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Quality of Life and Psychosocial Impacts of the Different Restrictive Measures during One Year into the COVID-19 Pandemic on Patients with Cancer in Italy: An Ecological Study

Author

Listed:
  • Maria Ferrara

    (Health Education Observatory of the Hygiene Laboratory, Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy)

  • Elisa Langiano

    (Health Education Observatory of the Hygiene Laboratory, Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy)

  • Lavinia Falese

    (Health Education Observatory of the Hygiene Laboratory, Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy)

  • Antonella De Marco

    (Health Education Observatory of the Hygiene Laboratory, Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy)

  • Elisabetta De Vito

    (Health Education Observatory of the Hygiene Laboratory, Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, 03043 Cassino, Italy)

Abstract

Background: The aim of the study was to assess the perceived quality of life and the psychosocial impact of the various restrictive measures due to COVID-19 pandemic on cancer patients in Italy, as well as their perception of the relationship with doctors and caregivers. Methods: This study compares three population-based observational studies of patients with cancer carried out in three consecutive time periods characterized by different restrictive measures using a self-administered online questionnaire. Results: Among the basic needs, psychological and medical support appeared to be prevalent; so did the need for safe transportation to reach the treatment facilities. Internet was the main source of information on the coronavirus. Although 74.6% of the total number of patients did not give up hospital therapies, 34.8% complained about variations in the continuity of treatment, with different percentages in the three samples. The majority of the sample (73.8%) was worried of being infected, but 21.9% did not share their anxieties and worries with others. The multivariate regression analysis showed that a pessimistic perception of quality of life was influenced by living in extra-urban areas and alone (OR = 1.4; OR = 2.1); while a perception of a reduced physical function result affected by the state of anxiety and stress (OR = 1.9) and the difficulties in continuity of medical assistance (OR = 2.2). The scoring of the SF-12 in the Physical Component Summary and Mental Component Summary scores showed a fluctuating trend throughout the three periods investigated. Conclusions: It is important for health professionals, caregivers and social workers to identify the new needs in order to enhance home care interventions, personalize and optimize care, ensure continuity of care and guarantee a high quality of life even in a health emergency situation.

Suggested Citation

  • Maria Ferrara & Elisa Langiano & Lavinia Falese & Antonella De Marco & Elisabetta De Vito, 2021. "Quality of Life and Psychosocial Impacts of the Different Restrictive Measures during One Year into the COVID-19 Pandemic on Patients with Cancer in Italy: An Ecological Study," IJERPH, MDPI, vol. 18(13), pages 1-14, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7161-:d:588315
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    Cited by:

    1. Ilaria Bochicchio & Valentina Lucia La Rosa & Graziella Marino & Giuseppe Craparo & Elena Commodari & Giovanni Deiana & Francesca Sanseverino & Alfredo Tartarone & Raffaele Conca & Alessandro Rocco Le, 2023. "Psychological Well-Being of Cancer Patients before and during the Pandemic: The Impact of COVID-19 Peritraumatic Distress," IJERPH, MDPI, vol. 20(5), pages 1-11, February.
    2. Mingna Li & Bo Zhou & Bingbin Hu, 2022. "Relationship between Income and Mental Health during the COVID-19 Pandemic in China," IJERPH, MDPI, vol. 19(15), pages 1-14, July.
    3. Pierluigi Diotaiuti & Giuseppe Valente & Stefania Mancone & Stefano Corrado & Fernando Bellizzi & Lavinia Falese & Elisa Langiano & Guilherme Torres Vilarino & Alexandro Andrade, 2023. "Effects of Cognitive Appraisals on Perceived Self-Efficacy and Distress during the COVID-19 Lockdown: An Empirical Analysis Based on Structural Equation Modeling," IJERPH, MDPI, vol. 20(7), pages 1-16, March.

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