Abstract
Background/Pupose: This study was conducted to determine the effects of the COVID-19 pandemic on the care and treatment of cancer patients.
Materials and Methods: The population of this descriptive and cross-sectional study consisted of all inpatients in the Ear Nose and Throat (ENT) Clinic of a university hospital between March and August 2021, and the sample included a total of 78 patients who had been diagnosed with cancer, met the inclusion criteria, and were selected using the purposive sampling method. Data were collected using a Patient Information Form and the Presence of Nursing Scale. The data were analyzed on the IBM SPSS Statistic 21 software package.
Results: Patients mean age was 57.54±9.83 years (min.-max.: 37-78), 69.2% (n=54) were male, and 84.6% (n=66) did not have a job. The examination of the characteristics of the patients regarding cancer indicated that 50% (n=39) had laryngeal cancer, the cancer diagnosis had been made an average 19.73±26.19 (min.-max.: 4-132) months ago, most of the patients’ cancer was in the second 34.6% (n=27) and third 34.6% (n=27) stage, and that 88.5% (n=69) of the patients did not have metastasis. Some of the patients stated that there were no disruptions in the diagnosis 69.2% (n=54) and treatment 76.9% (n=60) of their disease during the pandemic. They also stated that the pandemic did not cause the progression of the disease 69.2% (n=54), they did not delay coming to the hospital 65.4% (n=51), and that they did not hesitate to come to the controls 69.2% (n=54). All of the patients 100.0% (n=78) stated that they wore masks during the pandemic. In addition, they said that they could contact their physicians 46.2% (n=36) and their nurses 7.7% (n=6) during the pandemic. The mean score of the patients on the Presence of Nursing Scale was 110.62±14.83 (min. = 75, max. = 120).
Conclusion: While the COVID-19 pandemic did not have a major impact on the cancer care and treatment of the patients in the study, their efforts to cope with cancer continued. In addition, the patients felt that the nurse was with them emotionally in the hospital environment and stated that the nurse did many things for them physically, but the rate of contacting the nurse while they were outside the hospital was very low.
Keywords
References
- 1. World Health Organization (WHO). Pulse survey on continuity of essential health services during the COVID-19 pandemic. Interim Report 30 December 2022. Accesed November 30, 2022.
- 2. Aslan EÇ. COVID-19 Pandemisinin sağlık hizmetleri erişimine etkisinin değerlendirilmesi: Kesitsel bir araştırma. Turkiye Klinikleri J Health Sci, 2022;7(2):534-43.
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- 5. Bozdoğan Yesilot BS, Oz F. Validity and reliability of the presence of nursing scale in patients with cancer in the Turkish language. International Journal of Caring Sciences 2016;9:443–51.
- 6. Mahl C, Melo LRS, Almeida MHA, et al. Delay in head and neck cancer care during the COVID-19 pandemic and its impact on health outcomes. Braz Oral Res. 2020;18(34):e126. doi: 10.1590/1807-3107bor-2020.vol34.0126.
- 7. Kostovich CT. Development and psychometric assessment of the Presence of Nursing Scale. Nurs Sci Q. 2012;25:167–75.
- 8. Çolak M, Karakuş MF, Eravcı FC, et al. Kulak Burun Boğaz Hastalıkları Polikliniğine başvuran bireylerin larinks kanseri farkındalığının değerlendirilmesi. KBB-Forum 2021;20(1):1-8.
- 9. T.C Sağlık Bakanlığı (SB). 2017 Yılı Türkiye Kanser İstatistikleri. https://hsgm.saglik.gov.tr/tr/kanser-istatistikleri/yillar/2017-turkiye-kanser-i-statistikleri.html. Published 2017. November 28, 2022.
- 10. Özdoğan M. Türkiye Kanser İstatistikleri 2020. https://www.drozdogan.com/turkiye-kanser-istatistikleri-2020/#:~:text=Buna%20paralel%20olarak%20y%C4%B1ll%C4%B1k%20yeni,ve% 20kansere%20ba%C4%9Fl%C4%B1%20ya%C5%9Fam%20kayb%C4%B. Published 2021.November 28, 2022.
- 11. Bora İrer D, Dağ F, Aslan G. Sigara kullanım süresinin mesane kanserinin tanı anındaki klinik ve patolojik özellikleriyle olan ilişkisinin değerlendirilmesi. Bulletin of Urooncology. 2017;16:108-11.
- 12. Pınar T, Akdur R, Tunçbilek A. The etiological role of smoking in head and neck tumors. K.B.B. ve BBC Dergisi. 2001; (9):88-92.
