Factors Associated with Unmet Need for Family Planning among Couples Living in Urban and Rural Areas of Guinea in 2019

Introduction: Unmet need for family planning (UNFP) is defined as women with unmet needs who want to stop or delay childbearing but are not using any method of contraception. The objective of this study was to analyze the factors associated with unmet needs for family planning among couples living in rural and urban areas of Guinea in 2019. Methodology: This was a prospective, analytical cross-sectional, multicenter study of a six-month period from August 1, 2018 to January 31, 2019, focusing on couples with unmet needs for family planning. Result: Among 189 couples interviewed, 567 had UNFP (33.3%), the reasons for not using modern contraceptive methods were desire for pregnancy (AOR = 2.74, 95% CI: 1.74, 4.31), husband’s refusal (AOR = 0.23, 95% CI: 0.06, 0.81), spousal attitude (AOR = 0.20, 95% CI: 0.130, 30), birth spacing (AOR = 2.10% to 95%: 1.16, 3.82), difficulty with a new pregnancy (AOR = 0.17, 95% CI: 0.04, 0.74), and spousal attitude (AOR = 0.20, 95% CI: 0.14, 0.30). Conclusion: The involvement of spouses, especially in rural communities, would help achieve family planning objectives and reduce unmet needs for family planning.

Unmet Needs for Family Planning among Adolescent Girls Giving Birth in Three Teaching Hospitals in Yaoundé

Many adolescent girls are pressured into having sex at an early age, which puts them at high risk of unwanted pregnancies and unsafe abortions. The overall objective of this study was to evaluate the unmet needs of adolescents who give birth. A descriptive cross-sectional study was carried out in three university hospitals in Yaoundé, Cameroon: Yaoundé Central Hospital, Yaoundé Gyneco-Obstetrics and Pediatric Hospital and the District Hospital of Biyem-Assi, from February 1, 2020 to June 30, 2020. Included were any teenage mothers speaking English or French. Data were entered using CSPRO 7.3, analyzed by Excel 2010 and SPSS version 23.0. The tools used to express our results were the number, the frequency, the mean, the odds ratio (OR) and the P. P was significant if less than 5%. Of a total of 2692 births recorded, 188 (7%) were from adolescents. Of these, 157 fulfilling our selection criteria were recruited and data analyzed. The average age of the participants was 17.9 ± 1.12 years with extremes of 13 and 19, the average parity was 1.2 ± 0.4 with extremes of 1 and 3. Out of 157 participants, 2 who fell in the age range of 10 to 14 years (100%) and 106 of 155 (68.4%) whose age ranged from 15 to 19 years had unmet need for family planning. Only unmarried participants had unmet needs after multivariate analysis [aOR 2.4 (1.1 - 5.3);p = 0.035)]. Being unmarried was independently associated with the occurrence of unmet needs. The intensification of campaigns for provider behavior changes communication and the creation of services dedicated to the sexual and reproductive health of adolescents would help to reduce the rate of unmet needs for family planning among adolescent girls.

Unwanted pregnancies, unwanted births, consequences and unmet needs

Worldwide women have to cope up with heavy burden of unwanted pregnancies, mistimed, unplanned, with risk to their health. Their children and families also suf-fer. Such pregnancies are root cause of induced abortions （safe/unsafe） and grave consequences. Women, their partners can, for most part, prevent unwanted pregnancies by using contraceptives. However many women either do not use any contraceptive or use methods, with high failure rates. These women account for 82% of pregnancies that are not desired. Remaining unintended pregnancies occur among women who use modern contraceptive, either because they had diffculty using method consistently or because of failure. Helping women, their partner use modern contracep-tives effectively is essential in achieving Millennium Development Goals for improving women’s health, reducing poverty. If all women in developing countries use modern contraceptives, there would be 22 million less unplanned births, 25 million fewer induced, 15 million fewer unsafe abortions, 90000 less maternal deaths and 390000 less children losing their mothers. Also making abortion services broadly legal, by understand-ing size, type of unmet needs, most important by creating awareness in communities can surely help tackle this problem to a large extent.

