Toward the Patient Participation Pathway: A Mixed Methods Study of Patients With Cancer and Other Chronic Diseases

IF 1.5 Q4 ONCOLOGY
Cancer reports Pub Date : 2025-06-30 DOI:10.1002/cnr2.70258
Paloma Casado Durández, Eleuterio A. Sánchez-Romero, Alicia Negrón Fraga, Concepción Rey Benayas, Claudia Ruiz-Huerta García de Viedma, Davinia Medina Ferrer, Ildefonso González Solana, Maria Caballero Nahúm, Mercedes Vinuesa Sebastián, Rosa María de la Salazar Guerra, Nina Cadeau-Comte, Laura Jiménez-Ortega, Juan Nicolás Cuenca-Zaldívar
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Abstract

Introduction

Chronic diseases such as breast cancer, colon cancer, chronic obstructive pulmonary disease (COPD), stroke, diabetes, depression, and myocardial infarction remain leading causes of death worldwide, contributing significantly to premature mortality. Understanding psychosocial impact is essential for comprehensive care. This study aimed to explore how patients with different chronic disease profiles experience participation during the chronic phase, using a mixed-methods approach.

Materials and Methods

A convergent parallel mixed-methods design was used to integrate qualitative data from focus group discussions and quantitative data from physical performance tests. A total of 117 patients were recruited through clinical referrals and patient associations, using purposive and snowball sampling. Thematic analysis was performed collaboratively to ensure consistency. Statistical analysis (R v4.1.3) examined the coding and sentiment differences across disease profiles.

Results

The sample included 117 patients (mean age = 58.66 years; majority were female). Significant differences in qualitative coding were found between pathologies (p < 0.001), particularly regarding quality of life and emotional experience in COPD and stroke patients compared to others (p < 0.05). Topic modeling identified seven relevant topics, and two main coding clusters emerged: one focused on pain and basic activities, and the other on environment and advanced activities. Positive emotions were predominant (p < 0.001). The thematic analysis revealed three main themes: quality of life, emotional experience, and empowerment.

Conclusion

Patients with different chronic conditions experienced disease and unique participation. Patients with breast cancer prioritized pain and daily function, while patients with COPD focused on autonomy in self-management. These findings support the need for individualized disease-specific approaches to promote meaningful patient participation.

Abstract Image

走向患者参与途径:癌症和其他慢性疾病患者的混合方法研究
乳腺癌、结肠癌、慢性阻塞性肺疾病(COPD)、中风、糖尿病、抑郁症和心肌梗死等慢性病仍然是世界范围内死亡的主要原因,对过早死亡有重大贡献。了解社会心理影响对全面护理至关重要。本研究旨在探讨不同慢性病患者在慢性期的参与体验,采用混合方法。材料和方法采用收敛并行混合方法设计,整合焦点小组讨论的定性数据和物理性能测试的定量数据。通过临床转诊和患者协会,采用有目的和滚雪球抽样,共招募了117名患者。专题分析是协同进行的,以确保一致性。统计分析(R v4.1.3)检查了不同疾病概况的编码和情绪差异。结果117例患者,平均年龄58.66岁;大多数是女性)。不同病理之间的定性编码存在显著差异(p < 0.001),特别是COPD和卒中患者的生活质量和情绪体验与其他患者相比(p < 0.05)。主题建模确定了七个相关主题,并出现了两个主要的编码集群:一个专注于疼痛和基本活动,另一个专注于环境和高级活动。积极情绪占主导地位(p < 0.001)。主题分析揭示了三个主要主题:生活质量、情感体验和赋权。结论不同慢性疾病患者的发病经历和参与性各不相同。乳腺癌患者优先考虑疼痛和日常功能,而COPD患者则注重自我管理的自主性。这些发现支持需要针对特定疾病的个体化方法来促进有意义的患者参与。
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
Cancer reports
Cancer reports Medicine-Oncology
CiteScore
2.70
自引率
5.90%
发文量
160
审稿时长
17 weeks
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