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Deficient Health Care Services as Barriers to Meet Care Needs of Gynecological Cancer Survivors in Indonesia: A Qualitative Inquiry
Seminars in Oncology Nursing ( IF 2.2 ) Pub Date : 2021-08-28 , DOI: 10.1016/j.soncn.2021.151206
Yati Afiyanti 1 , Ariesta Milanti 2 , Meyke Rosdiana 3 , Dyah Juliastuti 4
Affiliation  

Objectives

This study aimed to gain insight into the unmet care needs and health care service barriers experienced by Indonesian gynecological cancer survivors after cancer therapy.

Data Sources

Twenty purposively selected women who had completed gynecological cancer therapy for at least 1 year participated in a descriptive qualitative study. Data were collected through in-depth interviews and thematically analyzed.

Conclusion

The analysis constructed two themes and seven subthemes: (a) unmet care needs (subthemes: late side effects; cancer recurrence; stigma of cancer transmission; social-economic concerns), (b) deficient functions of health care services (subthemes: short consultation time; unempathetic health professionals; and inefficient time and cost for the health care services). The gynecological cancer survivors experienced shortages of informational, psychological, and socioeconomic support after cancer therapy because of the deficient quality of the health care services.

Implication for Nursing Practice

Nursing interventions could mitigate the unmet care needs of gynecological cancer survivors after cancer therapy through patient-centered care services and multidisciplinary collaboration.



中文翻译:

缺乏卫生保健服务是满足印度尼西亚妇科癌症幸存者护理需求的障碍:一项定性调查

目标

本研究旨在深入了解印度尼西亚妇科癌症幸存者在癌症治疗后所经历的未满足的护理需求和医疗保健服务障碍。

数据源

20 名已完成妇科癌症治疗至少 1 年的有目的地选择的女性参加了描述性定性研究。通过深入访谈收集数据并进行专题分析。

结论

该分析构建了两个主题和七个子主题:(a) 未满足的护理需求(子主题:晚期副作用;癌症复发;癌症传播的耻辱;社会经济问题),(b) 医疗保健服务功能不足(子主题:短期咨询时间;冷漠的卫生专业人员;以及医疗保健服务的低效时间和成本)。由于医疗保健服务质量不足,妇科癌症幸存者在癌症治疗后缺乏信息、心理和社会经济支持。

对护理实践的启示

护理干预可以通过以患者为中心的护理服务和多学科合作,减轻癌症治疗后妇科癌症幸存者未满足的护理需求。

更新日期:2021-10-02
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