Результаты поиска

Psychological Resilience, Symptom Burden, and Supportive Care Needs in Chemotherapy Patients: A Path Analysis

ABSTRACT Introduction and Aim While chemotherapy contributes to the survival of cancer patients, it also leads to various psychological and physiological problems, increasing the need for supportive care. This study aimed to determine the relationship between psychological resilience, chemotherapy symptoms, and supportive care needs in patients undergoing chemotherapy. Method This is a descriptive and correlational study. Data were collected using the Descriptive Characteristics Form, the Psychological Resilience Scale (PRS), the Nightingale Symptom Assessment Scale (N‐SAS), and the Supportive

Treatment outcomes in HIV infected patients older than 50 years attending an HIV clinic in Harare, Zimbabwe: A cohort study.

There is a growing number of older people living with HIV (OPLHIV). While a significant proportion of this population are adults growing into old age with HIV, there are also new infections among OPLHIV. There is a lack of data describing the outcomes of OPLHIV who commenced antiretroviral therapy (ART) after the age of 50 years in sub-Saharan Africa. We conducted a cohort study of patients who enrolled in care at Newlands Clinic in Harare, Zimbabwe, at ages ≥50 years between February 2004 and March 2020. We examined demographic characteristics, attrition, viral suppression, immunological and

Что важнее всего для людей, живущих с эпилепсией? Быстрое рассмотрение качественных исследований, касающихся результатов в области здравоохранения.

В настоящее время результаты, измеряемые и сообщаемые в ходе клинических испытаний для взрослых с эпилепсией, являются разнородными и зачастую не отбирались в консультации с лицами, живущими с эпилепсией. В рамках более широкого проекта по разработке базового набора результатов клинических испытаний для взрослых с эпилепсией (проект ЭПСЕТ) был проведен быстрый обзор опубликованной качественной литературы. В целях выявления исследований, в которых обсуждаются мнения взрослых с эпилепсией и их представителей, был проведен поиск с использованием установленного качественного методологического филь

Quality of Life in Caregivers of Cancer Patients: A Literature Review.

(1) Background: Cancer constitutes one of the principal causes of morbi-mortality in the world and generates an important loss of patients' self-sufficiency. People who are their caregivers usually become the main care providers, which impacts their quality of life; (2) Aim: Analyze the different problems (physical, emotional, social, and financial) faced by people who are caregivers of adults with cancer and describe the strategies required to improve their quality of life; (3) Method: A literature review was conducted on the following database: PubMed, Cinahl, PsycINFO, and Scopus. The follo

Cured but not well - haematological cancer survivors' experiences of chemotherapy-induced peripheral neuropathy in everyday life: a phenomenological-hermeneutic study.

PurposeTo explore haematological cancer survivors' experience of chemotherapy-induced peripheral neuropathy (CIPN) in everyday life.MethodsData were generated by means of individual semi-structured interviews with 12 haematological cancer survivors who experience CIPN after completion of treatment. Data were analysed using thematic analysis.ResultsThe thematic analysis yielded an in-depth description of the experience of CIPN symptoms and the influence of the symptoms on everyday life as being unwell despite being cured. Four main themes emerged from the analysis: (1) A diffuse and contradicto

Managing Matajoosh: determinants of first Nations' cancer care decisions.

BackgroundAccessing cancer treatment requires First Nation peoples living in rural and remote communities to either commute to care, or to relocate to an urban centre for the length or part of the treatment. While Canadians living in rural and remote communities must often make difficult decisions following a cancer diagnosis, such decisions are further complicated by the unique policy and socio-historical contexts affecting many First Nation peoples in Canada. These contexts often intersect with negative healthcare experiences which can be related to jurisdictional confusion encountered when

Несоответствие между готовностью к вакцинации и фактическим состоянием вакцинации SARS-COV-2 у людей с множественным склерозом: продольное исследование.

