Lincoln International Institute for Rural Health, University of Lincoln, Brayford Pool, Lincoln LN6 7TS, UK.
Macmillan Cancer Support, London SE1 7UQ, UK.
Int J Environ Res Public Health. 2022 Dec 15;19(24):16863. doi: 10.3390/ijerph192416863.
The COVID-19 pandemic has caused considerable disruption to cancer care and may have exacerbated existing challenges already faced by cancer survivors from rural areas. This has created a need for a rapid evidence synthesis to inform the development of tailored interventions that address the specific needs of rural cancer survivors who continue to be affected by the pandemic. The review was conducted following guidance from the Cochrane Rapid Review Methods Group. Database searches were performed via the EBSCOHost interface (includes MEDLINE, CINAHL, PsycINFO) on 25 May 2022 and supplemented with searches on Google Scholar. Peer-reviewed articles published after March 2020 that reported primary data on the experiences of cancer survivors residing in rural and remote settings during the pandemic were included. Findings were tabulated and written up narratively. Fourteen studies were included. The COVID-19 pandemic had a mostly detrimental impact on the experiences of rural cancer survivors. People's individual coping mechanisms were challenging for a range of reasons. Specifically, the pandemic impacted on their ability to access testing, treatment, check-ups and supportive care, their ability to maintain and access social support with close friends and family, as well as negative consequences to their finances and emotional wellbeing with some reporting feelings of psychological distress including depression and anxiety. This review provides important insight into the experiences of rural cancer survivors that may help inform tailored support in line with the needs and challenges faced because of the pandemic.
COVID-19 大流行对癌症护理造成了相当大的干扰，可能加剧了农村地区癌症幸存者已经面临的现有挑战。这就需要快速进行证据综合，以制定有针对性的干预措施，满足继续受到大流行影响的农村癌症幸存者的特殊需求。本综述是根据 Cochrane 快速综述方法组的指导进行的。2022 年 5 月 25 日，通过 EBSCOHost 界面（包括 MEDLINE、CINAHL、PsycINFO）进行数据库检索，并在 Google Scholar 上进行补充检索。纳入了 2020 年 3 月以后发表的报告农村和偏远地区癌症幸存者在大流行期间经历的原始数据的同行评议文章。研究结果以表格形式列出并以叙述性方式书写。纳入了 14 项研究。COVID-19 大流行对农村癌症幸存者的经历产生了主要的不利影响。由于各种原因，人们的个体应对机制具有挑战性。具体而言，大流行影响了他们接受检测、治疗、检查和支持性护理的能力，影响了他们维持和获得亲密朋友和家人社会支持的能力，以及对他们的财务和情绪健康造成负面影响，一些人报告了心理困扰，包括抑郁和焦虑。本综述提供了农村癌症幸存者经历的重要见解，这可能有助于根据大流行带来的需求和挑战提供有针对性的支持。