- 13. van Roekel EH, Cheng KK, James ND, et al. Smoking is associated with lower age, higher grade, higher stage, and larger size of malignant bladder tumors at diagnosis. Int J Cancer. 2013;15;133:446-54.
- 14. Pietzak EJ, Mucksavage P, Guzzo TJ, et al. Heavy cigarette smoking and aggressive bladder cancer at ınitial presentation. Urology 2015;8 (5):968-73.
- 15. Dinmohamed AG, Visser O, Verhoeven RHA, et al. Fewer cancer diagnoses during the COVID-19 epidemic in the Netherlands. Lancet Oncol. 2020;21: 750–1.
- 16. Kaufman HW, Chen Z, Niles J, et al. Changes in the number of us patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) Pandemic. JAMA Netw. Open 2020;3:e2017267.
- 17. Rutter MD, BrookesM, Lee TJ, et al. Impact of the COVID-19 pandemic on UK endoscopic activity and cancer detection: A National Endoscopy Database Analysis. Gut 2021;70:537–43. doi:10.1136/gutjnl-2020-322179.
- 18. Jacob L, Loosen SH, Kalder M, et al. Impact of the COVID-19 Pandemic on cancer diagnoses in general and specialized practices in Germany. Cancers. 2021;13:408.
- 19. Duran A, Ant A, Tunçcan T, et al. The Impact of the COVID-19 Pandemic on head and neck cancer practice-tertiary health care center experience. Acta Oncologica Turcica. 2021;54(3): 318-27.
- 20. Torosian T, Abrami EA, Massoumi RL, et al. Assessing knowledge and perceptions of colorectal cancer screening in Armenia. Journal of Surgical Research. (2021);257:616-24.
- 21. Al Suqri M, Al-Awaisi H, Al-Moundhri M, et al. Symptom perceptions and help-seeking behaviors of Omani patients diagnosed with late-stage colorectal cancer: a qualitative study. Asian Pacific Journal of Cancer Prevention. 2021;22(2):427.
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- 23. İlhan E, Oztop M, Üreyen O, et al. Covid-19 Pandemisinin genel cerrahi kliniğinde acil ve elektif cerrahi girişimlere olan etkisinin değerlendirilmesi: kesitsel çalişma. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2020;53(3):202-5.
- 24. Rubino F, Cohen RV, Mingrone G, et al. Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of Access to surgery. Lancet Diabetes Endocrinol. 2020; 8(7): 640-8.
- 25. Zihni İ, Tercan M, Bodur MS, et al. Covid-19 pandemisinde bir üniversite hastanesi cerrahi onkoloji kliniğinde kanser cerrahisi deneyimi. SDÜ Tıp Fakültesi Dergisi. 2022;29(3):300-4.
- 26. Gök G. Covid-19 pandemisinde stratejik bir inovasyon olan tele-sağlık hizmetinin SWOT analizi ile incelenmesi. Business Economics and Management Research Journal, 2022;5(3):286-304.
- 27. Turpin LR. State of the science of nursing presence revisited: Knowledge for preserving nursing presence capability. International Journal for Human Caring. 2014;4:14–29.
- 28. Bozdoğan Yeşilot S, Öz F. Cancer patients’ perceptions of nursing presence. Journal of Psychiatric Nursing. 2017;8(3):150-6.
- 29. Mahdavi M, Ghafourifard M, Rahmani A. Nursing presence from the perspective of cancer patients: A cross-sectional study. NPT. 2020;8(2):139-45.
- 30. Huz HH. Kanser hastalarında hemşirenin varlığı, hasta-hemşire güven ilişkisi ve kurum imajı algısı. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Hizmetleri Yönetimi Programı Yüksek Lisans Tezi, Ankara, 2019.
Abstract
Amaç: Bu araştırma COVID-19 salgınının kanser hastalarının bakım ve tedavisine etkilerini belirlemek amacı ile yapıldı.
Gereç ve Yöntem: Tanımlayıcı, kesitsel türde gerçekleştirilen araştırmanın evrenini, Mart- Ağustos 2021 tarihleri arasında bir üniversite hastanesinin Kulak Burun Boğaz (KBB) Kliniği’nde yatarak tedavi gören tüm hastalar, örneklemini ise kanser tanısı olan ve araştırmaya dahil edilme kriterlerine uyan, amaçlı örnekleme yöntemi kullanılarak seçilmiş 78 hasta oluşturdu. Veriler Hasta Bilgi Formu ve Hemşirenin Varlığı Ölçeği kullanılarak toplandı. Verilerin değerlendirilmesinde IBM SPSS Statistic 21 programı kullanıldı.
