FACTORS AFFECTING THE PROVISION OF SOCIAL WORK SERVICES FOR CANCER PATIENTS AT THE VIETNAM NATIONAL CANCER HOSPITAL

2020 ◽  
Vol 65 (11) ◽  
pp. 132-143
Author(s):  
Nam Pham Tien
Keyword(s):  
Social Work ◽  
Cancer Patients ◽  
Cross Sectional Study ◽  
Group Discussions ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Policy Regimes ◽  
Financial Factor ◽  
Cancer Hospital ◽  
Depth Interviews

The provision of social work service for cancer patients is facing many challenges. Therefore, this study aims to explore factors affecting the provision of social work services for cancer patients at the Vietnam National Cancer Hospital. This is a cross-sectional study that used 10 in-depth interviews, and three focus group discussions to collect data. Our findings showed that the factors such as specialized qualifications of social workers, available facilities, the network of social work collaborators, finance, and policy regimes hindered the provision of social work services for cancer patients at the hospital. Meanwhile, the financial factor contributed to promote social work services for cancer patients at the hospital. Besides, the demands for the provision of social work services for cancer patients were one of the factors that should be considered in the coming time. Our study suggested stakeholders pay more attention to these factors.

scholarly journals The Relationship between Coronavirus Anxiety, Mindfulness and Spiritual Health in Patients with Cancer: A Survey in Southeast Iran

2021 ◽  
Vol 18 (5) ◽  
pp. 443-452
Author(s):  
Mahlagha Dehghan ◽  
Zakieh Namjoo ◽  
Ahmad Zarei ◽  
Hanieh Tajedini ◽  
Amir Bahrami ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Short Form ◽  
Psychological Symptom ◽  
Physical Symptom ◽  
Cross Sectional Study ◽  
Spiritual Health ◽  
Cross Sectional ◽  
Factors Affecting ◽  
The Relationship ◽  
Severe Anxiety

Objective The sudden outbreak of COVID-19 has caused major health problems, including anxiety in cancer patients worldwide. Spiritual health and mindfulness are considered as factors affecting anxiety. This study addressed the relationship between COVID-19 anxiety, spiritual health and mindfulness in patients with cancer.Methods One hundred and eighty-four cancer patients participated in this cross-sectional study. The data were collected with convenience sampling method from two oncology centers from 15 June to 15 July 2020 in the southeast Iran. Patients completed the Demographic and Clinical Characteristics Form, Corona Disease Anxiety Scale (CDAS), The Freiburg Mindfulness inventory-Short Form (FMI-SF) and Spiritual Health Scale.Results According to the psychological symptom subscale (CDAS), 61.4% of the participants had moderate to severe anxiety. According to the physical symptom subscale, 38% of the participants had moderate to severe anxiety. No significant association was found between corona disease anxiety and mindfulness/spiritual health (p>0.05).Conclusion The results of this study showed high levels of mental and physical anxiety and worries about COVID-19 disease in cancer patients, which led to challenges in their lives. It is necessary to review and implement effective interventions in future studies to prevent anxiety and its consequences in cancer patients.

scholarly journals Demands and Factors Associated to Psychosocial Support of Cancer Patients at Vietnam National Cancer Hospital

2019 ◽  
Vol 4 (3) ◽  
pp. 35-46
Author(s):  
Nam Tien Pham ◽  
Le Tu Hoang ◽  
Nguyen Kim Oanh ◽  
Nguyen Khac Liem ◽  
Hoang Van Minh
Keyword(s):  
Cancer Patients ◽  
Associated Factors ◽  
Psychosocial Support ◽  
Cross Sectional Survey ◽  
Group Discussions ◽  
Cross Sectional ◽  
Psychological States ◽  
Factors Associated ◽  
Cancer Hospital ◽  
Qualitative And Quantitative Study

