Beyond the Pandemic: A Cross-Sectional Study of Hematology Cancer Patients' Unmet Needs and Experiences of Cancer Care in Ireland and the UK.

IF 2.3 4区 医学 Q1 NURSING
Vanessa Boland, Liz O'Connell, Orlaith Cormican, Karen Campbell, Maura Dowling, Amanda Drury
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引用次数: 0

Abstract

Objectives: The rising incidence of hematological cancers, novel treatments, and increased survivorship highlight the need to understand patient needs postpandemic. This study explored the experiences of individuals affected by hematological cancers in Ireland and the UK as COVID-19 restrictions lifted.

Methods: A cross-sectional descriptive survey was conducted from March 2023 to March 2024 using validated measures of distress, resilience, and unmet needs. Adults with hematological cancers were recruited online through cancer organizations and networks across Ireland and the UK. Quantitative data were analyzed using descriptive and inferential statistics, and qualitative data through thematic analysis.

Results: Ninety-two individuals completed the survey. The top unmet needs were related to tiredness, concerns about appearance, and managing others' expectations to return to "normal." Many continued to feel the pandemic's impact years later. Minimal differences in unmet needs were observed between countries, with participants reporting low distress and moderately high resilience. Thematic analysis of text responses identified three key themes: "psychological impact and self-care methods," "navigating changing cancer care delivery," and "sourcing social support," reflecting the complexities of living with and beyond hematological cancers.

Conclusions: People with hematological cancers in Ireland and the UK continue to experience distress despite moderate resilience, indicating the lasting impact of the pandemic.

Implications for nursing practice: Persistent unmet needs around fatigue, appearance, and societal expectations remain. The identified themes underscore the need for supportive interventions focusing on psychological coping strategies, continuity in cancer care delivery, and social support to enhance the well-being of individuals living with and beyond hematological cancers.

超越大流行:血液学癌症患者未满足的需求和癌症护理经验在爱尔兰和英国的横断面研究。
目的:血液学癌症发病率的上升、新的治疗方法和生存率的提高突出了了解大流行后患者需求的必要性。这项研究探讨了随着COVID-19限制的解除,爱尔兰和英国受血液病癌症影响的个人的经历。方法:从2023年3月至2024年3月进行了一项横断面描述性调查,使用了痛苦、恢复力和未满足需求的有效测量。患有血液病的成年人是通过爱尔兰和英国的癌症组织和网络在线招募的。定量数据采用描述性和推断性统计进行分析,定性数据采用专题分析。结果:92人完成调查。排在前几位的未满足需求与疲劳、对外表的担忧以及管理他人对回归“正常”的期望有关。许多人在几年后仍然感受到大流行的影响。在未满足的需求方面,不同国家之间的差异很小,参与者报告的痛苦程度较低,适应力中等。对文本回复的主题分析确定了三个关键主题:“心理影响和自我护理方法”,“引导癌症护理服务的变化”和“寻求社会支持”,反映了血液病癌症患者和患者生活的复杂性。结论:爱尔兰和英国的血液癌患者尽管有适度的恢复能力,但仍继续经历痛苦,这表明大流行的持久影响。对护理实践的影响:围绕疲劳,外观和社会期望的持续未满足需求仍然存在。确定的主题强调了支持性干预的必要性,重点是心理应对策略、癌症护理提供的连续性和社会支持,以提高血液病患者和非血液病患者的福祉。
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来源期刊
Seminars in Oncology Nursing
Seminars in Oncology Nursing Nursing-Oncology (nursing)
CiteScore
3.40
自引率
0.00%
发文量
68
审稿时长
45 days
期刊介绍: Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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