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Holistic Needs Assessment and Coping Strategies of Cancer Patients
Arvin Baes, PhD(C), MAN, RN
Calamba Medical Center
- Comprehensively assess the holistic needs of cancer patients in terms of physiological, psychological, social, and spiritual health.
- Identify the coping strategies of cancer patients utilizing The Brief COPE scale.
- Compare and correlate the relationship of holistic needs and coping strategies of cancer patients.
Objectives: This study was conducted to assess the holistic needs of cancer patients in terms of physiological, psychological, social, and spiritual needs and to determine how they respond through coping strategies.
Materials & Methods: This study was conducted from January-April 2018 from various hospitals in Laguna, Philippines with 20 respondents. The study adapted the Sheffield Profile for Assessment and Referral to Care (SPARC) for need assessment and adopted the Situational Version of the Brief COPE for coping strategies. It utilized a survey descriptive type of research, a checklist type of questionnaire, and purposive sampling in selecting the respondents.
Results: It was found that in terms of physiological needs, "Fatigue" is the most common symptom they experienced. In terms of psychological, social, and spiritual needs, most of the patients experienced a significant concern. Meanwhile, in coping, "Religion" dominates among the 14 strategies followed by “Use of Emotional Support” and “Positive Reframing”, and “Substance Use” obtained the lowest response. Most of the respondents were female and its significant relationship in terms of “Positive Reframing” agrees significantly. Moreover, in coping and civil status, “Positive Reframing” and “Humor” are significant among married respondents. In coping and stage of cancer, “Positive Reframing” and “Humor” are significant with the stage of cancer. In coping and treatment modalities, “Active Coping”, “Use of Emotional Support” and “Religion” are significantly related to patients’ treatment modalities. There is also a significant relationship between “Active Coping and Physiological Needs”; “Religion and Psychological Needs”, and “Self-blaming and Psychological, Social and Spiritual Needs”.
Conclusions & Implications: Thus, it is concluded that holistic needs and coping strategies are essential to each other to meet the wholeness of cancer patients. A formulated care intervention program would be beneficial among this group of patients.