Cancer patients in Vietnam are increasing exponentially in numbers, with great demands for psychosocial support. This study explored the demands for the psychosocial support of cancer patients at Vietnam National Cancer Hospital and several associated factors. This is a cross-sectional survey, qualitative and quantitative study, and conducted from April to September 2017. This study utilized the structured questionnaire of 418 cancer patients, 8 in-depth interviews and 3 focus group discussions. Results of the study showed that cancer patients have different demands for 6 types of psychosocial support services, specifically: visiting about health and family difficulties (86.1%), providing information on supporting networks for cancer patients (75.7%), psychological counseling and consultation (68.4%), psychotherapy (49.9%), Consultation on self-care for appearance (39.1%), and Consultation on social communication (38.6%). Factors associated to cancer patients’ demands for psychosocial support at Vietnam National Cancer Hospital are gender, the number of treatments, and psychological states. In addition, to improve the quality of life for cancer patients, Vietnam National Cancer Hospital should promote psychosocial support activities for cancer patients, based on associated factors.

scholarly journals Bacterial Profile and Antibiotic Resistance among Cancer Patients with Urinary Tract Infection in a National Tertiary Cancer Hospital of Nepal

2021 ◽  
Vol 6 (2) ◽  
pp. 49
Author(s):  
Gambhir Shrestha ◽  
Xiaolin Wei ◽  
Katrina Hann ◽  
Kyaw Thu Soe ◽  
Srinath Satyanarayana ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Urinary Tract ◽  
Cancer Patients ◽  
Positive Culture ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Antibiotic Resistant ◽  
E Coli ◽  
Cancer Hospital ◽  
Tract Infections

Cancer patients are at high risk of antibiotic resistant bacterial urinary tract infections (UTIs). In this study, we assessed the bacterial profile and antibiotic resistance among cancer patients suspected of UTI in B.P. Koirala Memorial Cancer Hospital in Nepal through a cross-sectional study with routinely collected data. All cancer patients who had a recorded urine culture between July 2018–June 2019 were included in the study. Out of 308 patients who had undergone culture, 73 (24%) of samples had bacterial growth. The most common organisms isolated were E. coli (58%), Staphylococcus (11%) and Klebsiella (10%). These bacteria had undergone susceptibility testing to 27 different antibiotics in various proportions. Of the limited antibiotic testing levels, nitrofurantoin (54/66, 82%) and amikacin (30/51, 59%) were the most common. Among those tested, there were high levels of resistance to antibiotics in the “Access” and “Watch” groups of antibiotics (2019 WHO classification). In the “Reserve” group, both antibiotics showed resistance (polymyxin 15%, tigecycline 8%). Multidrug resistance was seen among 89% of the positive culture samples. This calls for urgent measures to optimize the use of antibiotics in UTI care at policy and health facility levels through stewardship to prevent further augmentation of antibiotic resistance among cancer patients.

scholarly journals Characteristics of tobacco consumption among cancer patients at a tertiary cancer hospital in South India—A cross-sectional study

2021 ◽  
Vol 14 ◽  
pp. 1179173X2110503
Author(s):  
Vinod K Ramani ◽  
Ganesha D V ◽  
Neethu Benny ◽  
Radheshyam Naik
Keyword(s):  
Substance Use ◽  
Cancer Patients ◽  
Cumulative Dose ◽  
Tobacco Consumption ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cancer Hospital ◽  
Diagnosis Of Cancer ◽  
The Mean

