Supportive Care in Cancer,
Год журнала:
2024,
Номер
32(11)
Опубликована: Окт. 28, 2024
Abstract
Background
Patients
with
head
and
neck
squamous
cell
carcinoma
(HNSCC)
face
several
physical,
emotional,
psychological
challenges
throughout
treatment.
Cisplatin-based
chemoradiotherapy
(CRT)
is
an
effective
but
toxic
treatment,
increased
risk
for
toxicities
in
patients
low
skeletal
muscle
mass
(SMM).
Consequently,
these
are
anticipated
to
experience
greater
treatment-related
difficulties.
We
aimed
explore
the
experiences
of
HNSCC
SMM
regarding
cisplatin-based
CRT.
Methods
A
descriptive
qualitative
study
was
conducted,
interviewing
seven
3
months
after
CRT
using
a
topic
guide.
Thematic
analysis
semi-structured
interviews
create
multi-dimensional
understanding
patients’
during
Results
Prior
themes
included
pre-treatment
information,
expectations
towards
treatment
trial,
psychosocial
circumstances,
supporting
network.
During
toxicities,
impact,
After
reflection
on
period
CRT,
informal
support
from
networks
healthcare
workers,
ongoing
toxicities.
Conclusion
Most
as
life-changing
distressing
life
event
cope
through
various
strategies
networks.
Tailored
counseling,
ideally
on-demand
consultations,
recommended.
No
differences
were
noted
perceptions
their
cisplatin
regimen.
Systematic Reviews,
Год журнала:
2025,
Номер
14(1)
Опубликована: Янв. 28, 2025
Head
and
neck
cancers
(HNC)
are
devastating,
thus
imposing
a
negative
impact
on
the
appearance
of
an
individual
as
well
vital
activities
such
eating,
swallowing,
speaking,
breathing.
Therefore,
HNC
patients
undergo
distress,
while
their
caregivers
become
overburdened.
Religion
spirituality
can
be
helpful
for
from
diverse
cultural
backgrounds
to
cope
with
cancer.
Though
established
in
palliative
care,
religion
rarely
incorporated
into
usual
early
oncological
care.
Despite
availability
heterogeneous
literature
examining
influence
cancer
patients,
there
is
notably
limited
research
this
topic
across
trajectory.
scoping
review
attempts
answer
"What
or
different
contexts?"
will
map
evidence
contexts
including
geographical
areas,
cultures,
health
care
systems,
study
settings.
This
was
formulated
using
guidelines
Joanna
Briggs
Institute
(JBI)
manual
synthesis:
reviews
reported
confirming
Preferred
Reporting
Items
Systematic
Meta-Analyses
extension
Scoping
Reviews
(PRISMA-ScR
checklist).
A
comprehensive
search
strategy
include
Embase,
CINAHL,
Scopus,
APA
PsycINFO.
The
OPENGREU.EU
Google
Scholar
used
gray
sources
complimented
by
searches.
Our
eligibility
criteria
follow
population,
concept,
context
(PCC)
framework.
Patients
aged
≥
18
years
diagnosed
informal,
nonpaid
>
included.
data
extracted
piloted
extraction
form
sociodemographic,
disease-related,
treatment-related
factors
outcomes,
analyzed
through
descriptive
statistics
thematic
analysis.
results
narratively
synthesized.
aim
explore
existing
summarize
findings
studies
that
examine
among
vice
versa
over
range
physical,
psychological,
social
outcomes
quality
life.
We
also
identify
gaps.
would
generate
better
inform
providers
countries
cultures
management
due
consideration
caregivers.
Supportive Care in Cancer,
Год журнала:
2023,
Номер
31(5)
Опубликована: Апрель 13, 2023
Informal
caregivers
of
head
and
neck
cancer
(HNC)
patients
have
a
high
caregiver
burden
often
face
complex
practical
caregiving
tasks.
This
may
result
in
unmet
supportive
care
needs,
which
can
impact
their
quality
life
(QoL)
cause
psychological
distress.
In
this
study,
we
identify
caregivers'
needs
during
long-term
follow-up
prone
to
needs.Data
were
used
from
the
multicenter
prospective
cohort
study
NETherlands
QUality
Biomedical
studies
Cancer
(NET-QUBIC).
The
distress,
burden,
QoL
measured
for
234
informal
related
at
baseline,
3,
6,
12,
24
months
after.
Mixed
effect
models
repeated
measurements
used.At
most
(70.3%)
reported
least
one
need,
with
identified
"healthcare
&
illness"
domain.
During
period,
decreased
significantly
all
domains.
Nevertheless,
2
years
after
treatment,
28.3%
still
reporting
need.
Financial
problems
increasingly
associated
over
time.
