BMC Health Services Research,
Год журнала:
2022,
Номер
22(1)
Опубликована: Ноя. 23, 2022
Women
undergoing
treatment
for
breast
cancer
require
frequent
clinic
visits
maintenance
of
therapy.
With
COVID-19
causing
health
care
disruptions,
it
is
important
to
learn
about
how
this
population's
access
has
changed.
This
study
compares
self-reported
utilization
and
changes
in
factors
related
among
women
treated
at
a
center
the
mid-South
US
before
during
pandemic.Participants
(N
=
306)
part
longitudinal
improve
adjuvant
endocrine
therapy
(AET)
adherence
completed
pre-intervention
baseline
surveys
their
prior
AET
initiation.
Questions
impact
were
added
after
pandemic
started
assessing
financial
loss
care.
Participants
categorized
into
three
time
periods
based
on
survey
completion
date:
(1)
pre-COVID
(December
2018
March
2020),
(2)
early
COVID
(April
2020
-
December
later
(January
2021
June
2021).
Negative
binomial
regression
analyses
used
compare
different
phases
controlling
patient
characteristics.Adjusted
indicated
office
declined
from
pre-COVID,
with
an
adjusted
average
17.7
visits,
12.1
period
(p
0.01)
9.9
<
0.01).
Hospitalizations
0.45
admissions
0.21
COVID,
vaccines
became
available
0.05).
Among
participants,
proportion
reporting
changes/gaps
insurance
coverage
increased
9.5%
participants
early-COVID
14.8%
later-COVID
The
due
was
similar
both
(34.3%
early-
37.7%
later-COVID,
p
0.72).
delaying
or
refilling
prescriptions
decreased
15.2%
4.9%
0.04).COVID-19
caused
disruptions
routine
cancer.
Patients
reported
having
fewer
start
that
continued
decrease
even
available.
Fewer
patients
in-person
as
progressed.
Objective
Quality
of
life
(QoL)
in
breast
cancer
patients
is
still
an
important
topic.
Despite
numerous
quantitative
scales,
qualitative
studies
can
help
to
in-depth
understand
the
QoL
patients.
The
purpose
this
systematic
review
was
integrate
on
women
with
cancer.
Methods
A
literature
search
performed
electronic
databases
including
PubMed,
Scopus,
and
Web
Science
from
January
1,
2010
until
June
28,
2022
find
out
assessing
patient’s
QoL.
Two
authors
independently
evaluated
methodological
quality
according
consolidated
criteria
for
reporting
research
(COREQ)
checklist.
Data
were
extracted
reported
by
themes
cancer-free
metastatic
separately.
Results
In
all,
1565
citations
retrieved.
After
removing
1387
duplicate
irrelevant
papers,
full
texts
27
articles
reviewed
finally,
9
eligible
evaluation.
checking
citations,
all
gained
required
score.
examining
merging
similar
topics,
nine
major
extracted.
Physical,
spiritual,
psychological
aspects
common
issues
(before
after
COVID-19
pandemic)
Perception
social
other
main
concerns
women,
whereas,
patients’
overall
survival
planning
future
their
children’s
focus
interest.
Women
disease
showed
more
vulnerability
coping
compared
women.
Conclusion
This
provides
opportunity
have
a
closer
look
into
several
domains
In-depth
information
provided
might
develop
interventions
families
support
cope
much
better
challenges.
Asian Journal of Social Health and Behavior,
Год журнала:
2023,
Номер
6(2), С. 72 - 78
Опубликована: Апрель 1, 2023
Introduction:
COVID-19
has
widely
affected
the
health
and
care
of
people
with
chronic
diseases,
especially
those
breast
cancer.
Because
status
women
cancer
in
Iran
been
unknown
during
outbreak,
we
aimed
to
explore
challenges
related
Iranian
this
pandemic.
Methods:
Using
qualitative
content
analysis
design,
31
semi-structured
face-to-face
interviews
were
conducted
from
September
2020
January
2021,
purposefully
selected
participants
including
17
cancer,
7
health-care
providers,
family
caregivers.
Data
analyzed
using
conventional
analysis.
Results:
Challenges
for
can
be
classified
into
ten
subcategories
three
main
categories.
