Hostname: page-component-745bb68f8f-b95js Total loading time: 0 Render date: 2025-02-03T05:55:55.287Z Has data issue: false hasContentIssue false
  • English
  • Français

COVID-19-Related Knowledge and Practices of Cancer Patients and Their Anxiety and Depression During the Early Surge Phase of the Pandemic: A Cross-sectional Online Survey

Published online by Cambridge University Press:  31 January 2022

Hui-Min Pi ,
Shao-Yun Zhang ,
Ru-Jun Zheng ,
Yan Fu ,
Jun-Ying Li ,
Chun-Hua Yu ,
Yan Jiang  and
Hao Huang
Hui-Min Pi
Affiliation:
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China
Shao-Yun Zhang
Affiliation:
The Third Hospital of Mianyang, Sichuan Mental Health Center, Mianyang, China
Ru-Jun Zheng
Affiliation:
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China
Yan Fu
Affiliation:
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China
Jun-Ying Li*
Affiliation:
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China West China College of Nursing, Sichuan University, Chengdu, China
Chun-Hua Yu*
Affiliation:
Department of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, China West China College of Nursing, Sichuan University, Chengdu, China
Yan Jiang*
Affiliation:
Evidence-Based Research Center for Quality and Safety of Care, West China Hospital, Sichuan University, Chengdu, China
Hao Huang*
Affiliation:
Evidence-Based Research Center for Quality and Safety of Care, West China Hospital, Sichuan University, Chengdu, China
*
Corresponding authors: Jun-Ying Li, Email: [email protected]; Chun-Hua Yu, Email: [email protected]; Yan Jiang, Email: [email protected]; Hao Huang, Email: [email protected].
Corresponding authors: Jun-Ying Li, Email: [email protected]; Chun-Hua Yu, Email: [email protected]; Yan Jiang, Email: [email protected]; Hao Huang, Email: [email protected].
Corresponding authors: Jun-Ying Li, Email: [email protected]; Chun-Hua Yu, Email: [email protected]; Yan Jiang, Email: [email protected]; Hao Huang, Email: [email protected].
Corresponding authors: Jun-Ying Li, Email: [email protected]; Chun-Hua Yu, Email: [email protected]; Yan Jiang, Email: [email protected]; Hao Huang, Email: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We aimed to investigate the coronavirus disease 2019 (COVID-19)-related knowledge and practices of cancer patients and to assess their anxiety- and depression-related to COVID-19 during the early surge phase of the pandemic.

Methods:

An online questionnaire survey of cancer patients was conducted from February 10-29, 2020. Knowledge and practices related to COVID-19 were assessed using a custom-made questionnaire. The Hospital Anxiety and Depression Scale was used to assess the presence of anxiety and depression, with scores beyond 7 indicating anxiety or depressive disorder. Univariate and multiple linear regression analyses were used to identify the high-risk groups according to the level of knowledge, practices, anxiety, and depression scores.

Results:

A total of 341 patients were included. The rate of lower level of knowledge and practices was 49.9% and 18.8%, respectively. Education level of junior high school degree or lower showed a significant association with lower knowledge score (β: −3.503; P < 0.001) and lower practices score (β: −2.210; P < 0.001) compared to the education level of college degree and above. The prevalence of anxiety and depression among the respondents was 17.6% and 23.2%, respectively. A higher depression score was associated with older age, marital status of the widowed, and lower level of education, knowledge score, and practices score (P < 0.05).

Conclusions:

Targeted COVID-19-related education interventions are required for cancer patients with a lower level of knowledge to help improve their practices. Interventions are also required to address the anxiety and depression of cancer patients.

