Research Article
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Evaluation of the fear of Covid-19 and well-being of patients with cancer and caregivers

Year 2023, , 667 - 678, 01.10.2023

İlknur Yazıcıoğlu , Gülcan Bağçivan , Canan Pörücü , Bahire Akbaş

https://doi.org/10.31067/acusaglik.1264256

Abstract

ABSTRACT
Purpose: The effects of Covid-19 pandemic on physical health are the focus of attention around the world but the effects on psychological health shouldn’t be ignored. It’s known that patients with cancer are concerned due to being more susceptible to infections. The difficulties experienced by patients and caregivers during the pandemic put also their well-being at risk. Therefore, this study aimed to determine the impacts of Covid-19 pandemic on fear and well-being of patients with cancer and caregivers.
Methods: This descriptive study was carried out with 136 cancer patients and 142 caregivers at three university hospitals. Participant Information Form, the Fear of Covid-19 Scale and the Flourishing Scale were used for data collection.
Results: The mean score of the Fear of Covid-19 Scale of patients and caregivers were 19.6 ± 6.6, and 20.8 ± 6.9 respectively. The mean score of the Flourishing Scale were 42.1 ± 9.9 and 42.1 ± 9.5 respectively. It was determined that caregivers who are female and have lower income had higher fear of Covid-19. The well-being of patients with cancer who were single, had higher income, and had higher education level were higher. The well-being of caregivers who were unemployed was lower.
Conclusions: The psychosocial support given to patients and caregivers, whose importance has increased in the pandemic, shouldn’t be considered separately from medical treatment. In particular, the support given to people who are more affected by the negative consequences of the pandemic should be increased.

