The impact of the COVID-19 pandemic on care delivery and quality of life in lung cancer surgery.

The impact of the COVID-19 pandemic on care delivery and quality of life in lung cancer surgery.
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DOI:
10.1002/jso.26902
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发表时间:
2022-09
影响因子:
2.5
通讯作者:
Sun, Virginia
Sun, Virginia
中科院分区:
医学3区
文献类型:
--
作者:
Teteh, Dede K.;Barajas, Jovani;Ferrell, Betty;Zhou, Ziaoke;Erhunmwunsee, Loretta;Raz, Dan J.;Kim, Jae Y.;Sun, Virginia

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严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)(COVID-19)大流行和相关限制改变了外科护理的提供。本研究的目的是从肺癌手术患者、家庭照顾者(FCG)和胸外科团队的角度探讨COVID-19对护理服务和生活质量(QOL)的影响。邀请入组肺癌手术准备/恢复自我管理干预的随机试验的患者/FCG参加本定性研究。在出院后1个月单独收集患者/FCG数据。还与胸外科团队成员进行了访谈。内容分析方法被用来制定主题。包括19名患者、18名FCG、3名胸外科医生和1名执业护士在内的41名受访者参与了研究。患者主题包括隔离,心理困扰,延迟/影响护理和财务影响。FCG的主题包括挑战,对COVID-19的担忧,经济困难,隔离和身体活动限制。手术团队的主题包括见证患者/FCG的痛苦,远程医疗的挑战,沟通/教育的挑战,以及治疗的延误。COVID-19对肺癌手术二人组的护理提供和生活质量产生了不同的影响。一些二人组报告说影响很小,而另一些人则经历了额外的心理困扰,孤立和挑战。手术团队在提供护理的方法上也遇到了挑战。
The severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) (COVID‐19) pandemic and associated restrictions have altered the delivery of surgical care. The purpose of this study was to explore the impact of COVID‐19 on care delivery and quality of life (QOL) from the perspectives of lung cancer surgery patients, family caregivers (FCGs), and thoracic surgery teams. Patients/FCGs enrolled in a randomized trial of a self‐management intervention for lung cancer surgery preparation/recovery were invited to participate in this qualitative study. Patients/FCGs data were collected separately 1‐month postdischarge. Interviews were also conducted with thoracic surgery team members. Content analysis approaches were used to develop themes. Forty‐one respondents including 19 patients, 18 FCGs, three thoracic surgeons, and one nurse practitioner participated in the study. Patient themes included isolation, psychological distress, delayed/impacted care, and financial impact. FCGs themes included caregiving challenges, worry about COVID‐19, financial hardship, isolation, and physical activity limitations. Surgical team themes included witnessing patient/FCG's distress, challenges with telehealth, communication/educational challenges, and delays in treatment. COVID‐19 had a varied impact on care delivery and QOL for lung cancer surgery dyads. Some dyads reported minimal impact, while others experienced added psychological distress, isolation, and caregiving challenges. Surgical teams also experienced challenges in the approach used to provide care.
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