COVID-19 拉丁裔癌症患者与大流行相关的情感、社会和医疗问题:心理健康服务提供者的观点

Rosario Costas-Muñiz, M. F. Montaña, L. Ruda-Santolaria, J. Sánchez-Ramírez, N. Torres-Blasco, Eida M Castro-Figueroa, Loida Esenarro, O. Galindo-Vázquez, Cristiane Bergerot, M. Claros, Bharat Narang, Jackie Finik, F. Gany, W. Breitbart
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摘要

拉丁裔癌症患者可能会面临 COVID-19 大流行带来的额外健康、情感和社会经济负担。 本研究包括对美国、西班牙和拉丁美洲的拉丁裔/西班牙裔癌症患者的心理健康服务提供者进行的两波(独立)评估(第一波:2020 年 5 月至 7 月;第二波:2021 年 3 月至 7 月)的数据,这些提供者完成了一项横截面在线调查,其中包含开放式和封闭式问题,包括 COVID-19 患者/非 COVID-19 患者的担忧。 第一波(88 人)和第二波(115 人)的回复率分别为 15%和 14%。第 1 波有 74 份调查由临床医生完成并纳入分析;第 2 波有 115 份调查纳入分析。医疗服务提供者(第一波[77%]和第二波[84%])表示,大多数患者担心压力/焦虑症状,其次是担心 COVID-19 暴露(第一波[74%]和第二波[82%])和家庭成员暴露(第二波 75%)、医院就诊或预约(分别为 82%和 79%)、治疗/检测延迟(分别为 69%和 72%)、一般健康状况(分别为 58%和 71%)以及收入/薪水损失或减少(分别为 60%和 50%)。据医疗服务提供者称,确诊为 COVID-19 的患者所担心的问题包括害怕死亡和死亡、疾病传播、病情恶化以及缺乏适当的医疗护理。 我们的研究结果表明,有必要在整个拉丁美洲、西班牙和美国解决 COVID-19 流行病给拉丁裔癌症患者带来的健康、情感和社会经济负担。有必要针对拉丁裔癌症患者的医疗保健、情感和社会经济需求采取干预措施。
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COVID-19 pandemic–related emotional, social, and medical concerns of Latino patients with cancer: perspectives of mental health providers
Latino people with cancer might face additional health, emotional, and socioeconomic burdens of the COVID-19 pandemic. This study included data from two waves of (independent) assessments with providers of mental health services to Latino/Hispanic people with cancer from the United States, Spain, and Latin America (first wave: May–July 2020; second wave: March–July 2021) who completed a cross-sectional online survey with open-ended and closed-ended questions, including concerns of people with cancer with/without COVID-19. The response rates were 15% for Wave 1 (N = 88) and 14% for Wave 2 (N = 115). For Wave 1, 74 surveys were completed by clinicians and included in the analyses; for Wave 2, 115 surveys were included. Providers (first [77%] and second [84%] waves) reported that most patients had concerns about stress/symptoms of anxiety, followed by concerns about COVID-19 exposure (first [74%] and second [82%] waves) and family members' exposure (second wave 75%), hospital visits or appointments (82%, 79%, respectively), treatment/testing delays (69%, 72%, respectively), general health (58%, 71%, respectively), and income/salary loss or reduction (60%, 50%, respectively). According to providers, concerns of patients diagnosed with COVID-19 included fear of death and dying, spreading the disease, getting worse, and lack of appropriate medical care. Our findings reveal the need to address health, emotional, and socioeconomic burdens of the COVID-19 pandemic throughout Latin America, Spain, and the United States for Latino people with cancer. Interventions targeting the health care access, emotional, and socioeconomic needs of Latino people with cancer are warranted.
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