Experience of Young Adults with Cancer During the COVID-19 Pandemic: A Qualitative Study on Health Care and Psycho-Emotional Impact

Authors

DOI:

https://doi.org/10.22235/ech.v14i1.4076

Keywords:

nursing, COVID-19, neoplasms, young adult, psychological stress

Abstract

Objective: To understand the experiences of young adults with cancer during the COVID-19 pandemic and its impact on their psycho-emotional well-being. Methodology: A qualitative case study approach, with data collected through semi-structured interviews conducted with young adults who underwent cancer treatment between March 2020 and December 2021 at a chemotherapy center in southern Brazil. The data was organized using WebQDA software and analyzed thematically. Results: The study revealed that, according to the participants, there were few changes in the oncology treatment process during the COVID-19 pandemic, and these were linked to the delay in starting treatment and delays in specialist consultations. Participants expressed concerns about contracting the virus due to the low immunity caused by cancer treatment. Additionally, strict protective measures, such as isolation, significantly affected the young adults undergoing treatment. They had to suspend their activities and distance themselves from their families, leading to negative emotional impacts. Conclusions: It can be considered that young people with cancer in the pandemic context require support from health services, particularly regarding accurate information, diagnosis, and early treatment, as delays in these processes can directly affect patient survival. Providing mental health care strategies also helps to combat both cancer and COVID-19.

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References

Instituto Nacional de Câncer. O que é o câncer? [Internet]. Brasília, DF: Ministério da Saúde; 2022 [acesso em 2024 Mar 27]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/o-que-e-cancer

Instituto Nacional de Câncer. O que causa o câncer? [Internet]. Brasília, DF: Ministério da Saúde; 2023 [acesso em 2024 Mar 27]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/causas-e-prevencao-do-cancer/o-que-causa-o-cancer/o-que-causa-o-cancer

Cohen HJ, Wong ML. Comprehensive geriatric assessment for patients with cancer [Internet]. Waltham, MA: UpToDate; 2023 [acesso em 2024 Mar 27]. Disponível em: https://www.uptodate.com/contents/comprehensive-geriatric-assessment-for-patients-with-cancer

Kentsis A. Why do young people get cancer? Pediatr Blood Cancer [Internet]. 2020 [acesso em 2024 Abr 19];67(7):e28335. doi: 10.1002/pbc.28335

Brasil. Institui o Estatuto da Juventude e dispõe sobre os direitos dos jovens, os princípios e diretrizes das políticas públicas de juventude e o Sistema Nacional de Juventude - SINAJUVE. Lei 12.852/2013, de 05 de agosto. Presidência da República - Casa Civil, 2013. Disponível em: https://www.planalto.gov.br/ccivil_03/_ato2011-2014/2013/lei/l12852.htm

Silva EV de S, Nascente E de P, Miguel MP, Alves CEF, Moura VMBD de. Elucidating tumor immunosurveillance and immunoediting: a comprehensive review. Ciên Anim Bras [internet]. 2021 [acesso em 2024 Abr 20];22:e68544. doi: 10.1590/1809-6891v22e-68544

You B, Ravaud A, Canivet A, Ganem G, Giraud P, Guimbaud R, et al. The official French guidelines to protect patients with cancer against SARS-CoV-2 infection. Lancet Oncol [Internet]. 2020 [acesso em 2024 Abr 20];21(5):619–621. doi: 10.1016/S1470-2045(20)30204-7

Departamento de Assistência Hospitalar e Ambulatorial. Nota Técnica COVID-19 e Câncer [Internet]. Porto Alegre; 2020 [acesso em 2024 de Abr 20]. Disponível em: https://saude.rs.gov.br/upload/arquivos/202005/12093620-covid-e-cancer.pdf.

Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JA, Rocha AS, et al. Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil. Ciênc Saúde Coletiva [Internet]. 2024 [acesso em 2024 Out 09];25:2423-46. doi: 10.1590/1413-81232020256.1.10502020

Greteman BB, Del Vecchio NJ, Garcia-Auguste CJ, Kahl AR, Gryzlak BM, Chrischilles EA, et al. Identifying predictors of COVID-related delays in cancer-specific medical care. Cancer Med [Internet]. 2024 [acesso em 2024 Abr 20];13(8):e7183. doi: 10.1002/cam4.7183

Jesus, AS, Guedes TS, Martins. Impacto da pandemia de COVID-19 no atendimento do serviço de radioterapia em um hospital público de Salvador/BA. Revista de Ciências Médicas E Biológicas [Internet]. 2021 [acesso em 2024 Out 09]; 20(3):369-374. doi: 10.9771/cmbio.v20i3.47075

Fox RS, Armstrong GE, Gaumond JS, Vigoureux TFD, Miller CH, Sanford SD, et al. Social isolation and social connectedness among young adult cancer survivors: A systematic review. Cancer [Internet]. 2023 [acesso em 2024 Out 09];129(19):2946-2965. doi: 10.1002/cncr.34934

Oliveira SSW, Vasconcelos RS, Amaral VRS, Sá KN. Spirituality in coping with pain in oncological patients: systematic review. BrJP [Internet]. 2020 [acesso em 2024 Abr 20];3(2):158-163. doi: 10.5935/2595-0118.20200028

Sinski KC, Lins JVA, Schneiders M, Friestino JKO, Garcia ACM, Araújo JS, et al. A corporeidade no adoecimento por câncer entre pacientes oncológicos em quimioterapia: um estudo qualitativo. Ciên Cuid Saúde [Internet]. 2024 [acesso em 2024 Abr 20];23:e68445. Disponível em: https://periodicos.uem.br/ojs/index.php/CiencCuidSaude/article/view/68445

Gil AC. Como fazer pesquisa qualitativa. 1ed. – Barueri, SP: Atlas; 2021.

