Factors influencing unmet needs among triple-negative breast cancer survivors

Abstract

Objective: Unmet needs among cancer survivors span various domains, including informational, educational, psychological, physical, familial, spiritual, and social support. Triple-negative breast cancer (TNBC), comprising 10%-15% of breast cancer cases, is characterized by high recurrence rates and shorter recurrence periods. Limited treatment options and frequent relapses pose challenges in assessing the efficacy of hormone or targeted therapies, leading to inadequate research on TNBC survivors' needs. Consequently, there is limited understanding of their unmet needs. This study aims to identify factors influencing unmet needs in TNBC survivors, providing essential data for future nursing interventions. Methods: A survey was conducted among 330 TNBC survivors in an online community. The Comprehensive Needs Assessment tool in Cancer was utilized, and statistical analyses including t-tests, ANOVA, and multiple regression were performed. Results: The study population, with an average age of 46.78 ± 10.69 years and an average duration of cancer diagnosis of 30.34 ± 23.81 months, predominantly comprised Stage II survivors (50.9%). Psychological problems, information and education, and social and religious/spiritual support emerged as prominent areas of unmet needs. Notably, coping with fear of recurrence and acquiring information about symptoms requiring hospital visits were highlighted as significant concerns. Conclusions: Addressing the unmet needs of TNBC survivors, influenced by factors such as age, stage, treatment, and recurrence, is crucial for improving their overall quality of life and satisfaction. This underscores the importance of further research to develop effective nursing interventions tailored to TNBC survivors' specific needs. Keywords: Cancer Survivors, Triple Negative Breast Neoplasms, Needs Assessment, Republic of Korea