Innovative immunosuppression in kidney transplantation:A challenge for unmet needs

Due to the optimal results obtained in kidney transplantation and to the lack of interest of the industries,new innovative drugs in kidney transplantation are difficult to be encountered.The best strategy to find the new drugs recently developed or under development is to search in the sections of kidney transplantation still not completely covered by the drugs on the market.These unmet needs are the prevention of delayed graft function(DGF),the protection of the graft over the long time and the desensitization of preformed anti human leukocyte antigen antibodies and the treatment of the acute antibody-mediated rejection.These needs are particularly relevant due to the expansion of some kind of kidney transplantation as transplantation from non-heart beating donor and in the case of antibody-incompatible grafts.The first are particularly exposed to DGF,the latter need a safe desensitization and a safe treatments of the antibody mediated rejections that often occur.Particular caution is needed in treating these drugs.First,they are described in very recent studies and the follow-up of their effect is of course rather short.Second,some of these drugs are still in an early phase of study,even if in well-conducted randomized controlled trials.Particular caution and a careful check need to be used in trials launched 2 or 3 years ago.Indeed,is always necessary to verify whether the study is still going on or whether and why the study itself was abandoned.

Currently Married Women with an Unmet Need for Contraception in Minia Governorate, Egypt: Profile and Determinants

Background: Understanding the magnitude of unmet contraceptive need and the underlying determinants will help the programs and services to respond effectively. Aim: Identify the prevalence and determinants of unmet contraceptive need among married women in the childbearing period in Minia Governorate. Methods: Community-based cross-sectional study was done among married women of child bearing age (18 - 49 years). Total 534 study participants were selected randomly and interviewed by using pretested structured questionnaire. Results: Overall level of unmet need was 12.7%. Women age > 35 years old were about three times (adjusted OR = 2.88, 95% CI: 1.13 - 7.35) more likely to have unmet need for family planning compared to younger women. Women who had more children (adjusted OR = 1.32, 95% CI: 1.04 - 1.67), more female offspring (adjusted OR = 1.37, 95% CI: 1.09 - 1.65), and women whose partner had non-supportive attitude towards family planning (adjusted OR = 2.96, 95% CI: 1.53 - 5.72) were more likely to have unmet need. Conclusion: The prevalence of unmet need of family planning among women in Minia Governorate remains high. Therefore, family planning programs that cover the older woman’s need for limiting and that focus on couples could be useful in reducing the rate of unmet need.

Assessment of the Magnitude and Associated Factors of Unmet Need for Family Planning among Women of Reproductive Age Group with Disabilities in Bahir Dar City, Amhara Region, North West Ethiopia

The study was conducted to assess the magnitude and associated factors of unmet need for family planning among women of reproductive age group with disabilities who are members of disabled associations in Bahir Dar town. Institution based cross-sectional study was carried out. A total of 337 women of reproductive age group with disabilities were included in the study with simple random sampling. Data were collected through face-to-face interview, coded, cleaned and entered by Epi info 2002 and analyzed with SPSS version 16 computer software. Logistic regression was used to assess possible associations. The magnitude of unmet need for family planning among women with disabilities was 24.3%. Women with disabilities in the age group of 25-29 had 80% less likely to have unmet need than women above 35 years old. Women with disability who have no education were 11 times more likely to have unmet need than those who have secondary education. Women who desire to have more than 3 children have more likely to have unmet need than those who need to have 1-2 children. Unmet need for family planning among women with disabilities was high in Bahir Dar town. Age, Educational status and desired number of children were found to have statistically significant association with unmet need for family planning. Hence, it is important to encourage people with disabilities to attained formal education and the associations should provide short term trainings in accordance with their age group.

Unmet Needs in the Treatment of Rheumatoid Arthritis

Biologics have greatly improved the management of rheumatoid arthritis (RA), demonstrating efficacy and safety in alleviating symptoms, inhibiting bone erosion, and preventing loss of function. Unmet therapeutic needs in RA remain;however, further advances require an understanding of issues left unaddressed under the current treatment paradigm. Most biologic-na?ve and biologic-pretreated patients who initiate a biologic therapy, for example, do not reach American College of Rheumatology 50% (ACR50) response, and few achieve remission. Responses are often not durable, prompting frequent treatment switching. Predictive markers are unavailable to guide therapy selection, and clinical trial data are lacking on whether a tumor necrosis factor inhibitor (TNFi) is the best first-line biologic and on the optimal sequence of use for the different biologics. Risk of serious infection is the major safety concern. Translating preclinical and clinical findings into new therapeutics may help address unmet needs. An increasing body of evidence indicates that the cytokine interleukin (IL)-17A represents an important therapeutic target;ongoing trials with IL-17A inhibitors will determine whether these agents can address some of the unmet needs associated with current biologics.