Bulgular: Hastaların yaş ortalamasının 57.54±9.83 yıl, (min.-max.: 37-78), %69.2 (n=54)’sinin erkek, %84.6 (n=66)’sının çalışmadığı saptandı. Hastaların kanser hastalığına ilişkin özellikleri incelendiğinde; %50 (n=39)’sinin kanser bölgesinin larinx olduğu, kanser tanısının ortalama 19.73±26.19 (minimum-maximum: 4-132) ay önce konduğu, önemli çoğunluğunun kanserinin II. %34.6 (n=27) ve III. %34.6 (n=27) evre olduğu ve %88.5 (n=69)’inin metastatik olmadığı saptandı. Hastaların %69.2 (n=54)’si salgın sırasında kanser teşhisinde, %76.9 (n=60)’u tedavisinde aksama olmadığını; %69.2 (n=54)’si salgının, hastalığın ilerlemesine neden olmadığını; %65.4 (n=51)’ü şikâyetleri olmasına karşın hastaneye gelmeyi ertelemediğini; %69.2 (n=54)’si kontrollere gelmeye çekinmediğini; tümü (%100.0, n=78) salgın süresince maske taktığını ifade etti. Salgın döneminde %46.2’sinin (n=36) hekimi ile %7.7 (n=6)’sinin hemşiresi ile görüşebildiklerini ifade ettiler. Hastalar Hemşirenin Varlığı Ölçeği’nden ortalama 110.62±14.83 (min.=75max.=120) puan aldı.
Sonuç: Araştırma kapsamındaki hastaların kanser bakım ve tedavisinde, COVID-19 salgını, büyük bir etki oluşturmazken, kanser ile baş etme çabaları sürmüştür. Ayrıca hastalar hastane ortamında hemşireyi duygusal olarak yanlarında hissetmiş ve fiziksel olarak kendileri için hemşirenin birçok şeyi yaptığını belirtmiş fakat hastane dışında iken hemşireye ulaşma oranları çok düşük bulunmuştur.
References
- 1. World Health Organization (WHO). Pulse survey on continuity of essential health services during the COVID-19 pandemic. Interim Report 30 December 2022. Accesed November 30, 2022.
- 2. Aslan EÇ. COVID-19 Pandemisinin sağlık hizmetleri erişimine etkisinin değerlendirilmesi: Kesitsel bir araştırma. Turkiye Klinikleri J Health Sci, 2022;7(2):534-43.
- 3. Wang H, Li T, Barbarino P,et al. Mitigating strategies and nursing response for cancer care management during the COVID-19 pandemic: an Italian experience. Int Nurs Rev.? doi: 10.1111/inr.12625.
- 4. Lou E, Teoh D, Brown K, et al. Perspectives of cancer patients and their health during the COVID-19 pandemic. medRxiv. 2020;15(10):e0241741. doi: 10.1371/journal.pone.0241741—eCollection 2020.
- 5. Bozdoğan Yesilot BS, Oz F. Validity and reliability of the presence of nursing scale in patients with cancer in the Turkish language. International Journal of Caring Sciences 2016;9:443–51.
- 6. Mahl C, Melo LRS, Almeida MHA, et al. Delay in head and neck cancer care during the COVID-19 pandemic and its impact on health outcomes. Braz Oral Res. 2020;18(34):e126. doi: 10.1590/1807-3107bor-2020.vol34.0126.
- 7. Kostovich CT. Development and psychometric assessment of the Presence of Nursing Scale. Nurs Sci Q. 2012;25:167–75.
- 8. Çolak M, Karakuş MF, Eravcı FC, et al. Kulak Burun Boğaz Hastalıkları Polikliniğine başvuran bireylerin larinks kanseri farkındalığının değerlendirilmesi. KBB-Forum 2021;20(1):1-8.
- 9. T.C Sağlık Bakanlığı (SB). 2017 Yılı Türkiye Kanser İstatistikleri. https://hsgm.saglik.gov.tr/tr/kanser-istatistikleri/yillar/2017-turkiye-kanser-i-statistikleri.html. Published 2017. November 28, 2022.
- 10. Özdoğan M. Türkiye Kanser İstatistikleri 2020. https://www.drozdogan.com/turkiye-kanser-istatistikleri-2020/#:~:text=Buna%20paralel%20olarak%20y%C4%B1ll%C4%B1k%20yeni,ve% 20kansere%20ba%C4%9Fl%C4%B1%20ya%C5%9Fam%20kayb%C4%B. Published 2021.November 28, 2022.
- 11. Bora İrer D, Dağ F, Aslan G. Sigara kullanım süresinin mesane kanserinin tanı anındaki klinik ve patolojik özellikleriyle olan ilişkisinin değerlendirilmesi. Bulletin of Urooncology. 2017;16:108-11.
