I Cancervive: Exploring the Modern Travails of Cancer-Stricken Adolescents in the Pandemic New Normal

Melvel Angelo M. Adlawan, Essa P. Agbon, Jorissa A. Monzolin, Emma C. Ceballo
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Abstract

Currently, the world faces two critical challenges: the COVID-19 pandemic and surging cancer cases. Healthcare systems worldwide, including the Philippines, struggle to cope with rising cancer patient mortality. Urgent action and innovative solutions are vital to managing cancer care amidst the ongoing pandemic. Hence, this study explored the journey of adolescent cancer patients who are receiving treatment during the pandemic particularly the present challenges with cancer treatment, its holistic repercussions, the patient's coping mechanisms, and their significant life breakthroughs. It employed a qualitative multiple-case study, utilizing semi-structured interviews to collect data from four (4) pediatric hematology-oncology cases. The data was analyzed using content analysis wherein the narratives of the participants were compared. The findings of the study revealed themes that represent the challenges experienced by cancer patients namely, (1) treatment and other medical services disruption; (2) reduced social support; and (3) increased contamination-related anxieties. The immediate repercussions included (1) psychological disturbance, stress, and depression; (2) uncertainty and emotional distress; (3) stronger behavioral adherence to COVID-19 prevention measures; (4) increased gadget usage/gadget dependence, and (5) decreased scholastic involvement. Further, the participants’ coping mechanisms include (1) active coping strategies via engaging activities; (2) awareness and acceptance of the current situation; (3) strong social and spiritual support, and (4) positive and active mind setting. The insights gathered from the analysis are (1) the need for better access to cancer-related services and assistance, and (2) the call for more psychological health intervention programs. The findings showed that the insights and realizations of participants emphasized the need for better access to cancer-related services and assistance and a calling for psycho-oncological therapeutic interventions for fellow cancer patients.
癌症生存:探索癌症新常态下患癌青少年的现代痛苦
当前,世界面临两大严峻挑战:新冠肺炎大流行和癌症病例激增。包括菲律宾在内的世界各地的医疗保健系统都在努力应对不断上升的癌症患者死亡率。紧急行动和创新解决办法对于在当前大流行期间管理癌症护理至关重要。因此,本研究探讨了在大流行期间接受治疗的青少年癌症患者的旅程,特别是目前癌症治疗的挑战,其整体影响,患者的应对机制以及他们重大的生活突破。它采用定性多病例研究,利用半结构化访谈收集四(4)个儿童血液肿瘤学病例的数据。使用内容分析对数据进行分析,其中比较了参与者的叙述。研究结果揭示了代表癌症患者所面临挑战的主题,即:(1)治疗和其他医疗服务中断;(2)社会支持减少;(3)与污染有关的焦虑增加。直接的影响包括:(1)心理障碍、压力和抑郁;(2)不确定性和情绪困扰;(3)加强对COVID-19预防措施的行为依从性;(4)增加了小工具的使用/依赖,(5)减少了学习投入。参与者的应对机制包括:(1)积极的应对策略;(2)对现状的认识和接受;(3)强大的社会和精神支持;(4)积极主动的心态。从分析中获得的见解是:(1)需要更好地获得与癌症相关的服务和援助,(2)呼吁更多的心理健康干预计划。研究结果表明,参与者的见解和认识强调需要更好地获得与癌症相关的服务和援助,并呼吁对癌症患者进行心理肿瘤治疗干预。
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