Problems Faced by Cancer Patients due to COVID 19 at Tertiary Cancer Hospital, Chitwan, Nepal

RN MN Sushila Koirala, R. N. B. O. Sabina Giri
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Abstract

Background: The corona virus disease (COVID 19) Pandemic has had a global impact on health care. Patients with cancer have been affected by the COVID 19 Pandemic and faced various psychosocial problems. Materials and Methods: A descriptive cross-sectional study on title “Problems Faced by Cancer Patients due to COVID 19 at Tertiary Cancer Hospital, Chitwan, Nepal” was conducted at B.P. Koirala Memorial Cancer Hospital, Chitwan to assess problems faced by cancer patients. Non- probability purposive sampling technique was used to select the sample and sample size was 50. Data was collected by using structured interview schedule and distress thermometer. Findings: In this research 50 respondents were included for the study. Among them 72% respondents faced treatment related problems where 27.7% respondents faced unavailability of chemo medicine, nearly half of respondents (48%) faced the transportation related problems and unavailability of transportation service was the key transportation problems faced by 58.3% respondents. Similarly, nearly half of the (46%) faced the accommodation problems and more than two fifth (42%) had economic related problems during COVID 19 pandemic situation. Conclusion: Cancer patients have faced several problems during COVID 19 pandemic such as unavailability of chemo medicine, treatment delay, lack of transportation services, accommodation problem, financial problems and psychological distress. So, cancer hospital should make strategic planning of health care services by means of alternative solutions like telemedicine, home-based palliative care services, and ensuring the availability of essential cancer drugs.
尼泊尔奇特旺三级癌症医院癌症患者因 COVID 19 而面临的问题
背景:冠状病毒病(COVID - 19)大流行对全球卫生保健产生了影响。癌症患者受到新冠肺炎大流行的影响,面临各种社会心理问题。材料与方法:在尼泊尔奇旺省B.P.柯伊拉腊纪念癌症医院进行了一项题为“尼泊尔奇旺省三级肿瘤医院因COVID - 19癌症患者面临的问题”的描述性横断面研究,以评估癌症患者面临的问题。本研究采用非概率目的抽样方法,样本量为50人。数据收集采用结构化访谈时间表和痛苦温度计。研究结果:本研究共纳入50名调查对象。其中72%的受访者面临治疗相关问题,其中27.7%的受访者面临无法获得化疗药物的问题,近一半(48%)的受访者面临交通相关问题,58.3%的受访者面临交通服务无法获得的主要交通问题。同样,在COVID - 19大流行期间,近一半(46%)的人面临住宿问题,超过五分之二(42%)的人面临经济相关问题。结论:新冠肺炎疫情期间,癌症患者面临化疗药物无法获得、治疗延误、交通服务不足、住宿问题、经济问题和心理困扰等问题。因此,肿瘤医院应通过远程医疗、居家姑息治疗服务等替代解决方案,并确保基本癌症药物的可获得性,对医疗保健服务进行战略规划。
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