EXPERIENCES AND INFORMATIONAL NEEDS OF WOMEN WITH METASTATIC BREAST CANCER ATTENDING A TERTIARY CARE HOSPITAL IN TANZANIA: A QUALITATIVE STUDY

ObjectivesTo determine the frequency of Depressive Disorder among patients with breast cancer in an outpatient department of a tertiary care hospital in Pakistan.BackgroundCancer not only affects body physically but can also affect the mind in the form of psychiatric disorder. Proper identification and treatment of these conditions can be beneficial and cost-effective.MethodologyThis cross-sectional descriptive study was conducted on patients of breast cancer attending OPD of oncology department of Civil Hospital Karachi. The sample consisted of ninety three diagnosed patients of breast cancer who were screened for psychiatric morbidity through Hospital Anxiety and Depression Scale (HAD Scale). Screened patients were interviewed and diagnosed as depressive disorder according to ICD criteria. The level of depression in these diagnosed patients was quantified through ZUNG'S Depression Rating Scale.ResultsEighty two percent (n = 76) of the sample (n = 93) were found to have psychiatric morbidity on HAD scale. Out of these screened sample sixty percent (n = 46) were found to be depressed on Zung self rating depression scale. Majority of these patients were suffering from mild to moderate depression. Half of the female in this sample were undergone mastectomy that was not found to have any statistically significant impact on psychiatric morbidity of the patient.ConclusionThis study shows high prevalence of depression in patients with breast cancer. The health professional involve in care of breast cancer should screen routinely their patients for symptoms of depression.

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Retrospective analysis of clinicopathological factors and outcome in breast cancer in young women in a tertiary care hospital in India

Indian Journal of Cancer ◽

10.4103/0019-509x.175352 ◽

2014 ◽

Vol 51 (4) ◽

pp. 594 ◽

Cited By ~ 2

Author(s):

AD Mane ◽

SP Deshmukh ◽

BP Zade ◽

SP Sane

Keyword(s):

Breast Cancer ◽

Retrospective Analysis ◽

Young Women ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Clinicopathological Factors

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Are predominantly western standards and expectations of informed consent in surgery applicable to all? A qualitative study in a tertiary care hospital in Sri Lanka

BMJ Open ◽

10.1136/bmjopen-2018-025299 ◽

2019 ◽

Vol 9 (1) ◽

pp. e025299

Author(s):

Udagedara Mudiyanselage Jayami Esha Samaranayake ◽

Yasith Mathangasinghe ◽

Anura Sarath Kumara Banagala

Keyword(s):

Informed Consent ◽

Qualitative Study ◽

Tertiary Care Hospital ◽

Comparative Method ◽

Tertiary Care ◽

Lifestyle Changes ◽

Cultural Norms ◽

Sri Lankan ◽

Care Hospital ◽

Asking Questions

ObjectiveTo identify the different perceptions on informed surgical consent in a group of Sri Lankan patients.MethodsA qualitative study was conducted in a single surgical unit at a tertiary care hospital from January to May 2018. The protocol conformed to the Declaration of Helsinki. Patients undergoing elective major surgeries were recruited using initial purposive and later theoretical sampling. In-depth interviews were conducted in their native language based on the grounded theory. Initial codes were generated after analysing the transcripts. Constant comparative method was employed during intermediate and advanced coding. Data collection and analyses were conducted simultaneously, until the saturation of the themes. Finally, advanced coding was used for theoretical integrations.ResultsThirty patients (male:female=12:18) were assessed. The mean age was 41±9 years. Sinhalese predominated (50.0%, n=15). Majority underwent thyroidectomy (36.7%, n=11). The generated theory categorises the process of obtaining informed consent in four phases: initial interaction phase, reasoning phase, convincing phase and decision-making phase. Giving consent for surgery was a dependent role between patient, family members and the surgeon, as opposed to an individual decision by the patient. Some patients abstained from asking questions from doctors since doctors were ‘busy’, ‘short-tempered’ or ‘stressed out’. Some found nurses to be more approachable than doctors. Patients admitted that having a bystander while obtaining consent would relieve their stress. They needed doctors to emphasise more on postoperative lifestyle changes and preprocedure counselling at the clinic level. To educate patients about their procedure, some suggested leaflets or booklets to be distributed at the clinic before ward admission. The majority disliked watching educational videos because they were ‘scared’ to look at surgical dissections and blood.ConclusionThe informed consent process should include key elements that are non-culture specific along with elements or practices that consider the cultural norms of the society.

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