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COVID-19 大流行期间乳腺癌患者的生活体验。

The Lived Experience of Breast Cancer Patients during the COVID-19 Pandemic.

机构信息

PhD, LCSW, is associate professor, School of Social Work, Adelphi University, 1 South Avenue, Garden City, NY 11530, USA.

BS, is CEO, Keepers of the Flame, Rincon, GA, USA.

出版信息

Health Soc Work. 2023 Oct 27;48(4):251-259. doi: 10.1093/hsw/hlad025.

Abstract

This article seeks to understand the impact of the COVID-19 pandemic on women currently undergoing treatment for breast cancer. As part of a mixed-methods study of 69 women who have or currently live with breast cancer, 27 participants opted into a Phase II semistructured interview to further discuss their experiences of emotional coping during the treatment process, beliefs about therapy, and the impact of COVID-19 on their emotional experience during treatment. Thematic narrative analysis was used to identify common themes. Participants shared about the unique stressors and impact of the COVID-19 pandemic during their treatment and how it complicated the already emotional experience of coping with cancer. Five identified themes include (1) logistical impact of COVID-19 and its effects on accessing medical care, (2) concerns related to accessing emotional support, (3) emotional reactions to battling breast cancer while living through a global pandemic, (4) ways in which loss was experienced, and (5) benefits to technology-based psychoeducation and social supports that were identified during the pandemic. COVID-19 had a significant impact on those currently in treatment for breast cancer including increasing fear, decreasing social support, and increased logistical challenges. Changes to psychotherapeutic treatment protocols to include technologically enhanced psychological support during treatment and digitally based psychoeducation curriculum are warranted.

摘要

本文旨在了解 COVID-19 大流行对正在接受乳腺癌治疗的女性的影响。作为一项针对 69 名患有或目前患有乳腺癌的女性的混合方法研究的一部分,27 名参与者选择参加第二阶段半结构化访谈,以进一步讨论她们在治疗过程中情绪应对的经验、对治疗的信念,以及 COVID-19 对她们治疗期间情绪体验的影响。采用主题叙事分析来确定共同主题。参与者分享了 COVID-19 在治疗期间对她们的独特压力源和影响,以及它如何使应对癌症的情绪体验更加复杂。确定了五个主题,包括 (1) COVID-19 的后勤影响及其对获得医疗保健的影响,(2) 对获得情感支持的担忧,(3) 在全球大流行期间与乳腺癌作斗争的情绪反应,(4) 经历损失的方式,以及 (5) 在大流行期间确定的基于技术的心理教育和社会支持的好处。COVID-19 对正在接受乳腺癌治疗的患者产生了重大影响,包括增加恐惧、减少社会支持和增加后勤挑战。有必要更改心理治疗方案,在治疗期间纳入技术增强的心理支持和基于数字的心理教育课程。

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