Jianing Cao, Changying He, Jing Ji, Ning Cao, Xiaohuan Peng, Lifang Huang
Information needs were common and centered on disease-status explanation, timely test-result communication, and written materials. Brief HSIN screening may support urology, nursing, and follow-up teams in tailoring patient education and care coordination. These cross-sectional findings identify practical targets for future service-improvement studies.
PURPOSE: Men receiving prostate cancer care often need clear information about disease status, tests, treatment effects, and follow-up. This study described information and education needs among men with prostate cancer in western Guangxi, China and examined routinely available factors that may help healthcare teams identify patients who need more support.
PATIENTS AND METHODS: In this single-center cross-sectional study, 320 men with histologically confirmed prostate cancer were recruited from outpatient and inpatient urology units in western Guangxi from January 2024 to June 2025. Participants completed the Chinese 34-item Short-Form Supportive Care Needs Survey (SCNS-SF34), Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Functional Assessment of Cancer Therapy-Prostate. The health system and information needs (HSIN) domain of the SCNS-SF34 was the primary outcome. Group comparisons, Spearman correlations, multiple linear regression with HC3 robust standard errors, and false-discovery-rate correction for exploratory testing families were used.
RESULTS: The mean HSIN score was 45.01 ± 21.25, and 252 participants (78.8%) reported moderate-to-high need on at least one HSIN item. The leading priorities were knowing whether cancer was under control or improving (33.1%), receiving test results promptly (32.2%), and receiving written care information (31.9%). In the main adjusted model, higher HSIN scores were associated with poorer Eastern Cooperative Oncology Group performance status (B = 5.162; 95% CI, 1.791-8.533; P = 0.003) and monthly household income of CNY 6000-9999 compared with CNY < 3000 (B = 7.222; 95% CI, 1.424-13.019; P = 0.015).
CONCLUSION: Information needs were common and centered on disease-status explanation, timely test-result communication, and written materials. Brief HSIN screening may support urology, nursing, and follow-up teams in tailoring patient education and care coordination. These cross-sectional findings identify practical targets for future service-improvement studies.