关键词: COVID-19 pandemic breast cancer breast surgery breast survivors cancer nursing mastectomy nursing

Mesh : Humans Female Breast Neoplasms / psychology Quality of Life / psychology COVID-19 / epidemiology Pandemics Cancer Survivors Survivors / psychology Qualitative Research

来  源:   DOI:10.1111/jan.15909

Abstract:
OBJECTIVE: To explore the impact of the coronavirus disease 2019 pandemic on the health-related quality of life (HRQoL) of breast cancer survivors.
METHODS: We utilized a qualitative descriptive approach to facilitate interviews among 25 participants, all of whom are survivors of breast cancer and have received treatment in Hong Kong within the preceding 3 years.
METHODS: Content analysis was performed to understand how patients\' HRQoL views and experiences changed during coronavirus disease 2019 pandemic.
RESULTS: The results included six themes delineating the impact of the coronavirus disease 2019 pandemic: (i) survivor sensitivities in pandemic times, (ii) coping and conditioning in pandemic times, (iii) transforming work and home dynamics in pandemic times, (iv) cognitive resilience and adaptation to the COVID-19 protective measures, (v) social resilience in pandemic times and (vi) healthcare adaptation and coping in pandemic times.
CONCLUSIONS: This study provides insights into the experiences and challenges of breast cancer survivors during the coronavirus disease 2019 pandemic. Some survivors had new physical and psychological symptoms, including fear and anxiety, isolation, pain, lymphoedema and burnout, which potentially have long-term impact upon HRQoL.
UNASSIGNED: This study highlights the unique challenges faced by breast cancer survivors during the coronavirus disease 2019 pandemic, including accessing healthcare services and the impact of social isolation. Healthcare providers should consider the holistic needs of breast cancer survivors in the provision of health care and develop supportive interventions, including telehealth services and online support groups, to address these challenges and improve their HRQoL.
CONCLUSIONS: Surgery aimed at treating breast cancer or reducing its risk generally influences the appearance of breast areas and donor sites. The continuing effects of these changes on body image and HRQoL are well-reported, although studies have ineffectively examined the initial experiences of women regarding their postoperative appearance, particularly during the pandemic.
UNASSIGNED: The checklist of consolidated criteria for reporting qualitative research (COREQ) was utilized.
UNASSIGNED: A small selection on breast cancer survivors contributed to the design of this study, in particular the content of the semi-structured interviews.
摘要:
目的:探讨2019年冠状病毒病流行对乳腺癌幸存者健康相关生活质量(HRQoL)的影响。
方法:我们采用了一种定性的描述性方法来促进对25名参与者的访谈,所有这些人都是乳腺癌幸存者,并在过去3年内在香港接受过治疗。
方法:进行了内容分析,以了解患者的HRQoL观点和经历在2019年冠状病毒大流行期间的变化。
结果:结果包括描述2019年冠状病毒大流行影响的六个主题:(i)大流行时期的幸存者敏感性,(二)大流行时期的应对和调理,(iii)在大流行时期改变工作和家庭动态,(Iv)认知弹性和对COVID-19保护措施的适应,(五)大流行时期的社会韧性和(六)大流行时期的医疗适应和应对。
结论:这项研究提供了对2019年冠状病毒大流行期间乳腺癌幸存者的经历和挑战的见解。一些幸存者出现了新的生理和心理症状,包括恐惧和焦虑,隔离,疼痛,淋巴水肿和倦怠,这可能对HRQoL产生长期影响。
这项研究强调了2019年冠状病毒大流行期间乳腺癌幸存者面临的独特挑战。包括获得医疗服务和社会隔离的影响。医疗保健提供者在提供医疗保健时应考虑乳腺癌幸存者的整体需求,并制定支持性干预措施,包括远程医疗服务和在线支持团体,以应对这些挑战并提高他们的HRQoL。
结论:旨在治疗乳腺癌或降低其风险的手术通常会影响乳房区域和供体部位的外观。这些变化对身体形象和HRQoL的持续影响得到了很好的报道,尽管研究没有有效地检查了女性术后外观的最初经验,特别是在大流行期间。
使用了报告定性研究(COREQ)的综合标准清单。
对乳腺癌幸存者的少量选择有助于本研究的设计,特别是半结构化面试的内容。
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