Furthermore,
caring
patient
who
themselves
had
many
an
advanced
tumor
stage,
or
severe
comorbidity
was
more
caregivers.The
current
shows
strong
likelihood
HNC
facing
interaction
between
caregivers.
It
is
important
optimally
support
by
involving
them
start
when
counseling
patients,
providing
relevant
understandable
information,
referring
vulnerable
(psychosocial)
support.
Individuals
undergoing
treatment
for
head
and
neck
cancer
(HNC)
face
numerous
challenges,
including
financial
food
insecurity,
which
affect
both
the
patients
their
caregivers.
This
scoping
review
explores
consolidates
current
literature
addressing
care
challenges
experienced
by
HNC
Eligible
studies
were
identified
through
a
search
of
MEDLINE
Embase
databases.
The
was
conducted
in
accordance
with
Arksey
O'Malley's
five-stage
methodology
followed
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
Extension
Scoping
(PRISMA-ScR)
guidelines.
Data
extraction
analysis
performed
using
thematic
approach.
inclusion
criteria
encompassed
full-text
articles
published
English
that
examined
faced
adult
caregivers
as
primary
outcomes
United
States.
underwent
assessment
Covidence
data
screening
tool.
Information
encompassing
general
study
details,
article
characteristics,
review-relevant
details
extracted
Research
Electronic
Capture
(REDCap).
Out
822
initially
identified,
40
met
criteria.
majority
these
comprised
descriptive
surveys
(n
=
23;
54%),
retrospective
chart
reviews
7;
18%),
cross-sectional
6;
15%),
prospective
cohort
13).
Within
included
studies,
36)
concentrated
on
quantifying
describing
toxicity
out-of-pocket
costs
HNC.
Two
associated
providing
nutritional
to
Additionally,
four
explored
quality
life
burden
Despite
existing
body
HNC,
noticeable
gap
exists
concerning
related
obstacles
delivering
this
population.
offers
comprehensive
overview
literature's
focus
them.
findings
emphasize
necessity
further
research
gain
deeper
understanding
experiences
caregivers,
evaluate
impact
interventions,
bridge
knowledge
gaps.
Ultimately,
such
endeavors
will
contribute
enhancing
support
individuals
affected
ABSTRACT
Objective
Spouses
of
young
and
middle‐aged
patients
diagnosed
with
breast
cancer
encounter
various
challenges,
among
which
fear
recurrence
(FCR)
is
particularly
prominent.
This
study
aimed
to
identify
distinct
FCR
trajectories
investigate
related
factors.
Methods
A
longitudinal
was
conducted
230
spouses
at
a
medical
college
affiliated
hospital
in
China.
assessed
five
time
points:
1–3
days
before
the
surgery
7
months
after
surgery.
growth
mixture
model
used
latent
categories
developmental
trajectory.
The
Wilcoxon
rank‐sum
test
multiple
logistics
regression
were
analyze
influencing
factors
for
trajectories.
Results
Three
identified:
recovery
class
(RC,
32.2%),
gradually
improved
(GIC,
53.1%),
high
(HC,
14.7%).
place
residence,
chronic
disease,
primary
caregiver,
education
influenced
trajectory
postoperative
chemotherapy.
Conclusions
Group
heterogeneity
observed
spouses,
mostly
moderate
levels.
Appropriate
psychosocial
care
should
be
provided
lower
levels
conditions
those
acting
as
caregivers.
Scientific Reports,
Год журнала:
2025,
Номер
15(1)
Опубликована: Апрель 9, 2025
This
study
aims
to
explore
the
mediating
role
of
psychological
distress
in
association
between
perceived
burden
and
quality
life
(QoL)
advanced
cancer
patient-caregiver
dyads.
241
dyads
five
tertiary
hospitals
a
province
were
investigated
by
using
Edmonton
Symptom
Assessment
System,
Zarit
Burden
Interview,
Patient
Health
Questionnaire-4,
European
Organization
for
Research
Treatment
Cancer
Quality
Life
Questionnaire
Core
15
Palliative
scores,
Short
Form
Survey
8.
The
actor-partner
interdependence
mediation
model
(APIMeM),
which
assesses
both
individual
(actor)
interdependent
(partner)
effects
within
dyadic
relationships,
was
employed
analyze
how
interact
across
dyad
members.
Analysis
conducted
Mplus
v8.0.
Regarding
actor
effects,
QoL
confirmed
patients
(B
=
-0.223,
p
0.001)
their
caregivers
-0.168,
<
0.001).
partner
there
no
significant
correlations
caregiver
patients'
0.015,
0.199),
0.113,
0.278),
or
indirect
with
through
-0.034,
0.259).
However,
caregivers'
positively
correlated
symptom
mediated
-0.090,
highlights
importance
taking
perspective
context
cancer.
Dyadic
interventions
targeting
may
be
beneficial
QoL.