“Lack
specific
functional
information
resources,”
“Limited
equipment
active
medical
centers,”
“Intensification
chemotherapy
drug
crisis”
comprised
category
“Inefficiency
treatment
services.”
access
caregiver,”
“Ignoring
psychological
burden
imposed
on
patients,”
“Inadequate
financial
support
insurance
organizations”
categorized
as
patient
support.”
“Avoiding
receiving
timely
appropriate
care,”
“Failure
accept
self-responsibility
health,”
“Misconceptions
about
COVID-19,”
pandemic”
“ineffective
self-care.”
Conclusion:
The
present
study
provided
a
new
understanding
regarding
findings
could
used
develop
effective
interventions.
Social Work in Public Health,
Год журнала:
2024,
Номер
39(1), С. 62 - 77
Опубликована: Янв. 2, 2024
This
cross-sectional
study
examined
the
associations
of
psychological
resilience,
perceived
social
support,
and
posttraumatic
growth
(PTG)
in
breast
cancer
(BC)
patients
(N
=
203).
The
participants'
mean
age
was
43.14
±
9.06,
80.3%
were
married,
40.9%
had
a
university
degree,
61.6%
unemployed,
72.4%
reported
moderate
economic
status.
No
significant
correlation
found
between
PTG
while
positive
observed
support.
A
weak
also
detected
support
resilience.
Professionals
working
field
psycho-oncology
work
can
make
attempts
to
increase
BC
patients.
Iranian Journal of Nursing and Midwifery Research,
Год журнала:
2025,
Номер
30(2), С. 255 - 262
Опубликована: Март 1, 2025
Abstract
Background:
Cancer
during
the
novel
coronavirus
disease
2019
(COVID-19)
pandemic
has
changed,
leading
to
challenges
in
management
of
two
serious
health
conditions
cancer
and
COVID-19.
This
study
was
conducted
explore
experiences
care
among
hospitalized
patients
with
oncology
nurses
COVID-19
environment.
Materials
Methods:
descriptive
qualitative
included
interviews
nurses.
Observations
field
notes
were
recorded.
In
this
study,
we
purposively
recruited
11
10
from
a
tertiary
referral
hospital
affiliated
Tabriz
University
Medical
Sciences,
northwest
Iran.
Face-to-face
between
June
July
2021.
The
recorded,
transcribed
verbatim,
open-coded,
analyzed
thematically.
All
these
steps
managed
using
MAXQDA
10.
Results:
Three
themes
generated
regarding
patients’
nurses’
pandemic:
1)
feeling
scared
neglected,
2)
appearance
fundamental
changes
all
aspects
life,
3)
facing
beyond
routine
care.
Conclusions:
demonstrates
“vulnerable”
population
pandemic.
Understanding
frontline
healthcare
providers
unprecedented
time
can
help
provide
guidance
support
for
policymakers
evidence-informed
decision-making
era.
Seminars in Oncology,
Год журнала:
2022,
Номер
49(5), С. 371 - 382
Опубликована: Авг. 22, 2022
COVID-19
was
declared
a
pandemic
by
the
World
Health
Organization
on
March
11th,
2020.
Global
social
lockdowns
were
instigated
to
reduce
spread
and
prevent
health-services
from
becoming
overwhelmed.
People
having
treatment
for
cancer
are
known
have
heightened
psychological/emotional
burden.
The
combined
impact
of
managing
regulations
alongside
this
may
present
additional
purpose
systematic
review
is
examine
current
evidence
psychological
emotional
people
with
cancer,
early
in
pandemic.
Five
electronic
databases
searched
(Embase,
Health,
HMIC,
PsychINFO,
CINAHL)
September
2019
October
2021.
Qualitative,
quantitative
mixed-method
primary
research
studies
exploring
impacts
patients,
limited
English
language,
included.
Quality
appraisal
conducted
using
MMAT.
Fifty-one
papers,
27,356
21
countries
treated
43
survey
method
approach,
six
qualitative
four
used
mixed
methods
design.
MMAT
score
mostly
two
or
three.
Four
themes
identified:
Emotional
aspects
Life;
Psychosocial
aspects;
Impact
self;
overlapping.
Whilst
emotional/psychological
such
as
anxiety,
isolation,
employment
fears,
uncertainty
about
future
potentially
universal
concerns
pandemic,
they
been
particularly
acute
living
represent
complex,
overlapping
factors.
As
continues
society,
it
important
focus
any
ongoing
experience
patients.
