Exploring psychosocial needs of young women with breast cancer in a country with crisis: a mixed-methods study.

Q3 Medicine
Medical Journal of Malaysia Pub Date : 2025-03-01
S Hasan, K S Chew, R V Vincent, S S L Wong
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引用次数: 0

Abstract

Introduction: Previous research conducted in politically stable countries showed that the diagnosis and treatment of breast cancer among young women can be very distressing and devastating and may result in a lot of unmet psychosocial needs affecting their quality of life. This study aimed to address the psychosocial needs of young women with breast cancer in war-torn Syria.

Materials and methods: A mixed-methods explanatory sequential design was employed in this study. Initially, a quantitative survey was conducted for 3 months from May to July 2022 on 167 young women using the Psychological Needs Inventory to identify their psychosocial needs. Secondly, a qualitative, semi-structured interview was conducted for 6 months from July to December 2022 with 11 participants to explore the challenges faced in meeting these needs.

Results: The quantitative results showed that three items, "Help with financial matters", "Advice about food and diet", and "Help with transport", were identified as significant unmet psychosocial needs. All three items fall within the category of practical needs. The qualitative results identified five themes: (1) challenges of adequate information needs with five subthemes (inadequate communication with the health professionals, lack of educational programs and awareness campaigns, inadequate number of nurses, need for nutritionists, and effects of unmet informational needs); (2) psychological challenges with five subthemes (uncertainty of the future, fear concerning the children, fear of death, treatment-related effects and the loss of a woman's identity, and inadequate psychosocial care); (3) financial challenges with 2 subthemes (treatment not available and expensive, low incomes and high cost of living); (4) social influences with 2 subthemes (society's view and stigma, lack of marriage choices); and (5) environmental stressors with 2 subthemes (stressful hospital environment and situational factors).

Conclusion: These psychosocial needs identified were found to align with Maslow's hierarchy of needs, underscoring a cascading effect of the Syrian crisis across various dimensions of well-being. Young breast cancer women living in countries with crises have high levels of unmet psychosocial needs.

在一个危机国家探讨年轻女性乳腺癌患者的心理社会需求:一项混合方法研究。
导言:先前在政治稳定的国家进行的研究表明,年轻女性乳腺癌的诊断和治疗可能非常令人痛苦和破坏性,并可能导致许多未满足的心理社会需求,影响她们的生活质量。这项研究旨在解决饱受战争蹂躏的叙利亚患乳腺癌的年轻女性的心理社会需求。材料与方法:本研究采用混合方法解释序列设计。最初,从2022年5月到7月,对167名年轻女性进行了为期3个月的定量调查,使用心理需求量表来确定她们的社会心理需求。其次,从2022年7月到12月,对11名参与者进行了为期6个月的定性半结构化访谈,以探讨满足这些需求所面临的挑战。结果:定量结果显示,“财务方面的帮助”、“食物和饮食方面的建议”和“交通方面的帮助”这三个项目被确定为未得到满足的重要社会心理需求。这三样东西都属于实际需要的范畴。定性结果确定了五个主题:(1)充分信息需求的挑战,其中包括五个次级主题(与卫生专业人员的沟通不足,缺乏教育计划和宣传活动,护士数量不足,对营养学家的需求以及未满足信息需求的影响);(2)心理挑战,包括五个主题(对未来的不确定性、对儿童的恐惧、对死亡的恐惧、与治疗有关的影响和妇女身份的丧失,以及心理社会护理不足);(3)有2个子主题的财务挑战(治疗费用昂贵且无法获得,低收入和高生活成本);(4)社会影响有2个子主题(社会的看法和污名,缺乏婚姻选择);(5)环境应激因子有2个子主题(医院环境压力和情境因素)。结论:这些社会心理需求被发现与马斯洛的需求层次理论相一致,强调了叙利亚危机在幸福的各个维度上的级联效应。生活在危机国家的年轻乳腺癌妇女的心理社会需求未得到满足的程度很高。
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
Medical Journal of Malaysia
Medical Journal of Malaysia Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
165
期刊介绍: Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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