2019冠状病毒病大流行期间癌症患者的心理社会和情感经历:一项系统综述

IF 3 3区 医学 Q2 ONCOLOGY
A. Muls, S. Georgopoulou, E. Hainsworth, B. Hartley, G. O'Gara, S. Stapleton, S. Cruickshank
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引用次数: 7

摘要

2020年3月11日,世界卫生组织宣布covid -19为大流行。全球社会封锁是为了减少传播,防止卫生服务不堪重负。众所周知,接受癌症治疗的人有更高的心理/情感负担。与此同时,管理大流行法规的综合影响可能带来额外负担。本系统综述的目的是在大流行早期检查COVID-19对癌症患者心理和情感影响的现有证据。方法于2019年9月至2021年10月检索Embase、Global Health、HMIC、PsychINFO、CINAHL 5个电子数据库。包括定性、定量和混合方法的初步研究,探讨COVID-19对癌症患者的情绪和心理影响,仅限于英语语言。采用MMAT进行质量评价。结果共纳入51篇论文,涉及来自21个国家的27356名接受癌症治疗的患者。43项研究采用调查方法进行定量研究,6项研究采用定性研究,4项研究采用混合方法设计。MMAT分数大多是2分或3分。确定了四个主题:情感方面和生活质量;心理社会方面;新冠肺炎疫情对自身的影响;2019冠状病毒病对癌症的影响,主题重叠。虽然焦虑、孤立、就业恐惧和对未来的不确定性等情绪/心理影响在大流行早期可能是普遍关注的问题,但对于癌症患者来说,这些影响可能特别严重,并且代表了复杂的、重叠的因素。随着COVID-19继续影响卫生服务和社会,必须关注对癌症患者经历的任何持续影响。回顾的大多数研究使用的工具并不能更深入地了解癌症患者的情绪状态是如何以及为什么受到影响的。进一步的定性工作可能会揭示大流行期间癌症患者与一般人群相比所特有的模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review

The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review

The psychosocial and emotional experiences of cancer patients during the COVID-19 pandemic: A systematic review

Background

COVID-19 was declared a pandemic by the World Health Organization on March 11th, 2020. Global social lockdowns were instigated to reduce spread and prevent health-services from becoming overwhelmed. People having treatment for cancer are known to have heightened psychological/emotional burden. The combined impact of managing pandemic regulations alongside this may present additional burden. The purpose of this systematic review is to examine current evidence of the psychological and emotional impact of COVID-19 on people with cancer, early in the pandemic.

Methods

Five electronic databases were searched (Embase, Global Health, HMIC, PsychINFO, CINAHL) from September 2019 to October 2021. Qualitative, quantitative and mixed-method primary research studies exploring emotional and psychological impacts of COVID-19 on cancer patients, limited to English language, were included. Quality appraisal was conducted using the MMAT.

Results

Fifty-one papers, with 27,356 people from 21 countries treated for cancer, were included. 43 studies were quantitative with a survey method approach, six studies qualitative and four used a mixed methods design. MMAT score was mostly two or three. Four themes were identified: Emotional aspects and Quality of Life; Psychosocial aspects; Impact of COVID-19 on self; Impact of COVID-19 on cancer, with themes overlapping.

Conclusion

Whilst emotional/psychological impacts such as anxiety, isolation, employment fears, and uncertainty about the future were potentially universal concerns early in the pandemic, they may have been particularly acute for people living with cancer and represent complex, overlapping factors. As COVID-19 continues to impact health-services and society, it is important to focus on any ongoing impact to the experience of cancer patients. Most of the studies reviewed used tools that do not provide deeper understanding of how and why emotional states of people with cancer were affected. Further qualitative work may reveal patterns of what was unique to cancer patients during the pandemic, compared to general populations.

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来源期刊
Seminars in oncology
Seminars in oncology 医学-肿瘤学
CiteScore
6.60
自引率
0.00%
发文量
58
审稿时长
104 days
期刊介绍: Seminars in Oncology brings you current, authoritative, and practical reviews of developments in the etiology, diagnosis and management of cancer. Each issue examines topics of clinical importance, with an emphasis on providing both the basic knowledge needed to better understand a topic as well as evidence-based opinions from leaders in the field. Seminars in Oncology also seeks to be a venue for sharing a diversity of opinions including those that might be considered "outside the box". We welcome a healthy and respectful exchange of opinions and urge you to approach us with your insights as well as suggestions of topics that you deem worthy of coverage. By helping the reader understand the basic biology and the therapy of cancer as they learn the nuances from experts, all in a journal that encourages the exchange of ideas we aim to help move the treatment of cancer forward.
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