Izvorni znanstveni članak
https://doi.org/10.24141/2/10/1/11
Continuity of Care and Unmet Supportive Needs Among Women Living with Cancer: A Patient-Centered Perspective
Riska Hediya Putri
orcid.org/0000-0002-9275-8163
; Department of Nursing, Faculty of Health Sciences, Aisyah University of Pringsewu, Lampung, Indonesia
*
Yunina Elasari
orcid.org/0000-0002-9533-258X
; Department of Nursing, Faculty of Health Sciences, Aisyah University of Pringsewu, Lampung, Indonesia
Tri Adi Nugroho
orcid.org/0000-0002-1967-0771
; Department of Medical Record and Health Information, Faculty of Health Sciences, Aisyah University of Pringsewu, Lampung, Indonesia
Agus Byna
; Department of Information Systems, Faculty of Science and Technology, Sari Mulia University, Banjarmasin, Indonesia.
* Dopisni autor.
Sažetak
Introduction. Continuity of care is a critical element
in enhancing the quality of cancer management,
particularly for women who frequently encounter
fragmented care and numerous unmet supportive
care needs throughout their cancer trajectory. Understanding
the extent of patients’ supportive care
requirements and their perceptions of continuity of
care is essential for improving patient-centered oncology
services.
Aim. This study aimed to explore women’s perceptions
of continuity of care and to identify their unmet
supportive care requirements throughout various
stages of the cancer care continuum.
Methods. A descriptive cross-sectional study was
conducted among 134 women with cancer at Jendral
Ahmad Yani Metro Hospital, Lampung, Indonesia,
from 15 July to 9 August 2025, using the Supportive
Care Needs Survey-SF34 and the Patient Continuity
of Care Questionnaire-12 to assess supportive care
needs and continuity of care. All procedures received
ethical approval, and informed consent was obtained
from participants.
Result. The highest unmet supportive care needs
were observed in the Health System and Information
domain, particularly regarding inadequate written
information (71.6%) and information on cancer status,
including whether the disease was under control
or in remission (67.2%). The Physical and Daily
Living domain had the second-highest level of unmet
needs, particularly for pain (79.9%) and fatigue (79.1%). Psychological concerns were also frequently
reported, including fear of metastasis (63.4%) and
anxiety about the future (59.7%). The Patient Care
and Support domains as well as Sexuality domains
demonstrated lower, but still notable, unmet needs
(38–45%). The mean total PCCQ-12 score was 43.93
(SD = 6.04), indicating moderate to good continuity
of care, with the highest mean observed in the Management
Continuity domain (15.65; SD = 2.27) and
lower scores in informational and relational continuity
domains.
Conclusion. Women with cancer experience substantial
unmet supportive care needs alongside moderate
continuity of care. Strengthening communication,
coordination, and emotional support is essential
to enhance patient-centered oncology nursing practice
and improve care continuity across transitions.
Ključne riječi
continuity of care; supportive care needs; women with cancer; patient-centered care; oncology nursing
Hrčak ID:
345887
URI
Datum izdavanja:
27.3.2026.
Posjeta: 184 *