Titis Kurniawan


Background; In long term period, cancer patients faced various problems. Although current strategies effectively improved patients’ life expectancy, not all problems were diminished after the therapy finished. Even, some therapies resulted in side effects. So, it is important to further identify how far cancer patients satisfied with their outpatient needs fulfillment. Methods; This quantitative descriptive study was aimed to identify cancer patients’ satisfaction o their outpatients care needs fulfillment. This study involved 94 cancer patients from one tertiary hospital in West Java - Indonesia. Data were collected using supportive care needs survey questionnaire containing 34 items with 5 possible answers for expectation (not important (1) to very important (5)) and experiences (not good (1) to very good (5)). Satisfaction index was calculated by comparing patients’ experiences and their expectation. Further analysis conducted to indicate the priority improvement items. Results; The respondents aged were ranged from 37 – 57 years old, mostly married (95.8%), experienced 2 cycles of chemotherapy, and women (67.7%). Total mean score of patients’ experiences (114.57) was lower than total mean score of expectation (118.67) and resulted in satisfaction index 96.55%. Additionally, more than half of respondents (60.4%) reported satisfaction index less than 100% (not fully satisfied with healthcare providers’ efforts in fulfilling their needs). Further analysis found that item related to information (important aspects of care, therapy benefits and side effects, improving health strategies, confirmation that cancer is controlled, and examination results), future uncertainty, healthcare provider sensitivity and availability for discussion partner, and counselor access were identified as the highly needed items with less fulfillment (priority for improvement). Conclusion and recommendation; Cancer patients not fully satisfied with outpatients care need fulfillment. It is recommended for healthcare providers to improve their efforts in managing outpatient care needs, particularly information related need.



Cancer, outpatient needs, satisfaction

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World Health organization [WHO] (2014). Non-Communicable Diseases (NCD) Country Profile.

Ministry of Health of Republic of Indonesia [MOHRI] (2013). Basic health research (Riset kesehatan dasar) 2013. Available source: retrieved January 2016

Aziz NM. Cancer survivorship research: state of knowledge, challenges and opportunities. Acta Oncol. 2007;46(4):417-432. 6.

MacMilan Cancer Support (2013). Cancer long term complication. Available source retrieved January 2016

Naga, D., Kassab, MI (2013). Pain experience among patients receiving cancer treatment; A review. J. Palliative Care Med. 3:148. Doi: 10.4172/2165-7386.100014

Mitchell AJ, Ferguson DW, Gill J, Paul J, Symonds P. 2013. Depression and anxiety in long-term cancer survivors compared with spouses and healthy controls: a systematic review and metaanalysis. Lancet Oncology, doi:10.1016/S1470-2045(13)70244-4

Kangas, M., J. Henry, and R. Bryant. (2002). Posttraumatic stress disorder following cancer.A conceptual and empirical review. Clinical Psychology Review 22(4):499–524.

Katon, W. J. 2003. Clinical and health services relationships between major depression, depressives ymptoms, and general medical illness. Biological Psychiatry 54(3):216–226.

Hewitt, M., J. H. Rowland, and R. Yancik. (2003). Cancer survivors in the United States: Age,health, and disability. Journal of Gerontology 58(1):82–91.

Himmelstein, D. U., E. Warren, D. Thorne, and S. Woolhandler. (2005). Market watch: Illnessand injury as contributors to bankruptcy. Health Affairs Web Exclusive: DOI 10.1377/hlthaff.W5.63.

Weaver KE, Forsythe LP, Reeve BB, et al. (2012) Mental and physical health– related quality of life among US cancer survivors: population estimates from the 2010 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev. 21(11):2108-2117

Singh H, Kaur K, Singh Banipal RP, Singh S, Bala R. (2014) Quality of life in cancer patients undergoing chemotherapy in a tertiary care center in Malwa region of Punjab. Indian J Palliat Care;20:116-22.

Fauziah, S. (2014). Description of psychological needs among Breast Cancer patients based on their characteristics in Dr. Hasan Sadikin Hospital (mini thesis – unpublished)

Yosalina, Y. (2012). Spiritual needs among patients with breast cancer in Hasan Sadikin Hospital (mini thesis - unpublished)

Dewi, A. R. (2013). Psychological needs among cervix cancers in Dr Hasan Sadikin Hospital Bandung. (mini thesis – unpublished).

Boyes A, Girgis A, Lecathelinais C. (2009). Brief assessment of adult cancer patients' perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). J Eval Clin Pract. Aug;15(4):602-6. doi: 10.1111/j.1365-2753.2008.01057.x.

Bruce, M. 2006. A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents.Clinical Psychology Review 26(3):233–256.

Goss, PE., Ingle, JN., Martino, S., Robert NJ, Muss, HB., Piccart MJ, et al., 2005. Randomized Control trial of letrozole following tamoxifen as extended adjuvant therapy in receptor-positif breast cancer; Update findings from NCIC CTG MA.17. J. Natl. Cancer Inst. 97:1262-71


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