Who cares? The impact on caregivers of suspected mining-related lung cancer.

谁在乎?疑似采矿相关肺癌对照护者的影响。

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ID: 55593
2019
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Abstract
In the present study, we investigated the emotional, physical, financial, occupational, practical, and quality-of-life impacts on caregivers of patients with mining-related lung cancer.This concurrent, embedded, mixed-methods study used individual in-depth qualitative interviews and the 36-item Short Form Health Survey (version 2: RAND Corporation, Santa Monica, CA, U.S.A.) quality-of-life measure with 8 caregivers of patients with suspected mining-related lung cancer who had worked in Sudbury or Elliot Lake (or both), and sometimes elsewhere. Individuals who assist workers in filing compensation claims were also interviewed in Sudbury and Elliot Lake. Interviews ( = 11) were transcribed and analyzed thematically.Caregiver themes focused on the long time to, and the shock of, diagnosis and dealing with lung cancer; not much of a life for caregivers; strong views about potential cancer causes; concerns about financial impacts; compensation experiences and long time to compensation; and suggestions for additional support. Quality-of-life scores were below the norm for most measures. Individuals who assist workers in preparing claims were passionate about challenges in the compensation journey; the requirement for more and better family support; the need to focus on compensation compared with cost control; the need for better exposure monitoring, controls, resources, and research; and job challenges, barriers, and satisfaction.Caregivers expressed a need for more education about the compensation process and for greater support. Worker representatives required persistence, additional workplace monitoring and controls, additional research, and a focus on compensation compared with cost control. They also emphasized the need for more family support.
在本研究中,我们探讨了采矿相关肺癌患者的照护者在情绪、身体、经济、职业、实际生活及生命质量(quality of life)方面所受到的影响。这项并行嵌套式混合方法研究采用了个人定性深度访谈,并使用36项简明健康调查问卷(第2版:美国加利福尼亚州圣莫尼卡兰德公司)对8名疑似采矿相关肺癌患者的照护者进行了生命质量测定。这些患者曾工作于萨德伯里或埃利奥特湖(或两地皆有),部分亦曾工作于其他地区。研究人员还在萨德伯里和埃利奥特湖访谈了协助工人申请赔偿的人员。所有访谈( = 11)均转录成文字并进行了主题分析。照护者的主题主要集中在:漫长的确诊过程、确诊的打击以及应对肺癌的经历;照护者自身生活的匮乏;对潜在致癌原因的强烈观点;对经济影响的担忧;索赔经历与漫长的获赔周期;以及对获取额外支持的建议。在大多数维度的测量中,照护者的生命质量得分均低于常模。协助工人准备索赔的人员则重点关注了索赔过程中的重重挑战;对更多、更优质家庭支持的需求;相较于成本控制更应注重合理赔偿的必要性;完善暴露监测、工程控制、资源投入及科学研究的需求;以及自身的工作挑战、障碍与工作满意度。照护者表示,亟需针对赔偿流程开展更多宣教指导并获得更有力的支持。工人代表则呼吁保持坚持、加强工作场所的监测与控制、开展更多研究,并主张重视合理赔偿而非一味控制成本。他们还强调了提供更多家庭支持的必要性。
Reference Key
lightfoot2019whocurrent Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Lightfoot, N;MacEwan, L;Tufford, L;Holness, D L;Mayer, C;Kramer, D M;
Journal current oncology (toronto, ont)
Year 2019
DOI
10.3747/co.26.4635
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