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癌症患者在冠状病毒时代:最应担心的是什么?

Cancer Patients in the Era of Coronavirus: What to Fear Most?

机构信息

From the Departments of Hematology-Oncology.

Family Medicine, Hotel-Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.

出版信息

J Patient Saf. 2021 Jan 1;17(1):e35-e38. doi: 10.1097/PTS.0000000000000797.

DOI:10.1097/PTS.0000000000000797
PMID:33394882
Abstract

BACKGROUND

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic led to a worldwide medical crisis, affecting mostly immunocompromised patients, such as cancer patients. Various cancer societies have issued recommendations regarding patients care, but few studies addressed the perception of cancer patients regarding this pandemic.

OBJECTIVE

The aim of the study was to assess the perception of cancer patients regarding their health risks during this pandemic and the preventive measures taken.

MATERIALS AND METHODS

An anonymous survey was conducted among cancer patients presenting for their treatment, during 10 consecutive working days, at the one-day clinic of Hotel-Dieu de France University hospital in Beirut. We evaluated their state of disease, comorbidities, precautions taken, and their concerns regarding the virus spread.

RESULTS

A total of 216 patients responded with a mean age of 60 years. The majority had a good performance status (performance status = 0-1 in 79.6%), 51.4% had metastatic disease, and chemotherapy was the main therapy used (65.7%). A total of 52.3% of patients considered themselves to be at increased risk of contracting the virus. A total of 55.1% were more worried about the coronavirus rather than their disease. The priority was for the treatment of their cancer in 47.7% of the total patients studied. Of note, only 2.8% of planned one-day clinic reservations were canceled or postponed to avoid COVID-19 exposure.

CONCLUSIONS

Although cancer is a disease with a high mortality rate, many patients are more concerned about the actual pandemic rather than their disease. Nevertheless, the absenteeism from their treatment sessions during the COVID-19 atmosphere was minimal.

摘要

背景

严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)大流行导致了全球范围内的医疗危机,主要影响免疫功能低下的患者,如癌症患者。各种癌症协会已经发布了关于患者护理的建议,但很少有研究涉及癌症患者对这一大流行病的看法。

目的

本研究旨在评估癌症患者对大流行期间自身健康风险的认知,以及他们采取的预防措施。

材料和方法

在贝鲁特法国医院大学附属医院的一日诊所,连续 10 个工作日内,对前来接受治疗的癌症患者进行了一项匿名调查。我们评估了他们的疾病状态、合并症、采取的预防措施,以及他们对病毒传播的担忧。

结果

共有 216 名患者做出了回应,平均年龄为 60 岁。大多数患者的表现状态良好(79.6%的患者表现状态为 0-1),51.4%的患者患有转移性疾病,且主要接受化疗(65.7%)。共有 52.3%的患者认为自己感染病毒的风险增加。共有 55.1%的患者更担心冠状病毒,而不是他们的疾病。在接受研究的总患者中,有 47.7%的人将治疗癌症视为优先事项。值得注意的是,只有 2.8%的一日诊所预约被取消或推迟,以避免接触 COVID-19。

结论

尽管癌症是一种死亡率较高的疾病,但许多患者更关心当前的大流行,而不是他们的疾病。然而,在 COVID-19 流行期间,他们治疗的缺席率非常低。

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