Introduction Cancer patients commonly present with antecedent addiction to tobacco consumption. Our study describes the characteristics of this substance use. Following the diagnosis of cancer, continued consumption of tobacco results in reduced tolerance to treatment, failure of treatment, tumor progression, other primary tumors, secondary cancers, and poor quality of life. The aim of our study is to enumerate the clinico-social aspects of tobacco consumption among cancer patients. Methods This cross-sectional study includes 100 cancer patients admitted to Healthcare Global cancer hospital, Bangalore, India. The study subjects were assessed for tobacco consumption, as well as other substance use such as intake of alcohol. We assessed various dimensions of exposure to tobacco consumption such as duration, intensity, and cumulative dose as independent risk factors for cancer. Results Among the study subjects, 46.2% were found to smoke filter cigarettes. The mean duration of tobacco consumption among beedi users was found to be longer (25.9 years, SD: 14.4). When stratified for exclusive consumption, the mean durations were as follows: beedis (29 ± 14.4 years), cigarettes (23.8 ± 13.3 years), and chewing (15.9 ± 9.6 years). Along with tobacco, a large proportion (59.3%) of patients consumed alcohol as well. After attempts to quit, 89.01% patients had reversal of tobacco substance use. The data did not show significance for duration, intensity, and cumulative dose of tobacco consumption. Conclusion The diagnosis of cancer is a life-altering event, which results in higher motivation to quit the use of tobacco. Smoking cessation initiatives can reduce the risk of developing tobacco-related malignancies.

scholarly journals Evaluation of sexual function and its related factors in women with breast cancer undergoing chemotherapy referred to Iran-Mehr Medical Center in Birjand, 2018

2020 ◽  
pp. 366-375
Keyword(s):  
Breast Cancer ◽  
Sexual Function ◽  
Cancer Patients ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Breast Cancer Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Age Of Marriage

Background and Aim: The Breast cancer is very common. These patients develop sexual dysfunction following chemotherapy. The aim of this study was to evaluate the effect of chemotherapy in breast cancer patients on their sexual function. Materials and Methods: This descriptive-analytical cross-sectional study was performed on patients with breast cancer referred to Iran-Mehr Medical Center in winter 2018 undergoing chemotherapy. 119 patients were enrolled in the study under census. The Rosen’s Sexual Function Questionnaire was used to collect data. Data were analyzed by using SPSS (Version 16) and Smirnov-Kolmogorov, Kruskal-Wallis and Mann-Whitney tests at the significant level of (P<0.05). Results: In terms of sexual function, the lowest score was 2.40 and the highest score was 14.90. In the study of sexual function components, patients were in the worst condition in terms of pain, 0.84±0.75 and humidity 0.85±0.73. The mean scores of other components included orgasm 1.13±0.64, irritability 1.05±0.84, satisfaction 1.23±0.30 and sexual desire 1.66±0.66, respectively. The only factor affecting sexual function Location, age of marriage and age of patients. Conclusion: The score of sexual function was less than the minimum; the most disorders were recorded for the components of pain and humidity. Factors affecting sexual function were included: location, years of menopause, type of treatment, age of patients and years of marriage. It is recommended that the sexual status of breast cancer patients be evaluated before and during treatment and that the necessary training be provided to inform patients about this disorder and the necessary treatments to improve sexual function.

scholarly journals Assessment of Neonatal Thermal Cares: Practices and Beliefs Among Rural Women in West Guji Zone, South Ethiopia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Wako Golicha Wako ◽  
Belda Negesa Beyene
Keyword(s):  
Rural Women ◽  
Qualitative Data ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Cross Sectional ◽  
Skin To Skin ◽  
Depth Interviews ◽  
Neonatal Hypothermia

