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乳腺癌女性的未满足需求:一项定性研究。

The unmet needs of women with breast cancer: a qualitative research.

机构信息

Dipartimento di Medicina e Chirurgia- Università degli Studi Parma.

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出版信息

Acta Biomed. 2022 May 12;93(S2):e2022153. doi: 10.23750/abm.v93iS2.12956.

Abstract

BACKGROUND AND AIM OF THE WORK

Breast cancer (CM) is the most commonly diagnosed form of cancer in Italy and the most common malignancy in women (25%) with 53,000 new cases. This disease affects all age groups (1 in 40 women <49 years, 1 in 20 between 50 and 69 years, 1 in 25 between 70 and 84 years). The percentage of patients diagnosed with cancer within 5 years of diagnosis is higher than for other cancers, and this conviction rate in these cancer patients has increased, leading to an ever-improving level of attention. The research aims to understand the main needs of women with breast cancer, compare them with those reported in the literature and in particular to identify which of these are still unsatisfied. Method The study is based on the use of the narrative interview conducted by the Case Manager, in the Breast Unit of Melegnano (Milan), selected with a sampling of convenience.The participants who joined the research project were 12 women with breast cancer, aged between 40 and 60, who are in the active treatment phase of the disease.

RESULTS

As highlighted by literature, various unmet needs have emerged, afferent to well-defined areas: emotional health, continuity of care, information, adverse effects, educational strategies, economics, information and social support. The study showed that, the needs that are most unsatisfied relate to the information area and the psychological area.

CONCLUSION

The interviews conducted underlined the importance of the role of the Case Care Manager as a facilitator of the disease path that patients are experiencing both in terms of the clinical and psychological aspects but also as a support in managing daily life. future research should investigate the role of the Case Vare manager in meeting these needs.

摘要

背景与目的

在意大利,乳腺癌(CM)是最常见的癌症类型,也是女性中最常见的恶性肿瘤(25%),新发病例达 53000 例。这种疾病影响所有年龄段的人群(40 岁以下的女性中每 40 人有 1 人患病,50 岁至 69 岁的女性中每 20 人有 1 人患病,70 岁至 84 岁的女性中每 25 人有 1 人患病)。在诊断后 5 年内被诊断出患有癌症的患者比例高于其他癌症,这些癌症患者的治愈率有所提高,因此对其关注度也在不断提高。本研究旨在了解乳腺癌女性的主要需求,并将其与文献中报告的需求进行比较,特别是要确定哪些需求仍未得到满足。方法:该研究基于案例管理者进行的叙述性访谈,在米兰梅莱格纳诺(Melegnano)的乳腺科进行,采用便利抽样选择参与者。加入研究项目的参与者是 12 名年龄在 40 岁至 60 岁之间的乳腺癌女性,她们正处于疾病的积极治疗阶段。结果:正如文献所强调的那样,出现了各种未满足的需求,涉及到明确的领域:情绪健康、护理连续性、信息、不良反应、教育策略、经济、信息和社会支持。研究表明,最未得到满足的需求与信息领域和心理领域有关。结论:访谈强调了案例护理经理作为患者正在经历的疾病路径的促进者的重要性,无论是在临床和心理方面,还是在管理日常生活方面。未来的研究应该调查案例管理者在满足这些需求方面的作用。

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