Unmet need for postpartum family planning and influencing factors in China

To explore the rate and influencing factors of unmet need for postpartum family planning(PPFP)in China.We conducted a retrospective cohort study at 60 hospitals in 15 provinces that were in eastern,central,and western regions of China.Participants were women who delivered a live birth at the study sites with an interval of 13 to 24 months between delivery and interviews.We selected participants using cluster randomization approach,and the first 300 postpartum women who gave a birth at each study hospital after the initial month that had been selected were interviewed.Information on the women’s background characteristics,pregnancy history,time when menstruation and sexual activity resumed after childbirth,the adoption of contraceptive method,breastfeeding,and any pregnancy or pregnancy outcome after delivery were collected.We performed life-table analysis to estimate the rate of unmet need for PPFP and a 2-level logistic regression model to explore factors that influence unmet need for PPFP within the first 24 months postpartum.A total,19,939 postpartum women were screened in this study,of which,17,466(87.6%)were eligible for this analysis.The rates of unmet needs for any FP methods were 23.9%(95%confidence interval[CI]23.3-24.6%),11.8%(95%CI 11.3-12.3%);10.6%(95%CI 10.1-11.1%)at 6,12,and 24 months postpartum;these rates for modern FP methods were 35.5%(95%CI 34.7-36.2%),25.6%(95%CI 24.9-26.2%),and 24.6%(95%CI 23.9-25.2%),respectively.Results of 2-level logistic regression analysis showed that less-educated young women,those who had only one child or delivered by vaginal delivery at secondary hospitals,were associated with increased risk of unmet need for PPFP.Approximately 31%of women who had unmet need for PPFP reported a pregnancy during the first 24 months postpartum,which was significantly higher than the level for their counterparts(10.0%).The level of unmet need for PPFP in China was high,resulting in a high pregnancy rate within 24 months after delivery.Women’s age,education level,prior pregnancy and abortion histories,and delivery method were significantly associated with the risk of unmet need for PPFP.National PPFP guidelines that integrate PPFP services into prenatal and postnatal care are urgently needed and should be implemented throughout the coun-try as soon as possible.PPFP services should promote the use of modern contracep-tive methods.

Unmet need for family planning and sexual and reproductive health and rights among adolescents in Bangladesh

Every individual has the right to make their own choices about their sexual and reproductive health.Family planning,including contraceptive information and services,is fundamental to all individuals’health and human rights,including adolescents.Bangladesh made a commitment at the Nairobi summit(ICPD+25)in 2019 to address three zeros,including the unmet need for family planning by 2030-a big challenge where unmarried adolescents are excluded from most Sexual and Reproductive Health and Rights(SRHR)information and services.However,unmet need for family planning amongst adolescents in the country is high.A literature review of relevant research papers,survey reports,and policy documents has been conducted(i)to demonstrate the current situation of unmet need and SRHR-FP for adolescents in Bangladesh;(ii)to identify unique barriers and challenges faced by adolescents in accessing SRHR-FP information and using services in Bangladesh;(iii)to analyze and identify gaps in the current policies,strategies,and plans to address unmet need and SRHR in Bangladesh;and to provide recommendations for adapting policies and improving best practices.This paper demonstrates that although Bangladesh has policies designed to support youth rights and access to comprehensive sexuality education and relevant services,there are immense implementation gaps.Social stigma and taboos are overpowering the implementation of policies that need critical attention.Also,interventions are needed to address the significant gap in data on unmarried adolescents and their use of family planning services,which limits the analysis of the current situation of unmarried adolescents.

Supportive care needs of women with gynecologic cancer and factors affecting in Turkiye: a cross sectional study

Background:Identifying and managing patients'supportive care needs is an essential component of health care.The cancer patients'needs are multidimensional and it is important to identify these needs.This study was conducted to assess supportive care needs of women with gynecologic cancer and affecting factors.Methods:This cross-sectional study consisted of 98 women with gynecologic cancer.The data of the study was gathered using“Personal Information Form”and the“James Supportive Care Screening”.Results:The most frequently reported unmet needs of gynecologic cancer patients were emotional issues,including uncertainty(87.6%),fears(85.7%),feeling down(86.7%),worry(87.6%),loss of interest in usual activities(73.3%)and physical symptoms including fatigue/lack of energy(81.9%),weakness(81.9%),lack of appetite(76.2%).The most frequently reported social/practical problems was transportation problems(50%).The mean scores for JSCS was 29.72±15.57.There were a statistically significant difference was found only between family type,stage of the disease,and time of diagnosis,and the total mean scores of the JSCS(p<0.05).Conclusion:It has been determined that patients with gynecological cancer mostly experience emotional and physical problems.Health professionals working in the oncology unit should be aware of unmet needs.Certain programs and services to address the identified unmet needs should be provided.