Most
reviewed
tools
that
do
not
provide
deeper
understanding
how
why
states
affected.
Further
work
reveal
patterns
what
unique
patients
during
compared
general
populations.
JNCI Cancer Spectrum,
Год журнала:
2023,
Номер
7(3)
Опубликована: Май 2, 2023
Abstract
Background
The
aims
of
this
study
were
to
explore
the
impact
COVID-19
on
health-care
services
and
quality
life
(QoL)
in
women
diagnosed
with
breast
cancer
(BC)
Ireland
whether
varied
by
social
determinants
health
(SDH).
Methods
Women
BC
completed
a
questionnaire
measuring
COVID-19,
disruption
services,
QoL,
SDH,
clinical
covariates
during
restrictions.
association
between
QoL
was
assessed
using
multivariable
regression
adjustment
for
SDH
covariates.
An
interaction
insurance
status
within
models.
Results
A
total
30.5%
(n
=
109)
reported
high
impact,
these
experienced
more
(odds
ratio
4.95,
95%
confidence
interval
2.28
10.7,
P
<
.001)
lower
(β
−12.01,
SE
3.37,
compared
who
low
impact.
Health
moderated
effect
QoL.
impact;
however,
magnitude
unfavorable
effects
differed
(Pinteraction
.05).
Conclusions
There
large
decrease
pandemic.
However,
not
same
all
women.
It
is
important
that
are
reintegrated
into
proper
care
addressed
through
multidisciplinary
support
services.
International Journal for Quality in Health Care,
Год журнала:
2023,
Номер
35(3)
Опубликована: Июль 1, 2023
Since
the
onset
of
coronavirus
disease
2019
(COVID-19)
pandemic,
health
services
for
breast
cancer
(BC)
have
been
disrupted.
Our
scoping
review
examines
impact
COVID-19
pandemic
on
BC
services,
outcomes,
and
well-being
women.
Additionally,
this
identifies
social
inequalities
specific
to
during
pandemic.
Using
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
extension
reviews
guidelines,
literature
search
was
conducted
using
scientific
databases
starting
from
March
2020
through
November
2021.
Studies
were
identified
selected
by
two
researchers
based
inclusion
criteria,
relevant
data
extracted
charted
summarize
findings.
Ninety-three
articles
included
in
review.
Main
themes
are
as
follows:
(i)
services;
(ii)
outcomes
women
with
BC;
(iii)
any
variation
determinants
health.
There
apparent
disruptions
across
continuum,
especially
screening
services.
Clinical
repercussions
a
result
such
disruptions,
experienced
worsened
quality
life
psychosocial
well-being.
Finally,
there
dependent
age,
race,
insurance
status,
region.
Due
disruption
impacted
their
overall
The
demonstrates
how
inequities
exacerbated
This
comprehensive
will
inform
timely
health-care
changes
minimize
long-term
impacts
improve
evidence-based
multidisciplinary
needs.
Abstract
Background
Individuals
living
with
and
beyond
cancer
are
at
heightened
risk
of
adverse
psychological
social
outcomes
experiences.
In
March
2020,
the
COVID-19
global
pandemic
presented
a
unique
set
circumstances
potential
to
exacerbate
challenges
faced
by
this
population.
The
purpose
study
was
investigate
experiences
people
during
first
year
assess
impact
on
aspects
their
lives.
Methods
From
pool
participants
from
larger
health
behaviours
thirty
were
purposively
sampled
for
characteristics
including:
diagnostic
group
(breast,
prostate
colorectal
cancers),
gender,
time
since
diagnosis
age.
Semi-structured
interviews
conducted
via
telephone
discuss
experience
through
pandemic.
A
thematic
analysis
using
needs-based
approach
detail
fundamental
needs
expressed
population
in
relation
mental
quality
life
Results
Three
underpinned
participants:
need
feel
safe;
particularly
contracting
ongoing
monitoring;
connected;
people,
places,
activities
practices
everyday
life;
make
most
out
;
specifically
context
having
already
endured
treatment.
Participant
described
how
they
impacted
each
these
three
needs.
Conclusions
People
have
past
that
them
vulnerable
psychosocial
reactions
outcomes.
Support
provide
greater
clarity
risk,
clearer
guidelines
specific
personal
circumstances,
regular
updates
scheduling
important
follow
up
care
monitoring.