女性在妊娠或产后癌症诊断后的沟通观点：一项定性研究

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-11 DOI:10.1016/j.midw.2025.104374

Sultana Farhana , Jane Frawley , Antoinette Anazodo , Elizabeth A. Sullivan

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引用次数: 0

摘要

妊娠期或产后癌症是罕见的，由于缺乏循证方法和后勤挑战，这一时期癌症的临床管理是复杂的。妇女和医疗保健提供者（HCPs）之间的有效沟通对于应对这些挑战至关重要，沟通差距可能导致信息和情感需求得不到满足，影响决策和整体护理体验。目的本研究旨在了解妇女在妊娠期癌症诊断后与其医疗服务提供者（HCPs）沟通的观点。方法对怀孕期间或产后（分娩后12个月）患癌症的妇女进行半结构化访谈。数据按主题进行分析。结果17名女性参与了本研究。参与者的年龄、时间和癌症诊断情况各不相同。7名女性被诊断出患有乳腺癌，其余的则被诊断出患有各种癌症，包括黑色素瘤、淋巴瘤、甲状腺癌、卵巢癌、子宫癌、肠癌和口咽癌。值得注意的是，10名参与者在产后被诊断出患有癌症，而7名参与者在怀孕期间被诊断出患有癌症。从主题分析中可以得出三个主要主题：1)“信息稀缺”2)“不参与治疗决策”，以及3)“集中资源和宣传。”结论：这项研究为诊断为癌症的妇女在怀孕和产后所面临的挑战提供了重要的见解，特别是在与HCPs的沟通方面。这突出表明迫切需要加强对卫生服务提供者的沟通、教育和支持，并为妊娠期癌症妇女提供量身定制的资源。协调的多学科护理和护士或助产士的专门宣传对于应对这些挑战和改善妇女及其家庭的保健结果至关重要。

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Women's perspectives on communication following the diagnosis of gestational or postpartum cancer: A qualitative study

Background

Cancer during pregnancy or the postpartum period is rare, and the clinical management of cancer during this period is complex due to a lack of evidence-based approaches and logistical challenges. Effective communication between women and healthcare providers (HCPs) is critical in navigating these challenges, and communication gaps may contribute to unmet informational and emotional needs, affecting decision-making and overall care experiences.

Aim

This study aimed to understand women's perspectives on communication with their healthcare providers (HCPs) following a gestational cancer diagnosis.

Methods

We conducted semi-structured interviews with women who experienced cancer during pregnancy or the postpartum period (12 months after giving birth). Data were analysed thematically.

Results

17 women participated in this study. Participants varied in age, timing, and cancer diagnosis. Seven women were diagnosed with breast cancer, while the remaining were diagnosed with a variety of cancers, including melanoma, lymphoma, thyroid, ovarian, uterine, bowel, and oropharyngeal cancer. Notably, 10 participants were diagnosed with cancer in the postpartum period, whereas seven were diagnosed during pregnancy. Three overarching themes emerged from the thematic analysis: 1) "Scarcity of information," 2) "Not involved in treatment decisions," and 3) "Centralised resources and advocacy."

Conclusions

This study provides crucial insights into the challenges faced by women diagnosed with cancer during pregnancy and the postpartum period, particularly regarding communication with HCPs. This highlights the urgent need for enhanced communication, education, and support for HCPs along with tailored resources for women with gestational cancer. Coordinated multidisciplinary care and dedicated advocacy by nurses or midwives are essential to address these challenges and improve health care outcomes for women and their families.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.