Unmet needs as indicator of improving chronic care delivery system in China

In 2009, China strengthened its public health service system. Since then, the country has made remarkable achievements in community-based chronic disease prevention and control;however, certain groups still have unmet needs. During 2019 to 2029, China will consolidate the top-level design of its medical health system. During this period, the coordination of department policies, improvement of service delivery mechanisms, building an integrated health service system, and other issues will be highlighted. This study will provide a basis for designing China’s chronic disease prevention and control system during the next stage of development. We will consider the unmet needs of patients with chronic diseases as an indicator for remodeling the prediction system in combination with the elements and structural theories of complex health systems. In this article, we first introduce the definition and measurement methods of unmet needs. Second, we identify the existing unmet needs found among patients with chronic diseases with reference to the chronic disease prevention and control policies of China as well as current service items. Finally, we propose the design of community chronic disease service package for the next development stage based on unmet needs of patients with chronic diseases. We also provide suggestions for how to improve China’s chronic care delivery system.

Factors contributing to unmet need for contraception in Nusa Tenggara Barat, Indonesia

Objective To calculate unmet need for contraception according to revised definition, mapping the contraception service needs and analyze factors related to the unmet need for contraception in Nusa Tenggara Barat （NTB）. Methods This research design was cross sectional, using data from Indonesia Demographic and Health Survey 2012. Subjects were from 1 362 household, and were married women aged 15-49 years in NTB Province （685 women）. Calculating method of unmet need for contraception used revised version, and analysis method was univariate, bivariate, and multivariate （Logistic regression）. Results Majority of married women aged 15-49 years in NTB need contraception service （73.1%）. However, it was known that met need for contraception was only 56.0%. Meanwhile, unmet need rate for contraception in NTB was 17.1%, specifically 11.5% for spacing and 5.6% for limiting. Factors contributing to unmet need for contraception in NTB were： household assets at above average （OR=O. 77）, parity of 2-3 children （OR=0. 73）, women with junior high school education level （0R=0.68）, never be visited by health workers （OR=O. 68）. Conclusions Factors that contribute to unmet need for contraception in NTB are household assets, parity, education level and visited by health workers. Government has to prioritize those f our factors in policy intervention and promotion of family planning participation program in NTB.

头颈部恶性肿瘤放疗患者护理未满足需求发展轨迹及其相关因素分析

目的探讨头颈部恶性肿瘤放疗患者护理未满足需求发展轨迹及其相关因素。方法选取2020年1月至2022年7月西安交通大学医学院第一附属医院接受放疗的头颈部恶性肿瘤患者230例作为研究对象,采用癌症患者未满足需求简明量表(SF-SUNS)评价放疗前(T1)、放疗结束时(T2)、放疗结束后3个月(T3)、6个月(T4)患者护理需求未满足情况。基于潜类别增长模型分析头颈部恶性肿瘤放疗患者护理未满足需求发展轨迹,采用多分类Logistic回归模型筛选其影响因素。结果T1~T4时间点患者SF-SUNS评分分别为(70.23±5.20)分、(78.10±6.15)分、(72.65±6.84)分及(72.20±6.21)分,各时间点SF-SUNS评分比较差异均有统计学意义(F=66.330,P<0.05)。潜类别增长模型分析结果显示,当潜变量类别数为3时,Akaike信息标准(AIC)、经过校正Bayesian信息标准(aBIC)值最小,3类别模型为最佳模型,按未满足需求量表评分>60分为高需求未满足为参照,1类别在T1时SF-SUNS评分高于此水平,然后T4时间点降低,命名为高需求降低组,共69例(31.36%);2类别起始SF-SUNS评分较高后缓慢降低,命名为高需求稳定组,共77例(35.00%);起始SF-SUNS评分较低后升高,命名为低需求上升组,共74例(33.64%)。3组年龄、受教育年限、家庭月收入、社会支持量表(SSRS)评分比较差异有统计学意义(P<0.05);多分类Logistic回归分析显示:SSRS评分、受教育年限为头颈部恶性肿瘤放疗患者护理未满足需求上升的危险因素,年龄、家庭月收入>5000元为未满足需求上升的保护因素(P<0.05)。结论头颈部恶性肿瘤放疗患者护理未满足需求发展轨迹存在个体差异,应重点关注患者年龄、受教育年限、家庭经济情况及社会支持度,针对头颈部恶性肿瘤放疗患者需求未满足发展轨迹类型及影响因素制定个性化干预方案。