Keywords

COVID-19cancer patientsknowledgepracticesanxietydepression
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e73
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Lu, H, Stratton, CW, Tang, YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: the mystery and the miracle. J Med Virol. 2020;92(4):401‐402.CrossRefGoogle ScholarPubMed
Chen, N, Zhou, M, Dong, X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507‐513.CrossRefGoogle ScholarPubMed
Team, Eurosurveillance Editorial. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. Euro Surveill. 2020;25(5):200131e.Google Scholar
Li, Q, Guan, X, Wu, P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med. 2020;382(13):1199‐1207.CrossRefGoogle ScholarPubMed
Wang, C, Horby, PW, Hayden, FG, et al. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470‐473.CrossRefGoogle ScholarPubMed
McMichael, TM, Currie, DW, Clark, S, et al. Epidemiology of Covid-19 in a long-term care facility in King County. Washington N Engl J Med. 2020;382(21):2005‐2011.CrossRefGoogle Scholar
Wang, D, Hu, B, Hu, C, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan. China JAMA. 2020;323(11):1061‐1069.CrossRefGoogle ScholarPubMed
Huang, B, Zhu, J, Wu, XY, et al. Should patients stop their radiotherapy or chemotherapy during the COVID-19 pandemic. Am J Cancer Res. 2020;10(5):1518‐1521.Google ScholarPubMed
Kamboj, M, Sepkowitz, KA. Nosocomial infections in patients with cancer. Lancet Oncol. 2009;10(6):589‐597.CrossRefGoogle ScholarPubMed
Wang, B, Huang, Y. Which type of cancer patients are more susceptible to the SARS-COX-2: evidence from a meta-analysis and bioinformatics analysis. Crit Rev Oncol Hematol. 2020;153:103032‐103032.CrossRefGoogle Scholar
van Dam, PA, Huizing, M, Mestach, G, et al. SARS-CoV-2 and cancer: are they really partners in crime? Cancer Treat Rev. 2020;89:102068.CrossRefGoogle ScholarPubMed
Linden, W, Vodermaier, A, Mackenzie, R, et al. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender, and age. J Affect Disord. 2012;141(2-3):343‐351.CrossRefGoogle ScholarPubMed
Wang, Y, Duan, Z, Ma, Z, et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatry. 2020;10(1):263.CrossRefGoogle ScholarPubMed
Kebede, Y, Yitayih, Y, Birhanu, Z, et al. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma University Medical Center visitors, Southwest Ethiopia. PLoS One. 2020;15(5):e0233744.CrossRefGoogle ScholarPubMed
Huang, Y, Zhao, N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res. 2020;288:112954.CrossRefGoogle Scholar
Zhong, BL, Luo, W, Li, HM, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745‐1752.CrossRefGoogle ScholarPubMed
Erdem, D, Karaman, I. Awareness and perceptions related to COVID-19 among cancer patients: a survey in oncology department. Eur J Cancer Care (Engl). 2020;29(6):e13309.CrossRefGoogle ScholarPubMed
Guven, DC, Sahin, TK, Aktepe, OH, et al. Perspectives, knowledge, and fears of cancer patients about COVID-19. Front Oncol. 2020;10:1553.CrossRefGoogle ScholarPubMed
Padmanabhanunni, A, Pretorius, T. Behaviour is the key in a pandemic: the direct and indirect effects of COVID-19-related variables on psychological wellbeing. Psychol Rep. 2021:332941211025269.Google Scholar
Ali, A, Sohaib, M, Iqbal, S, et al. Evaluation of COVID-19 disease awareness and its relation to mental health, dietary habits, and physical activity: a cross-sectional study from Pakistan. Am J Trop Med Hyg. 2021;104(5):1687‐1693.CrossRefGoogle ScholarPubMed
Lin, L, Li, TS. Interpretation of “guidelines for the diagnosis and treatment of novel coronavirus (2019-nCoV) infection by the National Health Commission (Trial Version 5)”. Zhonghua Yi Xue Za Zhi. 2020;100(11):805‐807.Google Scholar