Abstract Introduction: A newborn has limited capacity to maintain temperature when exposed to cold environments. Therefore it is important to maintain newborn in optimal thermal environment. Neonatal hypothermia carries higher case fatality rate when concurrently occurs with other neonatal problems. Neonatal hypothermia is common neonatal problem.Objectives: This study assessed neonatal thermal care practices and beliefs among rural women in west Guji Zone, south Ethiopia. Methods and Materials: A community based cross sectional study combined with qualitative study was undertaken in rural areas of west Guji Zone. Randomly selected 388 rural mothers of infants less than 6 months old were participated in quantitative study. Three focus group discussions and three in-depth interviews were conducted among mothers of infants less than 6 months old; and grandmothers and traditional birth attendants respectively. Quantitative data was collected by using structured and pretested Afaan Oromo version questionnaire adapted from relevant literatures. Qualitative data was collected by in-depth interviews and focus group discussions. The qualitative data was cleaned, coded and analyzed by SPSS version 20. Qualitative data was analyzed by thematic approach. Results: Out of 423 women planned for the study, 388 women were successfully interviewed and included into the analysis. In general rural women believe in importance of newborn thermal protection. The findings show that approximately 75% and 85% of women dried and wrapped their newborns respectively after delivery. However in study area drying and wrapping newborn are usually done after first newborn bath. Just over 84% of women bathed their newborns in less than 6 hours of delivery and majority of them used warm water for the bathing. About 69.1% and 57.7% of women put head cover to their newborns immediately after birth and initiated breast feeding within one hour of delivery respectively. Skin to skin care of newborn is non-existent in study area and perceived as odd, frightening and potential dangerous practice. Conclusion: Studied women practice some of recommended neonatal thermal care and believe in their importance in keeping newborn warm. However practice and believes about delayed first bath is against standard recommendation, whereas skin to skin care is non-existent and perceivably odd practice.

scholarly journals Prevalence of sleep – wake cycle disturbance among cancer patients of Bhaktapur cancer hospital, Nepal

2017 ◽  
Vol 6 (2) ◽  
pp. 6-13
Author(s):  
P Marita ◽  
R Acharya Pandey
Keyword(s):  
Cancer Patients ◽  
Sleep Disturbances ◽  
Demographic Data ◽  
Severity Index ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Cancer Hospital ◽  
Chi Square Test ◽  
Clinically Significant

 Cancer patients are at great risk for developing insomnia and disorders of the sleep-wake cycle. Insomnia is the most common sleep disturbance in this population and is most often secondary to physical and/or psychological factors related to cancer and/or cancer treatment. It is estimated that nearly 45% of cancer patients experience sleep disturbances; this is nearly three times the estimate of its occurrence in the general population. The purpose of the study is to determine the prevalence of sleep-wake cycle disturbance in patient receiving chemotherapy. A descriptive cross-sectional study was carried out in 2013. A total of 205 respondents, visiting Bhaktapur Cancer Hospital and who met criteria were purposively sampled and interviewed face to face. Insomnia Severity Index Scale was used to grade insomnia. Descriptive statistics such as frequency and percentage was used to describe demographic data. Chi-square test was done to find out the association between prevalence of sleep-wake cycle disturbance and selected variables. Among the total respondents (205), 70.7% had sleep-wake cycle disturbances. Majority (71.21%) of respondents had some form of clinically significant insomnia. The ages of the respondents ranged from 20 to 81 years with the mean age of 56.25 (SD ± 13.87). More than half i.e. 69.3% of the respondents were female. Patients being treated with Methotrexate were found to be more associated with the development of sleep-wake cycle disturbance. The significant association was found on drinking tea/coffee with the prevalence sleep-wake cycle disturbance. Sleep disorders are a common and often chronic problem for patients with cancer. Recently, such symptoms have attracted little attention. This might be the reasons for increased prevalence of sleep-wake cycle disturbance. It is recommended to take early and adequate intervention for the reduction of increased prevalence rate of sleep-wake cycle disturbance. 

scholarly journals A Dosimetric Comparison between Conventional and Conformal Technique of Chest Wall Radiation in Breast Cancer Patients - A Single Institute Cross Sectional Study at Basavatarakam IndoAmerican Cancer Hospital and Research Institute

2021 ◽  
Vol 8 (18) ◽  
pp. 1252-1257
Author(s):  
Aparna Suryadevara ◽  
Yakub Mohmd ◽  
Akkineni Naga Prasanthi
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Chest Wall ◽  
Cross Sectional Study ◽  
Adjuvant Radiation ◽  
Breast Cancer Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Cancer Hospital ◽  
Research Institute