Contraceptive behaviors and awareness in an urban slum community of south India

Objective:To assess the factors associated with knowledge,attitude and behavior of contraception use among urban slum population in Chennai.Methods:A cross-sectional study was conducted in the urban slum of Anakaputhur,Chennai.Married couples between ages of 19-49 years and living in slum areas were taken up for the study by simple random sampling.Pregnant women,postnatal and postmenopausal women were excluded from the study.Data collection was done using a pretested structured questionnaire focusing on details regarding contraception knowledge,attitude,and practices.Data analysis was done using IBM SPSS version 22.Analytical test like Chi square and odds ratio(OR)were used to identify association between knowledge,attitude,and behavior of contraception with the associated variables and enter method of logistic regression analysis was done.Results:Out of the 360 respondents,228 were females,with a mean age of(34±5)years.Approximately 43%demonstrated adequate knowledge of contraception use,and 91%were aware of at least one contraceptive method.Notably,72%exhibited a positive attitude towards contraceptive use.Nevertheless,43%(155 individuals)did not utilize any contraceptive method.Among contraceptive users,intrauterine devices were the most commonly adopted,followed by barrier methods and female sterilization.There was significant association between knowledge of contraception and education(aOR 7.29,95%CI 2.93-18.10,P<0.05),age(aOR 2.04,95%CI 1.19-3.50,P<0.05)and socioeconomic class(aOR 3.66,95%CI 1.71-7.85,P<0.05;aOR 3.97,95%CI 2.12-7.49,P<0.05).Regarding attitude towards contraception use,education(aOR 8.54,95%CI 2.35-31.03,P<0.05),sex(aOR 0.15,95%CI 0.06-0.37,P<0.05),age(aOR 0.53,95%CI 0.28-0.99,P<0.05),socio-economic class(aOR 4.42,95%CI 1.97-9.92,P<0.05;aOR 9.83,95%CI 3.63-26.58,P<0.05)and number of children(aOR 10.04,95%CI 4.26-23.66,P<0.05)were the variables that had a significant association.Conclusions:These findings underscore the imperative for enhanced dissemination of health education pertaining to contraception use within the slum population.The health sectors of the area and other stakeholders need to make sure to extend penetration of family planning related services to the urban slum population.

老年肺癌患者照顾者居家照护网络支持性服务方案构建及可行性研究

目的构建老年肺癌患者照顾者居家照护网络支持性服务方案,并评价其临床可行性。方法以二元应对理论为指导,采用文献、专家函询内容分析等方法开发老年肺癌患者照顾者居家照护网络支持性服务方案。招募21对老年肺癌患者及照顾者进行可行性研究。结果方案包括健康保健信息支持、照护技能支持、社会与工作支持、心理与情感支持、交流沟通支持5个一级指标、20个二级指标及57个三级指标。方案的招募率71.4%,留存率80.0%,依从率(90.4±10.6)%,方案接受度得分率96.1%。干预42 d后患者支持性照护需求总分及照顾者综合需求总分显著低于干预前(均P<0.05);夫妻二元应对总分较干预前显著提高(均P<0.05)。结论老年肺癌患者照顾者居家照护网络支持性服务方案具有可行性,但应用效果仍需大样本随机对照试验加以验证。

帕金森病患者对支持性服务需求及其未被满足需求的影响因素分析

目的深入分析帕金森病(PD)患者对于支持性服务的具体需求,以及这些需求未得到满足的原因,旨在为医疗工作者提供制定个性化干预策略的科学依据。方法研究团队于2022年6月至2024年5月期间,对安徽医科大学附属六安市人民医院神经内科接收的213例PD患者进行了详尽的调查,通过填写基础信息问卷和支持性服务未满足需求问卷来收集数据,采用单因素、多因素分析PD患者对支持性服务需求的特点,以及其未被满足需求的影响因素。结果PD患者的支持性服务需求评分为(101.67±10.56)分,而未满足的需求评分为(87.71±8.81)分。初步分析表明,患者的年龄、婚姻状态、教育水平、主要照护者、医疗费用支付方式以及日常生活自理能力等因素,均与他们的支持性服务需求和未满足需求之间存在显著差异(P<0.05)。进一步的多因素回归分析显示,患者的年龄、婚姻状态、家庭平均月收入、教育水平、对疾病的认知程度以及疾病进展阶段,是决定其支持性服务需求的关键因素(P<0.05);同时,这些因素也显著影响了支持性服务需求的未满足情况(P<0.05)。结论PD患者支持性服务需求和未被满足需求的主要影响因素有共同之处,都需针对性地进行干预和改进。

