Birmingham Medical School, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK.
Eur J Cancer Care (Engl). 2022 Nov;31(6):e13682. doi: 10.1111/ecc.13682. Epub 2022 Aug 12.
Supporting cancer patients during COVID-19 has posed unique challenges for health care providers. We investigated patient and carer-charity interactions to explore the role of charities and identify concerns expressed by patients. The study aims to address these concerns and learn how health care providers can support patients.
Digital interactions on forum posts and social media were collected from four gynaecological cancer charities from March-May 2019 (before COVID-19) and 2020 (during COVID-19). Thematic analysis of forum posts and semistructured charity staff interviews investigated patient and charity-focused perspectives.
Thematic analysis of forum posts and charity staff interviews (n = 8) revealed three consistent themes: (1) Health care changes and the effect on cancer management concerns; (2) psychological impact of lockdown isolation and anxiety of changed treatment; (3) the complexity of shielding guidance on self-risk assessment. Patients valued cancer charities' responses through digital and conventional methods (webinars, social media, forums, and websites).
Gynaecological cancer patients had concerns about the risk and impact of changed treatment plans, contacting charities as the first port of call when anxious not to burden health systems. Real-time analysis of charities' communications can be used to identify concerns and to proactively provide patient support, together with health care providers.
在 COVID-19 期间为癌症患者提供支持给医疗保健提供者带来了独特的挑战。我们调查了患者和照顾者-慈善机构的互动,以探索慈善机构的作用并确定患者表达的关注。该研究旨在解决这些问题,并了解医疗保健提供者如何为患者提供支持。
从 2019 年 3 月至 5 月(COVID-19 之前)和 2020 年(COVID-19 期间)的四个妇科癌症慈善机构收集了论坛帖子和社交媒体上的数字互动。对论坛帖子和半结构化慈善机构工作人员访谈进行主题分析,调查了患者和慈善机构关注的观点。
对论坛帖子和慈善机构工作人员访谈(n=8)的主题分析揭示了三个一致的主题:(1)医疗保健变化及其对癌症管理的影响;(2)封锁隔离的心理影响和对治疗变化的焦虑;(3)自我风险评估指导的复杂性。患者通过数字和传统方法(网络研讨会、社交媒体、论坛和网站)对癌症慈善机构的回应表示赞赏。
妇科癌症患者对治疗计划改变的风险和影响表示担忧,当感到焦虑而不负担卫生系统时,他们会首先向慈善机构求助。慈善机构通信的实时分析可用于识别关注点,并与医疗保健提供者一起主动为患者提供支持。