Analysis Of The Needs Of Hospital Patients Treated With Chemotherapy In Gynecologic Malignancies And Related Factors

Background: Malignant tumor in gynecology, which is following the breast cancer, is the most common tumor in women, the incidence is increasing year by year and it is more prone to young people. With the transform to physio-psycho-social model in medicine and nursing, meeting patients'need during chemotherapy is a task of nursing care, and also is the way to improve nursing quality. Objectives: 1) To identify the patients' needs of physiology, stimulation, safety or security, love and belonging, esteem and self-actualization during chemotherapy, and the relative intensity of different levels of needs; 2) To analyze the demographic factors which influence their needs during the patients' chemotherapy.Methods: This study is non-experimental and descriptive design. Within the conceptual framework of Maslow's need hierarchy theory, a questionnaire with 60 items was formed based on the interviews of 10 inpatients, and the questionnaire was used to investigate 150 inpatients of two gynecological wards in Peking Union Medical College Hospital.Results: 1) The degree of the needs of 6 dimensions from high to low was: safety needs, stimulative needs, physiological needs, needs of love, affection and belongingness, needs for self-actualization, and needs for esteem. 2) Side effects of chemotherapy, the way of paying and economic status are the most important three factors that effect the patients'needs. Patients' needs increased with the side effects of chemotherapy increasing and a better economic status, and the needs of the inpatients at public expense or medical insurance were more than the patients at their own expense. 3) The satisfaction of the meeting needs of inpatients during chemotherapy were marked 0-10 scores, and 73.3% inpatients choosed above 8 score (10 score presents that the patient's needs are well satisfied), 9.4% inpatients thought that their satisfaction was lower than 6 score.Conclusions: 1) The needs of inpatients during chemotherapy were extensive. 2) Medical staff should pay more attention to patients'safety needs, and satisfy patients'all needs as far as possible, especially for the people with more chemotherapy side effects, better economic status and at their own expense. 3) For most patients, theirneeds were satisfied basically during chemotherapy, but still a part of patients,their needs were not satisfied. Health personnel should keep alert to this.