The Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.
The Royal Marsden NHS Foundation Trust, London SW3 6JJ, UK.
Semin Oncol. 2022 Oct;49(5):371-382. doi: 10.1053/j.seminoncol.2022.08.001. Epub 2022 Aug 22.
COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Global social lockdowns were instigated to reduce spread and prevent health-services from becoming overwhelmed. People having treatment for cancer are known to have heightened psychological/emotional burden. The combined impact of managing pandemic regulations alongside this may present additional burden. The purpose of this systematic review is to examine current evidence of the psychological and emotional impact of COVID-19 on people with cancer, early in the pandemic.
Five electronic databases were searched (Embase, Global Health, HMIC, PsychINFO, CINAHL) from September 2019 to October 2021. Qualitative, quantitative and mixed-method primary research studies exploring emotional and psychological impacts of COVID-19 on cancer patients, limited to English language, were included. Quality appraisal was conducted using the MMAT.
Fifty-one papers, with 27,356 people from 21 countries treated for cancer, were included. 43 studies were quantitative with a survey method approach, six studies qualitative and four used a mixed methods design. MMAT score was mostly two or three. Four themes were identified: Emotional aspects and Quality of Life; Psychosocial aspects; Impact of COVID-19 on self; Impact of COVID-19 on cancer, with themes overlapping.
Whilst emotional/psychological impacts such as anxiety, isolation, employment fears, and uncertainty about the future were potentially universal concerns early in the pandemic, they may have been particularly acute for people living with cancer and represent complex, overlapping factors. As COVID-19 continues to impact health-services and society, it is important to focus on any ongoing impact to the experience of cancer patients. Most of the studies reviewed used tools that do not provide deeper understanding of how and why emotional states of people with cancer were affected. Further qualitative work may reveal patterns of what was unique to cancer patients during the pandemic, compared to general populations.
2020 年 3 月 11 日，世界卫生组织宣布 COVID-19 为大流行病。为了减少传播并防止医疗服务系统不堪重负，实施了全球社会封锁。已知正在接受癌症治疗的人心理/情绪负担加重。管理大流行病法规的综合影响可能会带来额外的负担。本系统评价的目的是检查 COVID-19 对大流行早期癌症患者的心理和情绪影响的现有证据。
从 2019 年 9 月至 2021 年 10 月，在五个电子数据库（Embase、全球健康、HMIC、PsychINFO、CINAHL）中进行了搜索。纳入了探索 COVID-19 对癌症患者情绪和心理影响的定性、定量和混合方法的原始研究，仅限于英语语言。使用 MMAT 进行了质量评估。
纳入了来自 21 个国家的 51 篇论文，共有 27356 名接受癌症治疗的患者。43 项研究为定量研究，采用调查方法，6 项研究为定性研究，4 项研究采用混合方法设计。MMAT 评分大多为 2 或 3。确定了四个主题：情绪方面和生活质量；心理社会方面；COVID-19 对自我的影响；COVID-19 对癌症的影响，主题重叠。
虽然焦虑、孤立、对就业的恐惧以及对未来的不确定性等情绪/心理影响可能是大流行早期的普遍问题，但它们可能对癌症患者来说尤其严重，代表着复杂的、重叠的因素。随着 COVID-19 继续影响医疗服务和社会，关注癌症患者体验的任何持续影响都很重要。大多数审查的研究使用的工具并不能更深入地了解癌症患者的情绪状态是如何以及为何受到影响的。进一步的定性研究可能会揭示与一般人群相比，大流行期间癌症患者特有的模式。
