Quality of Life and Psychosocial Impacts of the Different Restrictive Measures during One Year into the COVID-19 Pandemic on Patients with Cancer in Italy: An Ecological Study
| Autor: | Lavinia Falese, Antonella De Marco, Elisabetta De Vito, Elisa Langiano, Maria Ferrara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Health Toxicology and Mutagenesis Population Psychological intervention coronavirus Computer-assisted web interviewing Cancer Containment Coronavirus COVID-19 Lockdown Mental health Pandemic Quality of life Article containment lockdown 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Neoplasms Humans Medicine cancer 030212 general & internal medicine education Pandemics education.field_of_study SARS-CoV-2 business.industry pandemic Public Health Environmental and Occupational Health Ecological study Italy quality of life 030220 oncology & carcinogenesis Observational study business Psychosocial mental health |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 13 International Journal of Environmental Research and Public Health, Vol 18, Iss 7161, p 7161 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18137161 |
| Popis: | Background: The aim of the study was to assess the perceived quality of life and the psychosocial impact of the various restrictive measures due to COVID-19 pandemic on cancer patients in Italy, as well as their perception of the relationship with doctors and caregivers. Methods: This study compares three population-based observational studies of patients with cancer carried out in three consecutive time periods characterized by different restrictive measures using a self-administered online questionnaire. Results: Among the basic needs, psychological and medical support appeared to be prevalent so did the need for safe transportation to reach the treatment facilities. Internet was the main source of information on the coronavirus. Although 74.6% of the total number of patients did not give up hospital therapies, 34.8% complained about variations in the continuity of treatment, with different percentages in the three samples. The majority of the sample (73.8%) was worried of being infected, but 21.9% did not share their anxieties and worries with others. The multivariate regression analysis showed that a pessimistic perception of quality of life was influenced by living in extra-urban areas and alone (OR = 1.4 OR = 2.1) while a perception of a reduced physical function result affected by the state of anxiety and stress (OR = 1.9) and the difficulties in continuity of medical assistance (OR = 2.2). The scoring of the SF-12 in the Physical Component Summary and Mental Component Summary scores showed a fluctuating trend throughout the three periods investigated. Conclusions: It is important for health professionals, caregivers and social workers to identify the new needs in order to enhance home care interventions, personalize and optimize care, ensure continuity of care and guarantee a high quality of life even in a health emergency situation. |
| Databáze: | OpenAIRE |
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