Xiang, Y-T, Yang, Y, Li, W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228‐229.CrossRefGoogle ScholarPubMed
Yang, Z, Huang, X, Liu, X, et al. Psychometric properties and factor structure of the Chinese version of the hospital anxiety and depression scale in people living with HIV. Front Psychiatry. 2019;10:346.CrossRefGoogle ScholarPubMed
Zigmond, AS, Snaith, RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361‐370.CrossRefGoogle ScholarPubMed
Venkatesulu, BP, Chandrasekar, VT, Girdhar, P, et al. A systematic review and meta-analysis of cancer patients affected by a novel coronavirus. JNCI Cancer Spectr. 2021;5(2):pkaa102.CrossRefGoogle ScholarPubMed
Tian, S, Hu, W, Niu, L, et al. Pulmonary pathology of early-phase 2019 novel coronavirus (COVID-19) pneumonia in two patients with lung cancer. J Thorac Oncol. 2020;15(5):700‐704.CrossRefGoogle ScholarPubMed
Basch, CH, Hillyer, GC, Meleo-Erwin, ZC, et al. Preventive behaviors conveyed on YouTube to mitigate transmission of COVID-19: cross-sectional study. JMIR Public Health Surveill. 2020;6(2):e18807.CrossRefGoogle ScholarPubMed
Yue, S, Zhang, J, Cao, M, et al. Knowledge, attitudes and practices of COVID-19 among urban and rural residents in China: a cross-sectional study. J Community Health. 2020;46(2):286‐291.CrossRefGoogle Scholar
Wang, C, Pan, R, Wan, X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020;17(5):1729.CrossRefGoogle ScholarPubMed
Weller, D. Cancer diagnosis and treatment in the COVID-19 era. Eur J Cancer Care (Engl). 2020;29(3):e13265.CrossRefGoogle ScholarPubMed
Mitchell, AJ, Chan, M, Bhatti, H, et al. Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol. 2011;12(2):160‐174.CrossRefGoogle ScholarPubMed
Wang, Y, Di, Y, Ye, J, et al. Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychol Health Med. 2021;26(1):13‐22.CrossRefGoogle Scholar
Galindo-Vázquez, O, Ramírez-Orozco, M, Costas-Muñiz, R, et al. Symptoms of anxiety, depression and self-care behaviors during the COVID-19 pandemic in the general population. Gac Med Mex. 2020;156(4):298‐305.Google ScholarPubMed
Gallagher, S, Bennett, KM, Roper, L. Loneliness and depression in patients with cancer during COVID-19. J Psychosoc Oncol. 2021;39(3):445‐451.CrossRefGoogle ScholarPubMed
Tsaras, K V, Mitsi D, et al. Assessment of depression and anxiety in breast cancer patients: prevalence and associated factors. Asian Pac J Cancer Prev. 2018;19(6):1661‐1669.Google ScholarPubMed
Leung, GM, Lam, TH, Ho, LM, et al. The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health. 2003;57(11):857‐863.CrossRefGoogle ScholarPubMed
Tashkandi, E, BaAbdullah, M, Zeeneldin, A, et al. Optimizing the communication with cancer patients during the COVID-19 pandemic: patient perspectives. Patient Prefer Adherence. 2020;14:1205‐1212.CrossRefGoogle ScholarPubMed
Reinholz, M, French, LE. Medical education and care in dermatology during the SARS-CoV2 pandemia: challenges and chances. J Eur Acad Dermatol Venereol. 2020;34(5):e214‐e216.CrossRefGoogle ScholarPubMed
Alshamrani, M, AlHarbi, A, Alkhudair, N, et al. Practical strategies to manage cancer patients during the COVID-19 pandemic: Saudi Oncology Pharmacy Assembly Experts recommendations. J Oncol Pharm Pract. 2020;26(6):1429‐1440.CrossRefGoogle ScholarPubMed
Liu, W, Yue, XG, Tchounwou, PB. Response to the COVID-19 epidemic: the Chinese experience and implications for other countries. Int J Environ Res Public Health. 2020;17(7):2304.CrossRefGoogle Scholar
Chen, Q, Liang, M, Li, Y, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e15‐e16.CrossRefGoogle ScholarPubMed
Ream, E, Hughes, AE, Cox, A, et al. Telephone interventions for symptom management in adults with cancer. Cochrane Database Syst Rev. 2020;6(6):CD007568.Google ScholarPubMed