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COVID-19 对肿瘤患者的心理影响:肿瘤医疗保健提供者的看法。

Psychological Impact of COVID-19 on Oncology Patients: Perceptions of Oncology Health Care Providers.

机构信息

College of Public Health, University of South Florida, Tampa, FL, USA.

College of Nursing, University of South Florida, Tampa, FL, USA.

出版信息

West J Nurs Res. 2023 Feb;45(2):152-160. doi: 10.1177/01939459221114634. Epub 2022 Jul 27.

Abstract

The COVID-19 pandemic profoundly impacted psychological well-being worldwide. Oncology health care professionals' (OHCPs') perceptions of psychological effects of COVID-19 among people in active cancer treatment were explored. Semi-structured interviews with a purposive sample of OHCPs actively providing care were conducted. Interviews were audio-recorded, transcribed, and coded using Atlas.ti v8 and thematic analysis. In total, 30 OHCPs participated. Most were registered nurses (70%), worked in outpatient setting (56.7%) and were in their current position 1-5 years (53.3%). Overarching themes are as follows: (a) cancer treatment disrupted due to patients' fear of exposure to COVID-19; (b) social distancing restrictions caused discontinued social support and supportive services that exacerbated psychological distress; (c) pandemic-related stressors led to overwhelmed coping skills; and (d) OHCPs played a vital role in providing emotional support and connecting patients with family/friends through technology. Behavioral health interventions should focus within the "new world of COVID-19" of reduced face-to-face support and increased online support for patients.

摘要

COVID-19 大流行深刻影响了全球的心理健康。本研究旨在探讨肿瘤医疗保健专业人员(OHCPs)对正在接受积极癌症治疗的人群中 COVID-19 心理影响的看法。对正在积极提供护理的 OHCPs 进行了有针对性的半结构式访谈。使用 Atlas.ti v8 和主题分析对访谈进行录音、转录和编码。共有 30 名 OHCPs 参与。他们大多数是注册护士(70%),在门诊工作(56.7%),在目前的岗位上工作 1-5 年(53.3%)。主要主题如下:(a)由于患者害怕接触 COVID-19,癌症治疗受到干扰;(b)社会隔离限制导致中断的社会支持和支持性服务加剧了心理困扰;(c)与大流行相关的压力源导致应对技能不堪重负;(d)OHCPs 在提供情绪支持和通过技术将患者与家人/朋友联系方面发挥了至关重要的作用。行为健康干预措施应集中在“COVID-19 的新世界”中,减少面对面支持,并增加在线支持患者。

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