.lastname: Chiu
authors.affiliation: PhD, RN, Professor, Department of Nursing, I-Shou University, Taiwan, ROC. lin2368@isu.edu.tw.
authors.forename: Yu-Hua
authors.initials: YH
authors.lastname: Lin
authors.affiliation: MD, Attending Physician, Division of Pulmonary Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Chin-Chou
authors.initials: CC
authors.lastname: Wang
authors.affiliation: MSN, RN, Supervisor, Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Wan-Yi
authors.initials: WY
authors.lastname: Chen
authors.affiliation: MD, Attending Physician, Division of Pulmonary Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Huang-Chih
authors.initials: HC
authors.lastname: Chang
authors.affiliation: MD, Attending Physician, Division of Pulmonary Medicine, Kaohsiung Chang Gung Memorial Hospital, Taiwan, ROC.
authors.forename: Meng-Chih
authors.initials: MC
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy* / Q000451:nursing; D008297:Male; D008875:Middle Aged
keywords: care needs; chemotherapy; daily activities interference; lung cancer; symptoms distress