Zeng Yingchun, Cheng Andy Sk, Liu Xiangyu, Chan Chetwyn Ch
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China.
Research Institute of Gynaecology and Obstetrics, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
BMJ Open. 2017 Jun 22;7(6):e014078. doi: 10.1136/bmjopen-2016-014078.
This study explores Chinese cervical cancer survivors' perceived cognitive complaints and relevant supportive care needs after primary cancer treatment.
This study utilised a qualitative research design. A semi-structured interview was used to probe cervical cancer patients' perceived cognitive complaints and supportive care needs.
This study was conducted at a secondary cancer care centre located in South China.
31 women with cervical cancer after primary cancer treatment, aged 18-60 years, were purposively selected using non-random sampling procedures.
31 cervical cancer survivors joined this study. Of these, 20 women (64.5%) reported cognitive complaints after cancer treatment. The most common complaint was loss of concentration (n=17, 85.0%). Perceived contributing factors to these cognitive complaints included chemotherapy (n=15, 75.0%) and ageing (n=8, 40.0%). These cognitive problems most commonly impacted daily living (n=20, 100%). Common supportive care needs included symptom management strategies (n=11, 55.0%) and counselling services (n=8, 40.0%).
This study adds new insight into the growing body of research on cognitive complaints by cancer survivors, in particular Chinese cervical cancer survivors. Improved understanding of cognitive complaints could subsequently facilitate the development of relevant therapeutic interventions for prevention as well as the provision of supportive care services, such as educational and counselling services, to reduce cognitive impairment in women with cervical cancer.
本研究探讨中国宫颈癌幸存者在原发性癌症治疗后的认知主诉及相关支持性护理需求。
本研究采用定性研究设计。使用半结构化访谈来探究宫颈癌患者的认知主诉及支持性护理需求。
本研究在位于中国南方的一家二级癌症护理中心进行。
采用非随机抽样程序,有目的地选取了31名年龄在18至60岁之间、接受过原发性癌症治疗的宫颈癌女性患者。
31名宫颈癌幸存者参与了本研究。其中,20名女性(64.5%)报告在癌症治疗后出现认知主诉。最常见的主诉是注意力不集中(n = 17,85.0%)。这些认知主诉的感知促成因素包括化疗(n = 15,75.0%)和衰老(n = 8,40.0%)。这些认知问题最常影响日常生活(n = 20,100%)。常见的支持性护理需求包括症状管理策略(n = 11,55.0%)和咨询服务(n = 8,40.0%)。
本研究为癌症幸存者,尤其是中国宫颈癌幸存者的认知主诉研究不断增加的文献提供了新的见解。对认知主诉的更好理解随后可促进相关预防治疗干预措施的开发,以及提供支持性护理服务,如教育和咨询服务,以减少宫颈癌女性患者的认知障碍。