POTREBE ZA SUPORTIVNOM NEGOM PACIJENTKINJA NAKON OPERACIJE KARCINOMA DOJKE SUPPORTIVE CARE NEEDS OF PATIENTS AFTER BREAST CANCER SURGERY Slobodan Tomić 1 , Sanja Tomić 2 , Milena Mikić 2 , Goran Malenković 2 1 Univerzitet Novi Sad, Medicinski fakultet, student doktorskih studija, Novi Sad, Srbija 2 Univerzitet Novi Sad, Medicinski fakultet, Katedra za zdravstvenu negu, Novi Sad, Srbija SAŽETAK Uvod: Suportivna nega obuhvata detekciju i pružanje neopho- dnih intervencija radi sprečavanja, kontrole ili ublažavanja kom- plikacija i neželjenih efekata, s’ ciljem poboljšanja komfora i kvalite- ta života onkoloških pacijenata. Ovim istraživanjem želeli smo da utvrdimo obim i nivoe neispunjenih potreba pacijentkinja operisanih od karcinoma dojke, kao i njihovu povezanost sa sociodemografskim karakteristikama i faktorima rizika. Materijal i metode: Istraživanje po tipu analitičko-deskriptivne studije preseka realizovano je tokom 2019. godine u Institutu za onkologiju Vojvodine u Sremskoj Kamenici. U istraživanju je učestovalo 40 pacijentkinja operisanih od karcinoma dojke. U svrhu ispitivanja nivoa i vrsti potreba za negom i podškom korišćen je upitnik Short form of the Supportive Care Needs Survey (SCNS- SF34) – Potrebe za suportivnom negom- kratka forma upitnika. Upitnik sadrži 34 stavke, mapirane na pet domena. Viša vrednost skora (maksimum 5, minimum 1) ukazuje na viši nivo potrebe paci- jenata za podrškom. Rezultati: Prosečna starost pacijetkinja iznosi 61.5±12.8 godina. Najviši nivo potrebe za suportivnom negom je utvrđen za domen Zdravstveni sistem i informacije (2,14 ± 0,34), a najniža vrednost za domen Seksualnost (1.13 ± 0.28). Utvrđena je statistički znača- jna razlika u prosečnim vrednostima za domen Zdravstveni sistem i informacije u odnosu na nivo obrazovanja (p=0.03), pri čemu paci- jentkinje sa višim nivoom obrazovanja imaju veći nivo potreba iz ovog domena. Zaključak: Ova studija pruža informacije o potrebama za suportivnom negom operisanih od karcinoma dojke, koje utiču na svakodnevni život obolelih. Rezultati istraživanja jasno ukazuju da se pacijentkinje posle operacije karcinoma dojke suočavaju sa neza- dovoljenim potrebama u svim u domenima, osim u domenu seksua- lnosti. Ključne reči: suportivna nega, karcinom dojke, nezadovoljene potrebe, Short form of the Supportive Care Needs Survey (SCNS- SF34) SUMMARY Introduction: Supporative care includes detection and providing necessary interventions to prevent, control or alleviate compications and side efects in order to improve the comfort and quality of life of cancer patients to meet their needs. Te aim of this research was to determine the level of unsatisfed needs of patients afer breast cancer surgery and also to determine connection with social demographic characteristics and risk factors. Material and methods: Tis study was conducted as a cross- sectional study, on a sample of 40 patients that have undergone surgical breast cancer treatment at the Oncology Institute of Vojvodina in Sremska Kamenica during 2019. Te instrument used in this research was Short form of the Supportive Care Needs Survey questionnaire (SCNS-SF34). It was used to determine the level and type of healthcare assistance needed by the patients. Te questionnaire consisted of 34 questions that are divided through fve domains. Te higher score (min=1, max=5) indicates a higher need for support. Results: Te average age of the patients was 61.5±12.8 years. Te highest level of required healthcare support was determined in the domain of the Healthcare system and information, while the domain with lowest value was Sexuality. Statistically signifcant diference was discovered between the values of the Healthcare system and information and the educational level (p=0.03), which indicates that patients with a higher level of education have a bigger level of needs from this domain. Conclusion: Tis study provides information about patient needs for supportive care in daily life activities, afer breast cancer surgery. Te results of the research clearly indicate that patients afer breast cancer surgery face unmet needs in all domains except sexuality. Key words: supportive care, breast cancer, unsatisfed needs, Short form of the Supportive Care Needs Survey (SCNS-SF34) Autor za korespondenciju: Sanja Tomić Univerzitet u Novom Sadu Medicinski fakultet Novi Sad Hajduk Veljkova 3, 21000 Novi Sad e-mail: sanja.tomic@mf.uns.ac.rs Rad primljen: 20.12.2021; Rad prihvaćen: 13.04.2022. ORIGINAL ARTICLE ORIGINALNI ČLANAK 4 SESTRINSKA REČ