Фон/цели: Заражение острым острым респираторным синдромом коронавируса типа 2 (SARS-COV-2) создает значительный риск для здоровья, особенно для лиц с хроническими заболеваниями. Множественный склероз (MS) является наиболее распространенным хроническим неврологическим расстройством с иммунной помощью, и вакцинация имеет важное значение для его лечения. Цель этого исследования заключалась в сопоставлении заявленной готовности к вакцинации против SARS-COV-2 с фактическим состоянием вакцинации людей с MS (PwMS) и выявлении факторов, объясняющих это несоответствие. Методы: В продольном двухцентрово

Более широкие соображения в отношении интеграции медицинских и стоматологических данных

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… Medicare trust funds are bankrupt (Social Security and Medicare Boards of Trustees 2011 ). Adding coverage would exacerbate an already alarming problem. Medicaid funding is a major source of state government deficits. …

The EORTC QLQ-C30 Summary Score as Prognostic Factor for Survival of Patients with Cancer in the "Real-World": Results from the Population-Based PROFILES Registry.

BACKGROUND: Health-related quality of life (HRQoL) has been shown to be a prognostic factor for cancer survival in randomized clinical trials and observational "real-world" cohort studies; however, it remains unclear which HRQoL domains are the best prognosticators. The primary aims of this population-based, observational study were to (a) investigate the association between the novel European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core30 (QLQ-C30) summary score and all-cause mortality, adjusting for the more traditional sociodemographic and clinical pr

Advancing access to CAR T-cell therapy: insights and real-world experience from a community oncology practice.

IntroductionChimeric antigen receptor (CAR) T-cell therapy has transformed the treatment of hematologic malignancies, offering durable remissions for patients with otherwise refractory disease. However, access to these therapies remains limited and primarily restricted to academic medical centers, contributing to significant geographic and demographic disparities in care delivery.MethodsWe conducted a retrospective review of a community practice-based outpatient CAR T-cell therapy program, independent of academic or hospital affiliation, treating patients with relapsed hematologic malignancies

Использование услуг здравоохранения 2-3 За десять лет до первого события, связанного с множественным склерозом.

ЦЕЛЬ: визиты в больницу, врачебную службу и отделение скорой помощи (ЭД) с помощью диагностики и специализации 29 :: годы, предшествующие многообразному склерозу (MS), по сравнению с совпадающей популяцией без MS. Мы идентифицировали людей с MS (PwMS) с использованием демографических административных данных из Онтарио (Канада)1991-2020). В первом диагностическом коде MS/Demilelining определяется начало MS (дата индекса). Ежегодные показатели использования медицинских услуг (больницы, врач, медицинский персонал) в разбивке по первичной диагностике (уровень главы) и врачебной специализации были

Репродуктивная автономия женщин, живущих с множественной миеломой, участвующих в программе профилактики беременности.

Множественная миелома — неизлечимый гематологический рак, который в первую очередь затрагивает пожилых людей. Женщины, имеющие фертильный потенциал, составляют небольшую, но уникальную долю населения, страдающего от многочисленных миелом. Иммуноводные агенты (талидомид, линалидомид и помалидомид) являются высокоэффективными средствами лечения для улучшения длительных периодов глубокой ремиссии и долгосрочного выживания в Множестве миеломы, которые осуществляются в рамках программ контролируемого распределения, требующих наблюдения за беременностью для женщин с потенциалом деторождения, с тем ч

Psychobiographical Reflections on Marilyn Yalom's Experience of Death and Dying.

The universal awareness of death is central to the framework of existential psychology. However, its subjective confrontation remains deeply personal. Marilyn Yalom (1938-2019), distinguished feminist scholar and cultural historian, documented her intimate reflections on dying in a book co-authored with her husband, Irvin Yalom, renowned existential psychotherapist and author. This single-case psychobiography sought to examine her experience, focusing on her diarised reflections on living with and dying from a terminal illness in this book as the primary data source. Data analysis examined Mar

Suicide after a Diagnosis of Cancer: Follow-Up of 1.4 Million Individuals, 2009-2019.

Background: The study explores whether Polish cancer patients face elevated suicide risk, emphasizing the vital need to comprehend and mitigate their unique mental health struggles. Methods: We conducted a cohort study based on Polish National Cancer Registry data (diagnosis in 2009-2019). Age-, sex-, and year-standardized mortality ratios (SMR) are presented with 95% confidence intervals (CIs) overall and by sex. Results: The study included 1.43 million individuals diagnosed with cancer. There were 830 suicide cases in this group. The overall SMR for suicide was 1.34 (95% CI 1.25-1.43). The h

The level of knowledge about palliative care in Iranian patients with cancer.

