The Impact of the Family and Health Workers on Psychosocial Adaptation and the Process of Treatment of Oncological Patients

Authors

  • Olivera Kalajdžić Department of Psychology, Faculty of Medicine in Foča, University of East Sarajevo, The Republic of Srpska, Bosnia and Herzegovina
  • Jelena Pavlović Department of Nursing, Faculty of Medicine in Foca, University of East Sarajevo, The Republic of Srpska, Bosnia and Herzegovina

DOI:

https://doi.org/10.3889/oamjms.2020.4749

Keywords:

Psychosocial adaptation, Cancer, Patient, Family support

Abstract

BACKGROUND: Psychological support for patients and their families is of great importance at times when they go through shock, stress, and fear at moments when confronted with diagnosis and treatment.

AIM: Aim to this study was to examine the influence of family attitudes on psychosocial adaptation and the effect of treatment of patients with malignancies to preserve the integrity of the diseased person in Bosnia and Herzegovina.

METHODS: The cross-sectional study included 100 patients who were hospitalized at Foca University Hospital, Department of Oncology between September 2019 and December 2019. The survey used a sociodemographic questionnaire as well as a standardized questionnaire to evaluate communication with patients with malignant diseases for the patient and family (CCAT-PF).

RESULTS: More than half of the respondents (69%) accepted the malignancy. When it comes to communication between health-care professionals and patients, 51% are satisfied with the communication and 49% are not satisfied. Most respondents (62%) hesitate to talk about side effects during treatment with health-care professionals, with a statistically significant difference observed between male and female respondents (χ2 = 6,014; p = 0.014).

CONCLUSION: The time devoted to the subjects by the physicians as well as the willingness to listen to the patient is important aspects that influence the adaptation of the disease as well as the treatment.

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References

World Health Organization. WHO Definition of Palliative Care. World Health Organization; 2019. Available from: http://www. who.int/ cancer/palliative/definition/en. [Last accessed on 2019 Jan 01].

Subcommittee in Palliative Medicine, Hong Kong College of Physicians. Palliative Care: Setting the Scene for the Future. Hong Kong College of Physicians; 2008. Available from: http:// www.hkcp.org/docs/News/Position paper in Palliative Medicine. pdf. [Last accessed on 2019 Jan 01]. https://doi.org/10.12809/ hkjr1716802

Fitch MI. Supportive care framework. Can Oncol Nurs J. 2008;18(1):6-24. PMid:18512565

Dunn J, Adams C, Holland J, Watson M. Reinforcing the role of psycho-social oncology in global cancer prevention: Applying psycho-oncology research in programmes and practice. Psychooncology. 2015;24:1217-21. https://doi.org/10.1002/ pon.3923

Tabrizi FJ, Rahmani A, Jafarabadi MA, Jasemi M, Allahbakhshian A. Unmet supportive care needs of Iranian cancer patients and its related factors. J Caring Sci 2016;5:307- 16. https://doi.org/10.15171/jcs.2016.032 PMid:28032075

Siminoff LA, Zyzanski SJ, Rose JH, Zhang AY. The cancer communication assessment tool for patients and families (CCAT-PF): A new measure. Psychooncology. 2008;17(12):1216-24. https://doi.org/10.1002/pon.1350 PMid:18504807

Siminoff LA, Graham GC, Gordon NH. Cancer communication patterns and the influence of patient characteristics: Disparities in information-giving and affective behaviors. Patient Educ Couns. 2016;62(3):355-60. https://doi.org/10.1016/j.pec.2006.06.011 PMid:16860520

Gordon HS, Street RL Jr., Sharf BF, Souchek J. Racial differences in doctors information-giving and patients participation. Cancer. 2016;107(6):1313-20. https://doi.org/10.1002/cncr.22122 PMid:16909424

Gordon HS, Street RL Jr., Sharf BF, Kelly A, Souchek J. Racial differences in trust and lung cancer patients perceptions of physician communication. J Clin Oncol. 2015;24(6):9-904. https://doi.org/10.1200/jco.2005.03.1955 PMid:16484700

Degner LF, Kristjanson LJ, Bowman D, Sloan JA, Carriere KC, O’Neil J, et al. Information needs and decisional preferences in women with breast cancer. JAMA. 2012;277(18):1485-92. https://doi.org/10.1001/jama.1997.03540420081039 PMid:9145723

Hietanen P, Aro AR, Holli K, Absetz P. Information and communication in the context of a clinical trial. Eur J Cancer. 2013;36(16):2096-104. https://doi.org/10.1016/ s0959-8049(00)00191-x PMid:11044647

Schmid-Buchi S, Halfens RJ, Muller M, Dassen T, van den Borne B. Factors associated with supportive care needs of patients under treatment for breast cancer. Eur J Oncol Nurs. 2013;17:22-9. https://doi.org/10.1016/j.ejon.2012.02.003 PMid:22449715

Gordon EJ, Daugherty CK. Hitting you over the head: Oncologists disclosure of prognosis to advanced cancer patients. Bioethics. 2013;17(2):142-68. https://doi.org/10.1111/1467-8519.00330 PMid:12812182

Maguire P. Improving communication with cancer patients. Eur J Cancer. 2013;35(10):1415-22. PMid:10673972

Baile WF, Buckman R, Lenzi R, Glober G, Beale EA, Kudelka AP. A six-step protocol for delivering bad news: Application to the patient with cancer. Oncologist. 2014;5(4):11-302. https://doi. org/10.1634/theoncologist.5-4-302 PMid:10964998

Buckman R. Communications and emotions. BMJ. 2011;325(7366):672. PMid:12351345

Frankel RM, Stein T. Getting the most out of the clinical encounter: The four habits model. J Med Pract Manage. 2013;16(4):184-91. PMid:11317576

Baker-Glenn EA, Park B, Granger L, Symonds P, Mitchell AJ. Desire forpsychological support in cancer patients with depression or distress: Validation of a simple help question. Psychooncology. 2011;20(5):525-31. https://doi.org/10.1002/ pon.1759 PMid:20878852

Baker P, Beesley H, Dinwoodie R, Fletcher I, Ablett J, Holcombe C, et al. Youreputting thoughts into my head: A qualitative study of the readiness of patientswith breast, lung or prostate cancer to address emotional needs through thefirst 18 months after diagnosis. Psychooncology. 2013;22:1402-43. https://doi.org/10.1002/pon.3156 PMid:22890719

Epstein R, Street R. Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda: National Institutes of Health; 2007. https://doi.org/10.1037/ e481972008-001

Bultz BD, Groff SL, Fitch M, Blais MC, Howes J, Levy K, et al. Implementingscreening for distress, the 6th vital sign: A Canadian strategy for changingpractice. Psychooncology. 2011;20:463-9. https://doi.org/10.1002/pon.1932 PMid:21456060

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Published

2020-09-15

How to Cite

1.
Kalajdžić O, Pavlović J. The Impact of the Family and Health Workers on Psychosocial Adaptation and the Process of Treatment of Oncological Patients. Open Access Maced J Med Sci [Internet]. 2020 Sep. 15 [cited 2024 Mar. 29];8(B):779-83. Available from: https://oamjms.eu/index.php/mjms/article/view/4749

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