Keywords

cancer patients caregivers COVID-19 fear mental health well-being

References

  • Cascella M, Rajnik M, Aleem A, et al. Features, Evaluation, and Treatment of Coronavirus (COVID-19). In: StatPearls. Treasure Island (FL): StatPearls Publishing; June 30, 2022.
  • World Health Organisation. WHO Coronavirus Disease (COVID-19) Dashboard (2022). Available at: https:// covid19.who.int (Accessed March 10, 2023).
  • Satici B, Gocet-Tekin E, Deniz ME, et al. Adaptation of the Fear of COVID-19 Scale: Its Association with Psychological Distress and Life Satisfaction in Turkey. Int J Ment Health Addict. 2021;19(6):1980-1988. doi:10.1007/s11469-020-00294-0.
  • Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066. https://doi.org/10.1016/j.ajp.2020.102066
  • Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920. doi:10.1016/S0140-6736(20)30460-8.
  • van de Haar J, Hoes LR, Coles CE, et al. Caring for patients with cancer in the COVID-19 era [published correction appears in Nat Med. 2020 Jul;26(7):1146]. Nat Med. 2020;26(5):665-671.https://doi.org/10.1038/s41591-020-0874-8
  • Al-Shamsi HO, Alhazzani W, Alhuraiji A, et al. A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group. Oncologist. 2020;25(6):e936-e945. doi:10.1634/theoncologist.2020-0213
  • Al-Quteimat OM and Amer AM. The Impact of the COVID-19 Pandemic on Cancer Patients. Am. J. Clin. Oncol. 2020, 43, 452–455.
  • Miyashita H, Mikami T, Chopra N, et al. Do patients with cancer have a poorer prognosis of COVID-19? An experience in New York City. Ann Oncol. 2020;31(8):1088-1089. doi:10.1016/j.annonc.2020.04.006
  • Ng KYY, Zhou S, Tan SH, et al. Understanding the Psychological Impact of COVID-19 Pandemic on Patients With Cancer, Their Caregivers, and Health Care Workers in Singapore. JCO Global Oncology. 2020 Oct;6:1494-1509. https://doi.org/10.1200/GO.20.00374
  • Özmen S, Özkan O, Özer Ö, et al. Investigation of COVID-19 Fear, Well-Being and Life Satisfaction in Turkish Society. Social Work in Public Health. 2021; 36(2), 164–177. doi:10.1080/19371918.2021.1877589
  • Araujo SEA, Leal A, Centrone AFY, et al. Impact of COVID-19 pandemic on care of oncological patients: experience of a cancer center in a Latin American pandemic epicenter. Einstein (Sao Paulo).2020;19:eAO6282. https://doi.org/10.31744/einstein_journal/2021AO6282
  • Jeppesen SS, Bentsen KK, Jørgensen TL, et al. Quality of life in patients with cancer during the COVID-19 pandemic - a Danish cross-sectional study (COPICADS). Acta oncologica (Stockholm, Sweden).2021;60(1), 4–12. https://doi.org/10.1080/0284186X.2020.1830169
  • Kutikov A, Weinberg DS, Edelman MJ, et al. A War on Two Fronts: Cancer Care in the Time of COVID-19. Ann Intern Med. 2020;172(11):756-758. https://doi.org/10.7326/M20-1133
  • Seven M, Bagcivan G, Pasalak SI, et al. Experiences of breast cancer survivors during the COVID-19 pandemic: a qualitative study. Support Care Cancer. 2021;29(11):6481-6493. https://doi.org/10.1007/s00520-021-06243-4
  • Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: the empirical encounter of two traditions. J Pers Soc Psychol. 2002;82(6):1007-1022.
  • Kelly EP, Hyer JM, Onuma AE, et al. Identifying subgroups of well-being among patients with cancer: Differences in attitudes and preferences around surveillance after curative-intent surgery. J Surg Oncol. 2019;120(2):125-131. https://doi.org/10.1002/jso.25507
  • Nixon J, Chan R, McKinnell E, et al. Rethinking the Meaning of "Wellness" for a Person with Cancer: A Qualitative Study to Explore What Elements Constitute "Wellness". Asia Pac J Oncol Nurs. 2021;8(4):360-368. Published 2021 May 22.doi:10.4103/apjon.apjon-212 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186391/
  • Burki TK. Cancer guidelines during the COVID-19 pandemic. Lancet Oncol. 2020;21(5):629-630. doi:10.1016/S1470-2045(20)30217-5
