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“自疫情爆发以来一切都发生了巨大变化”:一项关于新冠疫情期间癌症患者及肿瘤护士护理体验的描述性定性研究

"Everything has been Dramatically Changed Since The Outbreak Began": A Descriptive Qualitative Study of Cancer Care Experiences of Patients and Oncology Nurses during the COVID-19 Pandemic.

作者信息

Mostafaei Ali, Kabiri Neda, Naghibi Deniz, Khodayari-Zarnaq Rahim, Hajebrahimi Sakineh, Sadeghi-Ghyassi Fatemeh, Salehi Siamak

机构信息

Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Medical Philosophy and History Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Iran J Nurs Midwifery Res. 2025 Mar 10;30(2):255-262. doi: 10.4103/ijnmr.ijnmr_4_24. eCollection 2025 Mar-Apr.

Abstract

BACKGROUND

Cancer during the novel coronavirus disease 2019 (COVID-19) pandemic has changed, leading to challenges in the management of the two serious health conditions of cancer and COVID-19. This study was conducted to explore the experiences of cancer care among hospitalized patients with cancer and oncology nurses in the COVID-19 pandemic environment.

MATERIALS AND METHODS

This descriptive qualitative study included interviews with patients with cancer and oncology nurses. Observations and field notes were recorded. In this study, we purposively recruited 11 patients and 10 oncology nurses from a tertiary referral hospital affiliated with the Tabriz University of Medical Sciences, northwest Iran. Face-to-face interviews were conducted between June and July 2021. The interviews were recorded, transcribed verbatim, open-coded, and analyzed thematically. All these steps were managed using MAXQDA 10.

RESULTS

Three themes were generated regarding patients' and nurses' experiences of cancer care during the COVID-19 pandemic: 1) feeling scared and neglected, 2) appearance of fundamental changes in all aspects of life, and 3) facing challenges beyond routine cancer care.

CONCLUSIONS

This study demonstrates the experiences of a "vulnerable" population during the COVID-19 pandemic. Understanding the experiences of patients with cancer and frontline healthcare providers during this unprecedented time of COVID-19 can help provide guidance and support for health policymakers in evidence-informed decision-making for cancer care beyond the COVID-19 pandemic era.

摘要

背景

2019年新型冠状病毒病(COVID-19)大流行期间的癌症情况发生了变化,给癌症和COVID-19这两种严重健康状况的管理带来了挑战。本研究旨在探讨COVID-19大流行环境下住院癌症患者和肿瘤护士的癌症护理经历。

材料与方法

这项描述性定性研究包括对癌症患者和肿瘤护士的访谈。记录了观察结果和现场笔记。在本研究中,我们从伊朗西北部大不里士医科大学附属的一家三级转诊医院中,有目的地招募了11名患者和10名肿瘤护士。于2021年6月至7月进行了面对面访谈。访谈进行了录音、逐字转录、开放式编码,并进行了主题分析。所有这些步骤都使用MAXQDA 10进行管理。

结果

关于COVID-19大流行期间患者和护士的癌症护理经历,产生了三个主题:1)感到恐惧和被忽视,2)生活各方面出现根本性变化,3)面临常规癌症护理之外的挑战。

结论

本研究展示了COVID-19大流行期间“弱势群体”的经历。了解COVID-19这个前所未有的时期癌症患者和一线医疗服务提供者的经历,有助于为卫生政策制定者在COVID-19大流行时代之后基于证据的癌症护理决策提供指导和支持。

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本文引用的文献

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The Safe Coping Strategy of Nurses Working in the Care Units of Patients with COVID-19: A Qualitative Study.
Iran J Nurs Midwifery Res. 2023 Apr 14;28(2):214-219. doi: 10.4103/ijnmr.ijnmr_138_21. eCollection 2023 Mar-Apr.
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