利益相关者对 COVID-19 对肿瘤学服务影响的看法：一项定性研究。
Stakeholder perspectives on the impact of COVID-19 on oncology services: a qualitative study.
机构信息
Psycho-Oncology Co-operative Research Group (PoCoG), School of Psychology, University of Sydney, Camperdown, NSW, 2006, Australia.
Flinders University, Órama Institute, College of Education, Psychology & Social Work, Adelaide, SA, 5001, Australia.
出版信息
Support Care Cancer. 2023 Jul 24;31(8):491. doi: 10.1007/s00520-023-07916-y.
BACKGROUND
As COVID-19 spread across the globe, cancer services were required to rapidly pivot to minimise risks without compromising outcomes for patients or staff. The aim of this study was to document changes to oncology services as a result of COVID-19 from the perspectives of both providers and receivers of care during the initial phase of the pandemic.
METHODS
Participants were recruited between June and December 2020 through an email invitation via professional or consumer organisations, two hospital-based oncology services and snowballing. Semi-structured interviews focused on health service changes and their impacts, which were then analysed by thematic analysis.
RESULTS
Thirty-two patients, 16 carers and 29 health professionals were recruited. Fifteen patients (n = 47%) had localised disease, and 19 (n = 59%) were currently receiving treatment. Oncology staff included oncologists, palliative care physicians, nurses, allied health and psychosocial practitioners. Four themes arose from the data: safety, increased stress and burnout, communication challenges and quality of cancer care.
CONCLUSIONS
There is an ongoing need for cancer-specific information from a single, trusted source to inform medical practitioners and patients/carers. More data are required to inform evidence-based guidelines for cancer care during future pandemics. All stakeholders require ongoing support to avoid stress and burnout.
背景
随着 COVID-19 在全球范围内的传播，癌症服务必须迅速转变，在不影响患者或员工结果的情况下降低风险。本研究的目的是从提供和接受护理的角度记录 COVID-19 大流行初期癌症服务的变化。
方法
通过专业或消费者组织、两家医院肿瘤服务机构的电子邮件邀请以及滚雪球的方式，于 2020 年 6 月至 12 月期间招募参与者。半结构化访谈的重点是卫生服务的变化及其影响，然后通过主题分析进行分析。
结果
共招募了 32 名患者、16 名护理人员和 29 名卫生专业人员。15 名患者（n = 47%）患有局限性疾病，19 名患者（n = 59%）正在接受治疗。肿瘤学工作人员包括肿瘤学家、姑息治疗医生、护士、联合健康和社会心理从业者。数据产生了四个主题：安全性、压力和倦怠增加、沟通挑战以及癌症护理质量。
结论
需要从单一、可信的来源提供癌症特定信息，以告知医疗从业者和患者/护理人员。需要更多的数据来为未来大流行期间的癌症护理提供循证指南。所有利益相关者都需要持续的支持，以避免压力和倦怠。
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