  • American Cancer Society Cancer Action Network. COVID-19 Pandemic Early Effects on Cancer Patients and Survivors: April 2020. https://www.fightcancer.org/policy-resources/covid-19-pandemic-early-effects-cancer-patients-and-survivors-april-2020 (Accessed July 1, 2021).
  • Ahorsu DK, Lin CY, Imani V, et al. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2022;20(3):1537-1545. doi:10.1007/s11469-020-00270-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7100496/
  • Diener E, Wirtz D, Tov W. et al. New Well-being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings. Soc Indic Res. 2010;97, 143–156. https://doi.org/10.1007/s11205-009-9493-y 23. Fidan M and Usta F. İyilik Hali Ölçeği'nin Türkçe Formu'nun güvenirlik ve geçerliğinin incelenmesi. JRET. 2013; 2(3), 265-269.
  • Bayman EO and Dexter F. Multicollinearity in Logistic Regression Models. Anesth Analg. 2021;133(2):362-365. doi:10.1213/ANE.0000000000005593
  • Gultekin M, Ak S, Ayhan A, et al. Perspectives, fears and expectations of patients with gynaecological cancers during the COVID-19 pandemic: A Pan-European study of the European Network of Gynaecological Cancer Advocacy Groups (ENGAGe). Cancer Med. 2021;10(1):208-219. doi:10.1002/cam4.3605
  • Akbarpour S, Nakhostin-Ansari A, Sadeghniiat Haghighi K, et al. COVID-19 Fear Association with Depression, Anxiety, and Insomnia: A National Web-Based Survey on the General Population. Iran J Psychiatry. 2022;17(1):24-34. doi:10.18502/ijps.v17i1.8046
  • Karacin C, Bilgetekin I, B Basal F, et al. How does COVID-19 fear and anxiety affect chemotherapy adherence in patients with cancer. Future Oncol. 2020;16(29):2283-2293. doi:10.2217/fon-2020-0592
  • Yang H and Ma J. How an Epidemic Outbreak Impacts Happiness: Factors that Worsen (vs. Protect) Emotional Well-being during the Coronavirus Pandemic. Psychiatry Res. 2020;289:113045. doi:10.1016/j.psychres.2020.113045
  • Büssing A, Hübner J, Walter S, et al. Tumor Patients´ Perceived Changes of Specific Attitudes, Perceptions, and Behaviors Due to the COVID-19 Pandemic and Its Relation to Reduced Wellbeing. Front Psychiatry. 2020;11:574314. Published 2020 Oct 9. doi:10.3389/fpsyt.2020.574314
  • Binswanger J, Kohl C, Behling F, et al. Neuro-oncological patients' and caregivers' psychosocial burden during the COVID-19 pandemic-A prospective study with qualitative content analysis. Psychooncology. 2021;30(9):1502-1513. doi:10.1002/pon.5713
  • Ripamonti CI, Massa G, Insolvibile D, et al. Fears, beliefs, and quality of life of patients with cancer vs the general population during the coronavirus disease 2019 (COVID-19) pandemic in Lombardy. Tumori. 2021;3008916211022848. doi:10.1177/03008916211022848
  • Zomerdijk N, Jongenelis M, Short CE, et al. Prevalence and correlates of psychological distress, unmet supportive care needs, and fear of cancer recurrence among haematological cancer patients during the COVID-19 pandemic. Support Care Cancer. 2021;29(12):7755-7764. doi:10.1007/s00520-021-06369-5
  • Sugawara D, Masuyama A, Kubo T. Socioeconomic Impacts of the COVID-19 Lockdown on the Mental Health and Life Satisfaction of the Japanese Population. Int J Ment Health Addict. 2022;20(3):1560-1574. doi:10.1007/s11469-020-00461-3
  • Lehto US, Helander S, Taari K. Patient experiences at diagnosis and psychological well-being in prostate cancer: A Finnish national survey. Eur J Oncol Nurs. 2015;19(3):220-229. doi:10.1016/j.ejon.2014.10.018
  • Bell LM, Smith R, van de Venter EC, et al. COVID-19 stressors, wellbeing and health behaviours: a cross-sectional study. J Public Health (Oxf). 2021;43(3):e453-e461. doi:10.1093/pubmed/fdab241
  • Yoon S, Hoe PS, Chan A, et al. Impact of COVID-19 on perceived wellbeing, self-management and views of novel modalities of care among medically vulnerable patients in Singapore. Chronic Illn. 2021;17423953211067458. doi:10.1177/17423953211067458

