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一项定性描述性研究,旨在评估2019冠状病毒病大流行期间癌症患者的经历和护理需求。

A Qualitative Descriptive Study to Assess Experiences and Care Needs of Patients With Cancer During the COVID-19 Pandemic.

作者信息

Eche-Ugwu Ijeoma Julie, Dunnack Yackel Hayley, Pozzar Rachel A, Hammer Marilyn J, Cooley Mary E

机构信息

Ijeoma Julie Eche-Ugwu.

Hayley Dunnack Yackel.

出版信息

Oncol Nurs Forum. 2025 Apr 23;52(3):205-216. doi: 10.1188/25.ONF.205-216.

DOI:10.1188/25.ONF.205-216
PMID:40293934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12056828/
Abstract

PURPOSE

To explore the experiences and unmet clinical needs of patients with cancer during the COVID-19 pandemic.

PARTICIPANTS & SETTING: The authors recruited patients with cancer who received cancer-directed therapy in March 2020 at a National Cancer Institute-designated comprehensive cancer center. Interviews with patients were conducted between June 2021 and January 2023.

METHODOLOGIC APPROACH

In this deductive-inductive descriptive qualitative investigation, participants completed a one-time 45-minute semistructured telephone interview via Zoom.

FINDINGS

The qualitative analysis revealed (a) a myriad of psychological stressors, (b) bolstered human connectedness, (c) disruptions to daily life, (d) clinical support and education from healthcare teams, and (e) looking ahead to postpandemic life. Participants experienced changes in health behaviors and material hardships but highlighted support from family, friends, and healthcare teams.

IMPLICATIONS FOR NURSING

The cohort of patients experienced significant distress and disruptions to their lives during the COVID-19 pandemic. Interventions implemented during an unanticipated event such as a pandemic need to be developed and tested to support patients with cancer.

摘要

目的

探讨2019冠状病毒病大流行期间癌症患者的经历和未满足的临床需求。

参与者与研究背景

作者招募了2020年3月在一家美国国立癌症研究所指定的综合癌症中心接受癌症定向治疗的癌症患者。2021年6月至2023年1月期间对患者进行了访谈。

方法学方法

在这项演绎-归纳描述性定性研究中,参与者通过Zoom完成了一次45分钟的半结构化电话访谈。

研究结果

定性分析揭示了(a)大量心理压力源,(b)增强的人际联系,(c)日常生活的干扰,(d)医疗团队的临床支持和教育,以及(e)对疫情后生活的展望。参与者经历了健康行为的改变和物质困难,但强调了来自家人、朋友和医疗团队的支持。

对护理的启示

在2019冠状病毒病大流行期间,这组患者经历了严重的痛苦和生活干扰。需要开发和测试在大流行等意外事件期间实施的干预措施,以支持癌症患者。

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Assessment of financial screening and navigation capabilities at National Cancer Institute community oncology clinics.评估美国国家癌症研究所社区肿瘤诊所的财务筛选和导航能力。
JNCI Cancer Spectr. 2023 Aug 31;7(5). doi: 10.1093/jncics/pkad055.
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Patient-reported experiences of cancer care related to the COVID-19 pandemic in Switzerland.瑞士 COVID-19 大流行期间与癌症护理相关的患者报告体验。
Support Care Cancer. 2023 Jun 22;31(7):410. doi: 10.1007/s00520-023-07871-8.
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Stressors related to the COVID-19 pandemic and their association with distress, depressive, and anxiety symptoms in cancer out-patients.与新冠疫情相关的压力源及其与癌症门诊患者的痛苦、抑郁和焦虑症状的关联。
Front Psychol. 2023 Jun 2;14:1100236. doi: 10.3389/fpsyg.2023.1100236. eCollection 2023.
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Spiritual care for adult patients with cancer: from maintaining hope and respecting cultures to supporting survivors-a narrative review.成人癌症患者的精神关怀:从维持希望和尊重文化到支持幸存者——叙事评论。
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