Evidence map›Paper›PMID 42253412›Full record

ArticleAsia-Pacific journal of oncology nursing2026

Supportive care needs, decision-making participation attitudes, and quality of life in young and middle-aged Chinese patients with cancer: A latent profile and mediation analysis.

Xiaohan Hu, Xiaomeng Ji, Chunmian Ji, Xiaolan Hu, Ying Wang, Yanyu Li, Yingqin Yu, Junxiang Gao

Abstract read
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Article in Asia-Pacific journal of oncology nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiaohan HuOffice of Discipline Inspection and Supervision, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Xiaomeng JiOffice of Discipline Inspection and Supervision, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Chunmian JiDepartment of Thyroid and Breast Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Xiaolan HuDepartment of Radiotherapy, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ying WangDepartment of Colorectal Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yanyu LiDepartment of Thyroid and Breast Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yingqin YuDepartment of Radiotherapy, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Junxiang GaoOffice of Discipline Inspection and Supervision, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to identify latent profiles of unmet supportive care needs among young and middle-aged patients with cancer, examine the mediating role of attitudes toward decision-making participation between unmet supportive care needs and quality of life, and further explore the heterogeneity of this mediating pathway across different need-based subgroups. Methods: This cross-sectional study enrolled 324 young and middle-aged patients with cancer from July 2024 to May 2025. Data were collected using the Cancer Survivors' Unmet Needs measure, the Functional Assessment of Cancer Therapy-General, and the Attitudes Toward Patient Participation in Treatment Decision-Making Questionnaire. Descriptive statistics, Spearman's correlation analysis, latent profile analysis, Bayesian independent-samples Results: Latent profile analysis identified three latent classes of unmet supportive care needs: low (30.56%), moderate (49.38%), and high (20.06%). Mediation analysis indicated that, compared with the low unmet needs group, attitudes toward decision-making participation partially mediated the relationship between unmet needs and quality of life in the high unmet needs group, with a relative mediation effect of 0.10 (95% CI: 0.03, 0.19), whereas no such effect was observed in the moderate unmet needs group. Conclusions: This study clarifies the relationships among variables, reveals the heterogeneous distribution of unmet supportive care needs, and suggests a potential protective mediating role of attitudes toward decision-making participation in the high unmet needs group. The findings provide empirical evidence for developing stratified, precision support intervention strategies tailored to different need patterns.

Indexed as

Decision-making participationLatent profile analysisMediation analysisQuality of lifeSupportive care needsYoung and middle-aged

Identifiers

PMID42253412
PMCPMC13235514

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