Year 2023, , 667 - 678, 01.10.2023

İlknur Yazıcıoğlu , Gülcan Bağçivan , Canan Pörücü , Bahire Akbaş

https://doi.org/10.31067/acusaglik.1264256

Abstract

References

  • Cascella M, Rajnik M, Aleem A, et al. Features, Evaluation, and Treatment of Coronavirus (COVID-19). In: StatPearls. Treasure Island (FL): StatPearls Publishing; June 30, 2022.
  • World Health Organisation. WHO Coronavirus Disease (COVID-19) Dashboard (2022). Available at: https:// covid19.who.int (Accessed March 10, 2023).
  • Satici B, Gocet-Tekin E, Deniz ME, et al. Adaptation of the Fear of COVID-19 Scale: Its Association with Psychological Distress and Life Satisfaction in Turkey. Int J Ment Health Addict. 2021;19(6):1980-1988. doi:10.1007/s11469-020-00294-0.
  • Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020;52:102066. https://doi.org/10.1016/j.ajp.2020.102066
  • Brooks SK, Webster RK, Smith LE, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-920. doi:10.1016/S0140-6736(20)30460-8.
  • van de Haar J, Hoes LR, Coles CE, et al. Caring for patients with cancer in the COVID-19 era [published correction appears in Nat Med. 2020 Jul;26(7):1146]. Nat Med. 2020;26(5):665-671.https://doi.org/10.1038/s41591-020-0874-8
  • Al-Shamsi HO, Alhazzani W, Alhuraiji A, et al. A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group. Oncologist. 2020;25(6):e936-e945. doi:10.1634/theoncologist.2020-0213
  • Al-Quteimat OM and Amer AM. The Impact of the COVID-19 Pandemic on Cancer Patients. Am. J. Clin. Oncol. 2020, 43, 452–455.
  • Miyashita H, Mikami T, Chopra N, et al. Do patients with cancer have a poorer prognosis of COVID-19? An experience in New York City. Ann Oncol. 2020;31(8):1088-1089. doi:10.1016/j.annonc.2020.04.006
  • Ng KYY, Zhou S, Tan SH, et al. Understanding the Psychological Impact of COVID-19 Pandemic on Patients With Cancer, Their Caregivers, and Health Care Workers in Singapore. JCO Global Oncology. 2020 Oct;6:1494-1509. https://doi.org/10.1200/GO.20.00374
  • Özmen S, Özkan O, Özer Ö, et al. Investigation of COVID-19 Fear, Well-Being and Life Satisfaction in Turkish Society. Social Work in Public Health. 2021; 36(2), 164–177. doi:10.1080/19371918.2021.1877589
  • Araujo SEA, Leal A, Centrone AFY, et al. Impact of COVID-19 pandemic on care of oncological patients: experience of a cancer center in a Latin American pandemic epicenter. Einstein (Sao Paulo).2020;19:eAO6282. https://doi.org/10.31744/einstein_journal/2021AO6282
  • Jeppesen SS, Bentsen KK, Jørgensen TL, et al. Quality of life in patients with cancer during the COVID-19 pandemic - a Danish cross-sectional study (COPICADS). Acta oncologica (Stockholm, Sweden).2021;60(1), 4–12. https://doi.org/10.1080/0284186X.2020.1830169
  • Kutikov A, Weinberg DS, Edelman MJ, et al. A War on Two Fronts: Cancer Care in the Time of COVID-19. Ann Intern Med. 2020;172(11):756-758. https://doi.org/10.7326/M20-1133
  • Seven M, Bagcivan G, Pasalak SI, et al. Experiences of breast cancer survivors during the COVID-19 pandemic: a qualitative study. Support Care Cancer. 2021;29(11):6481-6493. https://doi.org/10.1007/s00520-021-06243-4
  • Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: the empirical encounter of two traditions. J Pers Soc Psychol. 2002;82(6):1007-1022.
  • Kelly EP, Hyer JM, Onuma AE, et al. Identifying subgroups of well-being among patients with cancer: Differences in attitudes and preferences around surveillance after curative-intent surgery. J Surg Oncol. 2019;120(2):125-131. https://doi.org/10.1002/jso.25507
  • Nixon J, Chan R, McKinnell E, et al. Rethinking the Meaning of "Wellness" for a Person with Cancer: A Qualitative Study to Explore What Elements Constitute "Wellness". Asia Pac J Oncol Nurs. 2021;8(4):360-368. Published 2021 May 22.doi:10.4103/apjon.apjon-212 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186391/
  • Burki TK. Cancer guidelines during the COVID-19 pandemic. Lancet Oncol. 2020;21(5):629-630. doi:10.1016/S1470-2045(20)30217-5
  • American Cancer Society Cancer Action Network. COVID-19 Pandemic Early Effects on Cancer Patients and Survivors: April 2020. https://www.fightcancer.org/policy-resources/covid-19-pandemic-early-effects-cancer-patients-and-survivors-april-2020 (Accessed July 1, 2021).