BACKGROUND Breast cancer is the most common cancer among Indian women and adjuvant radiation is an integral part of its management. Adjuvant radiation can be planned by 2D conventional or conformal technique. The most common technique has been 2D technique worldwide, especially in high volume, low resource settings. The comparison of 2D and conformal techniques for chest wall and lymph nodal areas among breast cancer patients is sparse in the literature. The purpose of our study was to dosimetrically compare the 2 D conventional and field-in-field intensity modulating radiational therapy (FiF IMRT) technique in adjuvant radiation to chest wall + / - SCF / axilla areas at Basavatarakam Indo-American Cancer Hospital and Research Institute. METHODS This is a single institute cross sectional study. During immobilisation for planning and CT scan, external radio-opaque markers were placed over chest wall. After contouring and planning by FiF IMRT technique, 2D conventional plan was done by placing MT, LT fields + / - SCF by SSD technique with the guidance of the markers placed and both plans were compared by the dose-volume histogram (DVH) analysis. RESULTS The planning target volume (PTV) coverage was lower with the 2D plan but the advantage of the 2D plan was, it showed lower OAR compared to FiF IMRT plan. The studies comparing PTV coverage and OAR doses between 2D and conformal techniques were mostly done in BCS patients and similar studies for chest wall radiation are rare in the literature and with conflicting results and different methods of 2D planning with modification of 2D plans than what is done routinely. Our study used the 2D plan by SSD technique and also manual MU calculation without normalisation of the plan to the contoured PTV, unlike other studies to minimise the deviation in 2D plan and hence, the comparison of the PTV or OAR doses with FiF IMRT plans. CONCLUSIONS The 2D plan for chest wall planned by tangential fields has the disadvantage in being less homogenous and conformal but with much lower OAR doses than FiF IMRT. It is a safe to treat as far as OARs are considered. KEYWORDS Conventional, Conformal, FIF IMRT, Comparison, Chest Wall Radiation, Breast Cancer

scholarly journals Quality of Life and Burden of Lung Cancer Patients’ Caregivers: A Cross-Sectional Study from Southern Thailand

2020 ◽  
Author(s):  
Orapan Fumaneeshoat ◽  
Thammasin Ingviya
Keyword(s):  
Quality Of Life ◽  
Lung Cancer ◽  
Cancer Patients ◽  
Cross Sectional Study ◽  
World Health ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Lung Cancer Patients

Objective: To measure the Quality of Life (QoL) and Caregiver Burden Scale (CBS) of lung cancer patients’ caregivers and assess the associated factors. Material and Methods: This was a cross-sectional study. We interviewed lung cancer patients and their caregivers who were visiting the outpatient department of a tertiary hospital in Thailand. QoL was measured by the World Health Organization Quality of Life-BREF-THAI. CBS was measured by Zarit’s burden interview. The data were collected using the KoBoToolbox application. Multivariate ordinal logistic regression was used to assess associations between caregivers’ QoL and CBS with the dependent variables, including patient and caregiver factors. Results: Two hundred and four patients and 202 caregivers were included in the study. The only caregivers factor associated with lower QoL was younger age [odds ratio (OR)=0.33, 95% confidence interval (CI): 0.11-0.95)] while factors associated with better QoL were income (OR=3.91, 95% CI: 1.13-14.50) and being a child of the patient (OR=3.24, 95% CI: 1.02-11.30). The main caregivers factor associated with a lower CBS was being Muslim (OR=0.16, 95% CI: 0.05-0.52), and the main factor associated with a higher CBS was income (OR=6.12, 95% CI: 1.66-23.75). The patients factors affecting CBS were female (OR=0.36, 95% CI: 0.17-0.71), Barthel’s activity daily living (ADL) index (OR= 7.42, 95% CI: 1.99-28.65), and ≥2 years looking after a patient (OR=0.40, 95% CI: 0.18-0.88). Conclusion: The factors affecting caregivers’ QoL and CBS were their patients’ ADL and years with disease. Training on caring patients to maintain the patients’ ADL for caregivers should be provided. Health authorities should provide opportunities for patients to share their experience on how they live and cope with the symptoms of lung cancer.

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