scholarly journals Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study

2021 ◽  
Vol 18 (15) ◽  
pp. 8224
Author(s):  
Johanna Sophie Lubasch ◽  
Susan Lee ◽  
Christoph Kowalski ◽  
Marina Beckmann ◽  
Holger Pfaff ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Perceived Social Support ◽  
Patient Characteristics ◽  
Patient Survey ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Patient Interaction ◽  
Hospital Structures

(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization in hospitals is associated with breast cancer patients’ perceived social support from nurses.; (2) Methods: Data analysis based on a cross-sectional patient survey (2979 breast cancer patients, 83 German hospitals) and information on hospital structures. Associations between process organization and perceived social support were analyzed with logistic hierarchical regression models adjusted for patient characteristics and hospital structures.; (3) Results: Most patients were 40–69 years old and classified with UICC stage II or III. Native language, age and hospital ownership status showed significant associations to the perception of social support. Patients treated in hospitals with better process organization at admission (OR 3.61; 95%-CI 1.67, 7.78) and during the hospital stay (OR 2.11; 95%-CI 1.04; 4.29) perceived significantly more social support from nurses.; (4) Conclusions: Designing a supportive nursing work environment and improving process organization in hospitals may create conditions conducive for a supportive patient-nurse interaction. More research is needed to better understand mechanisms behind the associations found.

scholarly journals Perceived barriers to timely treatment initiation and social support status among women with breast cancer in Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257163
Author(s):  
Bethel Teshome ◽  
Josephin Trabitzsch ◽  
Tsion Afework ◽  
Adamu Addissie ◽  
Mirgissa Kaba ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Treatment Initiation ◽  
Systemic Treatment ◽  
Perceived Social Support ◽  
Pathological Diagnosis ◽  
Perceived Barriers ◽  
Breast Cancer Patients ◽  
Timely Treatment

Timely care is essential to increase breast cancer survival. However, patients in Ethiopia still face multilevel barriers on their pathway to timely treatment initiation. This cross-sectional study at Tikur Anbessa Specialized Hospital Oncology Unit in Addis Ababa assessed systemic treatment initiation intervals of breast cancer patients and quantified the impact of socio-demographic and clinical factors, perceived barriers, and the patients´ perceived social support status on timely systemic treatment initiation (chemotherapy or hormonal therapy). A structured questionnaire was designed based on Pechansky´s “Concept of Access”. Applying simple and multivariate logistic regression we analysed the influence of patients´ characteristics as well as their perceived barriers on timely treatment initiation. We measured social support with the Multidimensional Score of Perceived Social Support (MSPSS) and used the Wilcoxon Rank-Sum Test to assess its relationship with timely treatment initiation. Of 196 patients included into the study, 53% received systemic treatment within 90 days of their pathological diagnosis–the median treatment initiation interval was 85 days (IQR 123.5). Older women and patients diagnosed at late stages had higher odds of timely treatment initiation. Not being able to pay for services and lack of transport were most often perceived as barriers towards timely care. However, none of the perceived barriers showed a substantial influence on timely treatment initiation in the multivariate regression model. The patients´ perceived social support was found to be high, with an average MSPSS score of 73 out of 84 (SD 13,63). No impact of the perceived social support status on timely treatment initiation was found. The percentage of breast cancer patients waiting longer than 90 days from pathological diagnosis to systemic treatment initiation in Ethiopia remains unacceptably high. While women generally feel well supported by their social environment, costs and accessibility of treatment are perceived to be major barriers towards timely treatment initiation.

Anxiety, depression, perceived social support and quality of life in Malaysian breast cancer patients: A 1-year prospective study

2016 ◽  
Vol 33 (S1) ◽  
pp. S419-S419
Author(s):  
C.G. Ng ◽  
S. Mohamed ◽  
M.H. See ◽  
F. Harun ◽  
A.H. Sulaiman ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Social Support ◽  
Cancer Patients ◽  
Perceived Social Support ◽  
Anxiety And Depression ◽  
Life Questionnaire ◽  
Breast Cancer Patients ◽  
Global Status

BackgroundDepression and anxiety were common psychiatric morbidity among breast cancer patient. This study aims to study the level of depression, anxiety, QoL and PSS among Malaysian breast cancer women over a period of 12 months and their associations at baseline, 6 and 12 months.MethodsIt is a 12-months prospective cohort study. Two hundred and twenty one female patients were included into the study. They were assessed at the time of diagnosis, 6 months and 12 month using Hospital Anxiety and Depression Scale (HADS), Quality-of-Life Questionnaire (QLQ–C30), Version 3.0 and Multidimensional Scale of Perceived Social Support (MSPSS). Relevant socio-clinical characteristic information was collected.ResultsThe HADS anxiety and depression subscales scores of the subjects were relatively low. The level of anxiety reduced significantly at 6 and 12 months (baseline – 6 months, P = 0.002; baseline – 12 months, P < 0.001). There were no changes in the level of depression over the study period. The global status of QoL and MSPSS scores were relatively high. There was positively correlation between the global status of QoL and MSPSS for the study subjects (Spearman's rho = 0.31–0.36). Global status of QoL and MSPSS scores were negatively correlated with anxiety and depression.ConclusionMalaysian breast cancer women had relatively better QoL with lower level of anxiety and depression. Perceived social support was important associated factor for better QoL with low level of psychological distress. It reflected the importance of enhancing and maintaining the social support system for breast cancer patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Perceived social support in African American breast cancer patients: Predictors and effects

2017 ◽  
Vol 192 ◽  
pp. 134-142 ◽  
Author(s):  
Tess Thompson ◽  
Maria Pérez ◽  
Matthew Kreuter ◽  
Julie Margenthaler ◽  
Graham Colditz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
African American ◽  
Cancer Patients ◽  
Perceived Social Support ◽  
Breast Cancer Patients

A Study on the Relationships Among Character Strengths, Perceived Social Support and Subjective Well-Being of Breast Cancer Patients

2021 ◽  
Vol 11 (7) ◽  
pp. 1967-1972
Author(s):  
Feiyan Ruan ◽  
Xiaotong Ding ◽  
Huiping Li ◽  
Yixuan Wang ◽  
Kemin Ye ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Social Support ◽  
Cancer Patients ◽  
Perceived Social Support ◽  
Character Strengths ◽  
Well Being ◽  
General Information ◽  
Subjective Well Being ◽  
Breast Cancer Patients ◽  
Key Factor

Purpose: Subjective well-being is a key factor affecting the overall quality of life of cancer patients. The aim of this study was to provide information on improving the level of happiness to breast cancer patients by exploring the relationships among character strengths, perceived social support and subjective well-being. Methods: A total of 181 breast cancer patients were enrolled. Participants completed a general information questionnaire, the values in action inventory of strengths questionnaire, the perceived social support scale questionnaire, and the index of well-being questionnaire. Results: The subjective well-being and perceived social support of breast cancer patients were positively correlated with their character strengths (r = 0.167-0.630, all P < 0.05). Perceived social support played a mediating role between the four traits of character strength and subjective well-being. The percentages of the mediating effects that comprised the total effects were 26.3% for perceptual—self-focused, 26.5% for perceptual—other-focused, 23.5% for rational—self-focused, and 23.7% for rational—other-focused. Conclusion: Breast cancer patients’ subjective well-being can be improved by their character strengths and high levels of perceived social support.

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