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探索皮肤黑色素瘤患者的随访放射学体验:一项定性研究。

Exploring Cutaneous Melanoma Patients' Experiences with Follow-Up Radiology: A Qualitative Study.

作者信息

Iacorossi Laura, Molinaro Simona, Gambalunga Francesca, Petrone Fabrizio, Desiderio Flora, Piacentini Francesca, Guerrisi Antonino, Elia Fulvia, Caterino Mauro

机构信息

Department of Life, Health and Health Professions Sciences, Link Campus University, 00165 Rome, Italy.

Nursing Research Unit IFO, IRCCS Regina Elena National Cancer Institute, Via Elio Chianesi 53, 00144 Rome, Italy.

出版信息

Healthcare (Basel). 2025 Apr 8;13(8):845. doi: 10.3390/healthcare13080845.

Abstract

Diagnostic examinations that cutaneous melanoma (CM) patients undergo during follow-up can generate various emotional states related to the possibility of recurrence or disease progression. Understanding the emotions and perceptions of patients during the wait for diagnostic exams is crucial for improving care. This study aims to explore the experiences of CM patients awaiting follow-up diagnostic investigations. This is a qualitative descriptive inductive, single-center study, structured according to COREQ criteria. The sample of CM patients was recruited at the Radiology and Diagnostic Imaging Unit of the San Gallicano Dermatological Institute in Rome. Data were collected through semi-structured interviews and analyzed using Framework Analysis, as described by Ritchie and Spencer. A total of 30 patients with an average age of 57.4 were recruited. The interviews revealed the following four themes: waiting influences the emotional experience; the double face of family support; strategies of support during the waiting period; and waiting requires attention to the person and the environment. This study revealed that waiting for a diagnostic exam for cutaneous melanoma (CM) is often characterized by anxiety and worry. Healthcare professionals need to implement positive coping strategies, balanced family support, and improved communication to enhance patient care and satisfaction in oncology settings. Recognizing and addressing patients' emotional dynamics is crucial for improving care. Training healthcare staff, providing psychological interventions, and leveraging technological innovation can improve the waiting experience, foster a more welcoming and reassuring environment, and enhance patients' psychological well-being and satisfaction with care pathways.

摘要

皮肤黑色素瘤(CM)患者在随访期间接受的诊断检查可能会引发各种与复发或疾病进展可能性相关的情绪状态。了解患者在等待诊断检查期间的情绪和认知对于改善护理至关重要。本研究旨在探索等待随访诊断检查的CM患者的经历。这是一项定性描述性归纳单中心研究,根据COREQ标准构建。CM患者样本在罗马圣加利卡诺皮肤病研究所的放射学和诊断成像科招募。通过半结构化访谈收集数据,并使用Ritchie和Spencer描述的框架分析法进行分析。共招募了30名平均年龄为57.4岁的患者。访谈揭示了以下四个主题:等待影响情绪体验;家庭支持的两面性;等待期间的支持策略;等待需要关注患者本人和环境。本研究表明,等待皮肤黑色素瘤(CM)诊断检查通常以焦虑和担忧为特征。医疗保健专业人员需要实施积极的应对策略、平衡的家庭支持并改善沟通,以提高肿瘤护理环境中的患者护理质量和满意度。认识并解决患者的情绪动态对于改善护理至关重要。培训医护人员、提供心理干预并利用技术创新可以改善等待体验,营造更温馨、更安心的环境,并提高患者的心理健康水平和对护理途径的满意度。

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