  • Ahorsu DK, Lin CY, Imani V, et al. The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict. 2022;20(3):1537-1545. doi:10.1007/s11469-020-00270-8 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7100496/
  • Diener E, Wirtz D, Tov W. et al. New Well-being Measures: Short Scales to Assess Flourishing and Positive and Negative Feelings. Soc Indic Res. 2010;97, 143–156. https://doi.org/10.1007/s11205-009-9493-y 23. Fidan M and Usta F. İyilik Hali Ölçeği'nin Türkçe Formu'nun güvenirlik ve geçerliğinin incelenmesi. JRET. 2013; 2(3), 265-269.
  • Bayman EO and Dexter F. Multicollinearity in Logistic Regression Models. Anesth Analg. 2021;133(2):362-365. doi:10.1213/ANE.0000000000005593
  • Gultekin M, Ak S, Ayhan A, et al. Perspectives, fears and expectations of patients with gynaecological cancers during the COVID-19 pandemic: A Pan-European study of the European Network of Gynaecological Cancer Advocacy Groups (ENGAGe). Cancer Med. 2021;10(1):208-219. doi:10.1002/cam4.3605
  • Akbarpour S, Nakhostin-Ansari A, Sadeghniiat Haghighi K, et al. COVID-19 Fear Association with Depression, Anxiety, and Insomnia: A National Web-Based Survey on the General Population. Iran J Psychiatry. 2022;17(1):24-34. doi:10.18502/ijps.v17i1.8046
  • Karacin C, Bilgetekin I, B Basal F, et al. How does COVID-19 fear and anxiety affect chemotherapy adherence in patients with cancer. Future Oncol. 2020;16(29):2283-2293. doi:10.2217/fon-2020-0592
  • Yang H and Ma J. How an Epidemic Outbreak Impacts Happiness: Factors that Worsen (vs. Protect) Emotional Well-being during the Coronavirus Pandemic. Psychiatry Res. 2020;289:113045. doi:10.1016/j.psychres.2020.113045
  • Büssing A, Hübner J, Walter S, et al. Tumor Patients´ Perceived Changes of Specific Attitudes, Perceptions, and Behaviors Due to the COVID-19 Pandemic and Its Relation to Reduced Wellbeing. Front Psychiatry. 2020;11:574314. Published 2020 Oct 9. doi:10.3389/fpsyt.2020.574314
  • Binswanger J, Kohl C, Behling F, et al. Neuro-oncological patients' and caregivers' psychosocial burden during the COVID-19 pandemic-A prospective study with qualitative content analysis. Psychooncology. 2021;30(9):1502-1513. doi:10.1002/pon.5713
  • Ripamonti CI, Massa G, Insolvibile D, et al. Fears, beliefs, and quality of life of patients with cancer vs the general population during the coronavirus disease 2019 (COVID-19) pandemic in Lombardy. Tumori. 2021;3008916211022848. doi:10.1177/03008916211022848
  • Zomerdijk N, Jongenelis M, Short CE, et al. Prevalence and correlates of psychological distress, unmet supportive care needs, and fear of cancer recurrence among haematological cancer patients during the COVID-19 pandemic. Support Care Cancer. 2021;29(12):7755-7764. doi:10.1007/s00520-021-06369-5
  • Sugawara D, Masuyama A, Kubo T. Socioeconomic Impacts of the COVID-19 Lockdown on the Mental Health and Life Satisfaction of the Japanese Population. Int J Ment Health Addict. 2022;20(3):1560-1574. doi:10.1007/s11469-020-00461-3
  • Lehto US, Helander S, Taari K. Patient experiences at diagnosis and psychological well-being in prostate cancer: A Finnish national survey. Eur J Oncol Nurs. 2015;19(3):220-229. doi:10.1016/j.ejon.2014.10.018
  • Bell LM, Smith R, van de Venter EC, et al. COVID-19 stressors, wellbeing and health behaviours: a cross-sectional study. J Public Health (Oxf). 2021;43(3):e453-e461. doi:10.1093/pubmed/fdab241
  • Yoon S, Hoe PS, Chan A, et al. Impact of COVID-19 on perceived wellbeing, self-management and views of novel modalities of care among medically vulnerable patients in Singapore. Chronic Illn. 2021;17423953211067458. doi:10.1177/17423953211067458
There are 35 citations in total.

Details

Primary Language English
Subjects Clinical Sciences (Other), Oncology and Carcinogenesis, Nursing, Health Care Administration
Journal Section Research Article
Authors

İlknur Yazıcıoğlu 0000-0002-4789-2486

Gülcan Bağçivan 0000-0002-9585-6332

Canan Pörücü 0000-0002-7282-2631

Bahire Akbaş 0009-0000-4512-3221

Early Pub Date September 21, 2023
Publication Date October 1, 2023
Submission Date March 13, 2023
Published in Issue Year 2023

Cite

EndNote Yazıcıoğlu İ, Bağçivan G, Pörücü C, Akbaş B (October 1, 2023) Evaluation of the fear of Covid-19 and well-being of patients with cancer and caregivers. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 4 667–678.