Abstract

Background: Breast cancer is the second most common cancer worldwide and the second most common among Zambian women. Breast cancer diagnosis being a stressful experience, causes psychological and emotional disruption that can be abated by meeting information needs of the affected patients. In light of the escalating cases of Breast cancer among the Zambian women, the study examined a special aspect of cancer management which is usually neglected in most cases. Aim: The main objective of the study was to assess information needs of breast cancer patients at the Cancer Diseases Hospital in Lusaka, Zambia using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Methods: A descriptive cross-sectional design was used to elicit the information needs of breast cancer patients. One hundred and ten (97% response rate) participants were selected using simple random sampling method and data was collected using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Stata 10.0 (StataCorp, 2008) was employed for all quantitative data analysis and graphical presentation of data. Results: The overall score for information needs was obtained by adding the scores across all the five information needs categories which were further divided into three categories namely: low important scores, of less than 50%, moderately important scores of 50% - 70% and highly important scores ranged above 70% of the 200 total scores. Out of the 110 participants recruited, 88 (80%) indicated that the information across the five categories was moderately important. Logistic regression of information needs and posited determinants revealed that anxiety levels; education level; presence of co-morbidity; and being on treatment were significant determinants of patients’ informational needs (Effect’s p ≤ 0.05). Conclusion: The findings of this study support the idea that breast cancer patients are seeking more information on their illness, hence information provision is one of the most important factors for providing high quality cancer care across the whole cancer continuum. Therefore, appreciating the information needs of breast cancer patients is substantial in improving care.

Highlights

  • According to world statistics, cancer is a leading cause of disease worldwide with an estimated 14.1 million new cases for the year 2012 and 8.2 million deaths [1]

  • Aim: The main objective of the study was to assess information needs of breast cancer patients at the Cancer Diseases Hospital in Lusaka, Zambia using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC)

  • In Zambia, breast cancer is the second common cancer among women after cervical cancer representing 8% of total cancer cases seen at the Cancer Diseases Hospital (CDH) with an age adjusted rate of 45 years [3]

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Summary

Introduction

Cancer is a leading cause of disease worldwide with an estimated 14.1 million new cases for the year 2012 and 8.2 million deaths [1]. The diagnosis of cancer is a major lifethreatening condition regardless of the stage at which it is made Those diagnosed encounter stress, anxiety, fear of death and sense of loss of hope, [4] [5] of which breast cancer is not an exceptional as it creates emotional distress for patients as well as family members [6] [7] [8]. This study will obtain information on what breast cancer patients desire to know during the illness trajectory. Breast cancer diagnosis being a stressful experience, causes psychological and emotional disruption that can be abated by meeting information needs of the affected patients. One hundred and ten (97% response rate) participants were selected using simple random sampling method and data was collected using a modified structured interview schedule adopted from the Toronto Information Needs Questionnaire-Breast Cancer (TINQ-BC). Conclusion: The findings of this study support the idea that breast cancer patients are seeking more information on their illness, information provision is one of the most

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