- 12. Pınar T, Akdur R, Tunçbilek A. The etiological role of smoking in head and neck tumors. K.B.B. ve BBC Dergisi. 2001; (9):88-92.
- 13. van Roekel EH, Cheng KK, James ND, et al. Smoking is associated with lower age, higher grade, higher stage, and larger size of malignant bladder tumors at diagnosis. Int J Cancer. 2013;15;133:446-54.
- 14. Pietzak EJ, Mucksavage P, Guzzo TJ, et al. Heavy cigarette smoking and aggressive bladder cancer at ınitial presentation. Urology 2015;8 (5):968-73.
- 15. Dinmohamed AG, Visser O, Verhoeven RHA, et al. Fewer cancer diagnoses during the COVID-19 epidemic in the Netherlands. Lancet Oncol. 2020;21: 750–1.
- 16. Kaufman HW, Chen Z, Niles J, et al. Changes in the number of us patients with newly identified cancer before and during the coronavirus disease 2019 (COVID-19) Pandemic. JAMA Netw. Open 2020;3:e2017267.
- 17. Rutter MD, BrookesM, Lee TJ, et al. Impact of the COVID-19 pandemic on UK endoscopic activity and cancer detection: A National Endoscopy Database Analysis. Gut 2021;70:537–43. doi:10.1136/gutjnl-2020-322179.
- 18. Jacob L, Loosen SH, Kalder M, et al. Impact of the COVID-19 Pandemic on cancer diagnoses in general and specialized practices in Germany. Cancers. 2021;13:408.
- 19. Duran A, Ant A, Tunçcan T, et al. The Impact of the COVID-19 Pandemic on head and neck cancer practice-tertiary health care center experience. Acta Oncologica Turcica. 2021;54(3): 318-27.
- 20. Torosian T, Abrami EA, Massoumi RL, et al. Assessing knowledge and perceptions of colorectal cancer screening in Armenia. Journal of Surgical Research. (2021);257:616-24.
- 21. Al Suqri M, Al-Awaisi H, Al-Moundhri M, et al. Symptom perceptions and help-seeking behaviors of Omani patients diagnosed with late-stage colorectal cancer: a qualitative study. Asian Pacific Journal of Cancer Prevention. 2021;22(2):427.
- 22. Tanrıkulu UG. Kolorektal kanserli bireylerde hastalık algısı ve tanı gecikmesine yol açan bireysel faktörlerin incelenmesi. Başkent Üniversitesi Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Yüksek Lisans Tezi, Ankara, 2020.
- 23. İlhan E, Oztop M, Üreyen O, et al. Covid-19 Pandemisinin genel cerrahi kliniğinde acil ve elektif cerrahi girişimlere olan etkisinin değerlendirilmesi: kesitsel çalişma. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2020;53(3):202-5.
- 24. Rubino F, Cohen RV, Mingrone G, et al. Bariatric and metabolic surgery during and after the COVID-19 pandemic: DSS recommendations for management of surgical candidates and postoperative patients and prioritisation of Access to surgery. Lancet Diabetes Endocrinol. 2020; 8(7): 640-8.
- 25. Zihni İ, Tercan M, Bodur MS, et al. Covid-19 pandemisinde bir üniversite hastanesi cerrahi onkoloji kliniğinde kanser cerrahisi deneyimi. SDÜ Tıp Fakültesi Dergisi. 2022;29(3):300-4.
- 26. Gök G. Covid-19 pandemisinde stratejik bir inovasyon olan tele-sağlık hizmetinin SWOT analizi ile incelenmesi. Business Economics and Management Research Journal, 2022;5(3):286-304.
- 27. Turpin LR. State of the science of nursing presence revisited: Knowledge for preserving nursing presence capability. International Journal for Human Caring. 2014;4:14–29.
- 28. Bozdoğan Yeşilot S, Öz F. Cancer patients’ perceptions of nursing presence. Journal of Psychiatric Nursing. 2017;8(3):150-6.
- 29. Mahdavi M, Ghafourifard M, Rahmani A. Nursing presence from the perspective of cancer patients: A cross-sectional study. NPT. 2020;8(2):139-45.
- 30. Huz HH. Kanser hastalarında hemşirenin varlığı, hasta-hemşire güven ilişkisi ve kurum imajı algısı. Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü, Hemşirelik Hizmetleri Yönetimi Programı Yüksek Lisans Tezi, Ankara, 2019.
Details
| Primary Language | English |
|---|---|
| Subjects | Nursing |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 1, 2024 |
| Submission Date | April 13, 2023 |
| Published in Issue | Year 2024Volume: 15 Issue: 3 |
