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2020 ; 23
(4
): 247-254
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Explore the Optimal Resolvent of Medical Needs and Mental Health for Patients
with Lung Cancer during Epidemic Novel Coronavirus Pneumonia
#MMPMID32316712
Xu H
; Yang K
; Yang G
; Yang L
; Mi Y
; Cui X
; Yang M
; Wang D
; Wang Y
Zhongguo Fei Ai Za Zhi
2020[Apr]; 23
(4
): 247-254
PMID32316712
show ga
BACKGROUND: With the rapid spread of novel coronavirus pneumonia (NCP) worldwide
and the escalation of prevention and control efforts, the routine medical needs
of patients have been restricted. The aims were to investigate medical needs of
lung cancer patients and their mental health status during the epidemic periods,
so as to provide rational recommendations for subsequent diagnosis and treatment.
METHODS: The questionnaire was sent in the form of an electronic questionnaire at
7am on 4th, March, 2020, until 7am 6th, March, 2020, 368 questionnaires were
recollected from 25 provinces (autonomous regions/municipalities) in 48 h.
RESULTS: Of the 368 patients, 18 patients were excluded as they didn't receive
anti-tumor treatment, and 350 patients were included in the final analysis. 229
cases were treated with oral targeted drugs, and 121 cases were treated with
chemotherapy or immunotherapy. 41.3% of patients treated with intravenous
chemotherapy or immunotherapy experienced treatment discontinuation, and the
proportion of treatment discontinuation in chemotherapy or immunotherapy was
higher than those treated with oral targeted drugs (21.0%). Whether oral targeted
drugs or intravenous chemotherapy or immunotherapy, more than 60% of patients
experienced delays in imaging examinations. Nearly one third of patients
developed new symptoms or exacerbation of existing symptoms. 26.6%-28.9% of
patients have changed their treatment plans through online consultation. During
novel coronavirus pneumonia, 40%-75% of lung cancer patients have mental health
problems, and more than 95% of patients support government's prevention and
control measures. CONCLUSIONS: During the emergence of NCP, the medical needs of
patients with lung cancer have not been enough, especially those who discontinued
chemotherapy or immunotherapy. When medical institution resumes work, priority
should be given to them. At the same time, mental health problems of patients
should be valued and resolved timely.
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