乳腺癌幸存者未满足需求的研究进展

乳腺癌幸存者存在多方面的未满足需求,给其心理健康和生活质量等带来不良影响。文章对乳腺癌幸存者未满足需求的现状、测评工具、影响因素和干预策略等进行了综述,以期为制定针对性的干预措施提供参考。

基于文献研究与专家论证探讨儿科风湿免疫疾病临床未被满足的需求

目的:系统梳理儿科风湿免疫疾病临床未被满足的需求,制定《儿科风湿免疫疾病临床未被满足的需求清单》,指明当前儿科风湿免疫疾病临床存在的迫切需求,为未来开展相关研究提供理论依据。方法:(1)文献研究。检索儿科风湿免疫疾病相关文献,依据文献纳入标准获得合格文献,提炼出儿科风湿免疫疾病临床存在的需求相关问题条目。(2)专家问卷调查。制定两轮专家问卷调查表,向专家咨询关于儿科风湿免疫疾病临床需求的意见,并对回收的问卷进行汇总处理,对数据进行统计分析,形成《儿科风湿免疫疾病临床未被满足的需求清单》初稿。(3)专家论证。提交《儿科风湿免疫疾病临床未被满足的需求清单》初稿,召开专家论证会,商议、讨论初稿并提出相关问题、意见,修改后形成清单终稿。结果:(1)文献研究。纳入系统性红斑狼疮、抗磷脂综合征、幼年特发性关节炎、强直性脊柱炎、系统性血管炎等24种儿科风湿免疫疾病,数据库检索共获得中文、英文文献198012篇,经筛选后最终纳入35038篇文献。(2)问卷调查。两轮专家问卷调查中,专家认为川崎病、过敏性紫癜、幼年特发性关节炎、系统性红斑狼疮及糖皮质激素诱导的骨质疏松症为儿童最为常见的5种风湿免疫疾病。在儿科风湿免疫性疾病常见临床问题中,形成13个临床需求清单条目及5个疾病临床需求条目。(3)专家论证。专家经过商讨,最终形成了《儿科风湿免疫疾病临床未被满足的需求清单》终稿。结论:形成《儿科风湿免疫疾病临床未被满足的需求清单》。中医药治疗儿科风湿免疫疾病相关指南/专家共识、儿科流行病学研究、高级别RCT研究缺乏;中医治疗的优势环节、切入点、应用时机不明确;儿科专用剂型缺乏、剂型规格单一,中成药临床应用指征不明确。

乳腺癌患者未满足需求干预模式的研究进展

据2020年全球癌症统计报告^([1]),乳腺癌女性新发病例数226万,已超越肺癌新发病例数,成为全球第一大恶性肿瘤。专家预测^([2]),2040年全球乳腺癌新病例和死亡人数将翻1倍。近年来,随着医疗技术的进步,乳腺癌逐步加入慢性病行列^([3]),因此学者们的研究视角从乳腺癌术后生存率转向了乳腺癌患者各阶段需求和术后生存质量。

结直肠癌患者家庭环境与需求未满足相关性分析

目的了解结直肠癌(colorectal cancer,CRC)患者需求未满足水平及影响因素,并分析家庭环境与患者未满足水平的相关性。方法采取方便抽样法选取2022年11月至2023年10月金华市中心医院收治的206例CRC患者,通过基本资料调查问卷、癌症患者需求未满足量表、家庭环境调查量表对患者的资料进行分析。采用单因素分析和多元线性回归分析探讨CRC患者需求未满足的影响因素,通过Pearson相关性分析探讨CRC患者需求未满足与家庭环境现状的相关性。结果调查发现不同年龄、受教育程度、家庭人均收入水平、患者带管情况和化疗次数CRC患者需求未满足量表得分比较,差异有统计学意义(P<0.05)。CRC患者家庭矛盾处理与需求未满足呈正相关(P<0.05),亲密状况、情感表达、自主方式、知识情况、娱乐状况、组织情况与需求未满足呈负相关(P<0.05)。受教育程度、家庭人均收入水平、化疗次数和家庭环境是CRC患者需求未满足主要影响因素。结论CRC患者需求未满足水平仍较高,且与家庭环境之间密切相关,建议围绕CRC患者家庭环境实施个性化改善措施,重点关注患者的未满足需求,帮助其更好地适应社会。