Gynecologic cancer screening among women with Lynch syndrome: Information and healthcare access needs.

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-02-01 Epub Date: 2024-11-29 DOI:10.1016/j.pec.2024.108576

Helen Huband, Kaitlin M McGarragle, Crystal J Hare, Melyssa Aronson, Thomas Ward, Kara Semotiuk, Sarah E Ferguson, Zane Cohen, Tae L Hart

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引用次数: 0

Abstract

Objectives: Screening recommendations for gynecologic cancers (GC) associated with Lynch syndrome (LS) are diverse. The objectives of this study were to examine among women with LS: 1) psychosocial factors that influence thoughts and choices about GC screening, and 2) information and unmet healthcare access needs when making GC screening decisions.

Methods: This study used a qualitative design. Interviews were analyzed using thematic analysis. Participants were women with LS (N = 20) recruited from Toronto, Canada. Fourteen participants had or were participating in GC screening and six had never undergone screening, however were or would be eligible for screening in the future.

Results: Five main themes were identified: understanding level of risk, women's experiences of GC screening, interactions with the health care system, considerations about risk-reducing surgery, and improving LS care.

Conclusions: Participants had many unmet healthcare needs and lacked information about screening and pain management. Self-advocacy was an important strategy for managing care.

Practice implications: Psychoeducational interventions are important to manage uncertainty associated with LS, increasing social and informational support, and informing health care providers about best practices with this population.

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林奇综合征妇女的妇科癌症筛查：信息和医疗保健获取需求

目的：妇科癌症（GC）与Lynch综合征（LS）相关的筛查建议是多种多样的。本研究的目的是检查LS女性：1)影响GC筛查想法和选择的社会心理因素，以及2)在做出GC筛查决定时的信息和未满足的医疗保健获取需求。方法：本研究采用定性设计。访谈采用专题分析进行分析。参与者为来自加拿大多伦多的LS女性患者（N = 20）。14名参与者已经或正在参加GC筛查，6名从未接受过筛查，但将来有资格或将有资格进行筛查。结果：确定了五个主要主题：了解风险水平，妇女的GC筛查经验，与卫生保健系统的相互作用，对降低风险手术的考虑，以及改善LS护理。结论：参与者有许多未满足的医疗保健需求，缺乏关于筛查和疼痛管理的信息。自我倡导是护理管理的重要策略。实践意义：心理教育干预对于管理与LS相关的不确定性，增加社会和信息支持，并告知卫生保健提供者有关该人群的最佳实践是重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.