Otolaryngology,
Год журнала:
2024,
Номер
171(4), С. 1069 - 1082
Опубликована: Май 26, 2024
Characterizing
factors
associated
with
palliative
care
(PC)
use
in
patients
stage
III
and
VI
head
neck
cancer
using
Anderson's
behavioral
model
of
health
service
use.
Supportive Care in Cancer,
Год журнала:
2023,
Номер
31(2)
Опубликована: Янв. 9, 2023
Abstract
Objective
In
order
to
understand
how
informal
caregivers
of
head
and
neck
cancer
(HNC)
patients
deal
with
the
consequences
disease,
we
investigated
their
self-efficacy
coping
style
in
relation
symptoms
anxiety
depression
(distress)
quality
life
(QoL)
over
time.
addition,
factors
associated
were
investigated.
Methods
A
total
222
related
HNC
prospectively
followed
as
part
from
multicenter
cohort
NETherlands
QUality
Biomedical
studies
Cancer
(NET-QUBIC).
Self-efficacy
measured
at
baseline,
distress
QoL
baseline
3,
6,
12,
24
months
after
treatment.
Results
Informal
had
a
high
level
comparable
patients.
Caregivers
used
“seeking
social
support,”
“passive
reacting,”
“expression
emotions”
more
often
than
Factors
higher
age
lower
education.
Higher
was
better
“active
tackling”
less
symptoms.
“Passive
reacting”
psychological
reduced
QoL.
Conclusion
Among
patients,
functioning
time,
while
negative
worse
functioning.
Awareness
differences
skills
relationship
will
help
clinicians
identify
that
may
benefit
additional
support
improve
reduce
styles.
Clinical Otolaryngology,
Год журнала:
2023,
Номер
48(6), С. 809 - 819
Опубликована: Сен. 5, 2023
Abstract
Background
The
majority
of
head
and
neck
cancer
(HNC)
diagnoses
are
seen
in
people
aged
70
older;
these
numbers
set
to
increase.
Greater
understanding
treatment
needs
older
patients
with
HNC
is
essential.
These
often
have
co‐existing
health
conditions,
prone
frailty
may
not
prioritise
survival
when
considering
options.
This
systematic
review
examines
the
current
research
regard
priorities
factors
influencing
regret
HNC.
Methods
Studies
were
eligible
for
inclusion
if
they
(i)
reported
data
from
a
mean
age
65
years
or
who
had
confirmed
diagnosis
been
treated
using
surgery,
chemotherapy
and/or
radiotherapy
either
palliative
curative
intent,
(ii)
considered
patient's
preferences
examined
as
one
primary
outcomes
study
(iii)
published
English.
Results
Pilot
search
identified
n
=
7222
articles;
however,
following
screening,
only
four
papers
met
criteria.
Narrative
synthesis
was
indicated
analyse
quantitative
qualitative
evidence
parallel,
meta‐analyses
possible.
Discussion
There
paucity
literature
examining
adults
an
indication
that
maintaining
independence
making
decisions
those
high
levels
depression
level
also
contributing
factor.
Clinicians
should
consider
social
circumstances,
premorbid
status
managing
symptoms
this
cohort.
Journal of Multidisciplinary Healthcare,
Год журнала:
2023,
Номер
Volume 16, С. 927 - 935
Опубликована: Апрель 1, 2023
The
consequences
of
Head
and
neck
cancer
(HNC)
affect
both
the
person
who
receives
diagnosis
their
family
caregivers
(FCs).To
investigate
psychological
status
patients
FCs,
burden
FCs
during
radiotherapy.This
cross-sectional
study
was
conducted
with
a
questionnaire
survey
by
convenience
sampling
method.
Patients
HNC
(both
N
=
85)
from
radiotherapy
department
our
hospital
were
recruited
between
March
2021
2022.
Hospital
Anxiety
Depression
Scale
(HADS),
Chinese
version
Connor
Davidson
Resilience
(CD-RISC),
Zarit
Burden
Interview
(ZBI)
used
to
assess
symptoms
anxiety
depression,
resilience,
impact
care
work,
emotions
social
lives
participants.
Pearson's
correlation
analysis
Mann-Whitney
test
analyse
association
HADS
CD-RISC
scores
patients.About
half
(56.47%)
(62.35%)
have
had
anxiety.
average
HADS-Anxiety
scores,
HADS-Depression
7.4±1.9,
6.4±2.2,
56.8±12.6.
"Strength"
"Resilience"
inversely
related
(p
<
0.05).
"optimism"
them
depression
ZBI
score
23.8±10.1;
positively
associated
total
individual
0.05).More
than
undergoing
anxiety,
about
third
depression.
is
caregiver
burden,
deserving
attention
clinical
medical
staff.