BackgroundPatient awareness plays an important role in integrating palliative care into the patient care process. Lack of awareness can create a negative attitude towards palliative care and affect patients' decisions during the treatment process. The present study was conducted to determine the level of knowledge about palliative care in Iranian patients with cancer.MethodsThe descriptive study was conducted with a convenience sample of 103 cancer patients admitted to an oncology center in Yazd, Iran, A three-part questionnaire including demographic information, sources of palliative care inf

Лиминальное пространство между надеждой и горем: феномен неопределенности, испытываемый людьми, живущими с повторно излучающим множественный склероз.

СТРУКТУРА: Люди с хроническим заболеванием, страдающие множественным склерозом, подвергаются различной степени глубокой неопределенности. Неопределенность связана с неблагоприятными психологическими последствиями, такими, как чувство повышенной уязвимости, уклонение от принятия решений, страх, беспокойство, тревожное расстройство и даже депрессия. Исследования в области множественного склероза сосредоточены главным образом на научных, практических и психосоциальных вопросах неопределенности. Для сравнения, экзистенциальная неопределенность была недостаточно изучена, даже несмотря на то, что он

The Challenges of Outcomes-Based Contract Implementation for Medicines in Europe.

ObjectivesThe aim was to outline the challenges of implementing outcomes-based contracts (OBCs) in Europe.MethodsA scoping review was conducted, building on the searches of a previous systematic review and updating them for December 2017 until May 2021. The combined results were screened, based on inclusion and exclusion criteria. All identified studies published in the English language that described specific OBC schemes for medicines in European countries were included. Insights into the challenges of OBCs were extracted and analysed to develop a conceptual framework.ResultsTen articles from

Determining the Relationship Between Perceptions of Nursing Care Quality and Satisfaction Status in Multicultural Patients with Hematological Malignancies.

AIM: This study aims to investigate the correlation between multicultural patients with hematologic malignancies' perceptions of nursing care and their level of satisfaction, with the objective of providing recommendations for enhancing the quality of nursing care based on the findings. METHODS: This descriptive and cross-sectional study was conducted with 140 patients aged 18 years and over who were hospitalized in the hematology and bone marrow transplantation unit between January and October 2024, who agreed to participate in the study and were able to communicate. Data were collected usin

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… Similarly, in the study conducted by Koç, no significant difference was found between patients’ satisfaction with nursing care in terms of socio-demographic characteristics such as age, marital status, occupation, presence of social security, and previous hospital experience ( Koç, 2020 ). …

Patients' Perspective of Medication Adherence in Chronic Conditions: A Qualitative Study.

IntroductionAbout 50% of patients do not take their long-term therapy for chronic conditions as prescribed. Many studies have centered on patients' adherence to a specific treatment or single conditions, but few have taken all chronic conditions into consideration from a patient's perspective. This study aims to explore factors that impact on drug compliance and to identify strategies to improve this from the perspective of patients with at least one chronic condition.MethodsPatients were recruited by healthcare professionals from a hospital pharmacy, four community pharmacies, patient associa

Facing financial barriers to healthcare: patient-informed adaptation of a conceptual framework for adults with a history of cancer.

BackgroundCancer-related financial hardship is associated with negative clinical outcomes, which may be partially explained by cost-related delayed or forgone care in response to financial barriers. We sought to understand patient experiences facing financial barriers to medical care following a cancer diagnosis.MethodsWe conducted virtual, semi-structured interviews in Fall 2022 with 20 adults with a history of cancer who had experienced cancer-related financial hardship in the prior year. We used template analysis within a pragmatic paradigm, combining constructivist and critical realist the

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… I’m gonna die of Covid because, you know, Covid wiped my job out.” (17: 36–55 years old, Stage 4 breast) Hindering Limited social safety net | “The amount that [social security disability] gives you per month is not really a livable amount, and then they limit you on what you can earn per month.” (05 …