Braun V, Clarke V. To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health [Internet]. 2019. [acesso em 2024 Ago 22];13(2):1-16. doi: 10.1080/2159676X.2019.1704846

Machado ALG, Vieira NFC. Uso do software webQDA na pesquisa qualitativa em enfermagem: relato de experiência. Rev Bras Enferm. [Internet]. 2020 [acesso em 2024 Abr 23];73(3):e20180411. doi: 10.1590/0034-7167-2018-0411

Braun V, Clarke V, Hayfield N, Terry G. Análise Temática. Em Liamputtong P, editor. Manual de Métodos de Pesquisa em Ciências Sociais da Saúde. Singapura: Springer; 2019, p. 843–860. doi: 10.1007/978-981-10-5251-4_103

Ribeiro CM, Correa F de M, Migowski A. Efeitos de curto prazo da pandemia de COVID-19 na realização de procedimentos de rastreamento, investigação diagnóstica e tratamento do câncer no Brasil: estudo descritivo, 2019-2020. Epidemiol Serv de Saúde [Internet]. 2022 [acesso em 2024 Mai 03];31(1):e2021405. doi: 10.1590/S1679-49742022000100010

Moraes D dos S, Pereira HFB do ESA, Machado M, Turner NJR, Rebello RT, da Silva LA. Influência da pandemia de COVID-19 no tratamento oncológico de pacientes com câncer de mama em um hospital referência no Amazonas. Revista Contemporânea [Internet]. 2023 [acesso em 2024 Ago 24];3(8):12643–12657. doi: 10.56083/RCV3N8-148

Araújo SEA, Leal A, Centrone AFY, Teich VD, Malheiro DT, Cypriano AS et al. Impact of COVID-19 pandemic on care of oncological patients: experience of a cancer center in a Latin American pandemic epicenter. Einstein [Internet]. 2021 [acesso em 2024 de Mai 03];19:eAO6282. doi: 10.31744/einstein_journal/2021AO6282

Silva MMAS da, Accioly CC, Pedrosa APA, Azevedo SM de, Albuquerque EN, Lima TLBK, et al. Young people in oncological treatment during COVID-19: indicators of the social representation of the coronavírus. Rev Bras Saúde Mater Infant [Internet]. 2021 [acesso em 2024 Mai 03];21(Suppl 1):197–204. doi: 10.1590/1806-9304202100S100010

Silva-Rodrigues FM, Silva JK da, Felix AM da S. Coronavirus infection and nursing care for children and adolescents with cancer. Rev Bras Enferm. [Internet]. 2021 [acesso em 2024 Mai 06];74(Suppl1):e20201049. doi: 10.1590/0034-7167-2020-1049

Bracarense L dos SF, Oliveira R, Vaz L, Ribeiro M. Mudanças no comportamento em relação às compras durante a pandemia de COVID-19 e impactos sobre os padrões de deslocamentos. Revista Transporte Y Territorio [Internet]. 2022 [acesso em 2024 Ago 24];(27). doi: 10.34096/rtt.i27.12216

Kristofani A, Kania A, Felice A, Cynthia C, Christy J, Novita N, et al. Hubungan pertimbangan manfaat dan risiko, alat pembayaran, dan tempat berbelanja dengan perilaku konsumen menjaga protokol kesehatan. Jurnal Manajemen [Internet]. 2021 [acesso em 2024 ago 24];18(2):153-170. doi : 10.25170/jm.v2i18.2884

Yera-Rodríguez K, Padrós-Blázquez F, González-Ramírez V, Sierra-Murguía A. Impacto de la COVID-19 en el distrés, ansiedad, depresión y calidad de vida en pacientes con cáncer. Psicooncología [Internet]. 2023 [acesso em 2024 Mai 04];20(2):329-344. doi: 10.5209/psic.91235

Elkefi S, Matthews AK. Disparities in the Care Disruption During COVID-19 and in its Impacts on the Mental and Physical Well-Being of Cancer Survivors. American Journal of Health Promotion [Internet]. 2024 [acesso em 2024 Ago 24];38(8):1188-1198. doi: 10.1177/08901171241262224

Pessanha AS, Percu BS, Leite RT, Mattos Júnior LSF, Guerrero L, Aguiar JS, et al. Efeitos gerados na saúde mental de pacientes oncológicos em meio à pandemia da COVID-19. Revista Eletrônica Acervo Científico [Internet]. 2023 [acesso em 2024 Out 11];44:e12388. doi: 10.25248/reac.e12388.2023

Agua CY, Suárez SL, Gázquez D de H, Pérez EB, Sánchez BF, García MR, et al. Malestar psicológico y preocupaciones psicosociales durante la tercera ola de la pandemia en pacientes oncológicos y familiares: Un análisis exploratório. Psicooncología [Internet]. 2023 [acesso em 2024 Mai 04];20(1):11-26. doi: 10.5209/psic.87569

Dadashzadeh A, Davoodi A, Sheikhnezhad L, Ghafourifard M, Hassankhani H, Zarrin L, et al. Challenges Faced by Cancer Patients during the COVID-19 Pandemic, a Vision for the Future: A Qualitative Study. Asian Pacific Journal of Cancer Prevention [Internet]. 2024 [acesso em 2024 Ago 24];25(7):2343-2349. doi: 10.31557/APJCP.2024.25.7.2343

Shay LA, Allicock M, Li A. “Every day is just kind of weighing my options”. Perspectives of young adult cancer survivors dealing with the uncertainty of the COVID-19 global pandemic. J Cancer Surviv [Internet]. 2022 [acesso em 2024 Ago 24];16:760-770. doi: 10.1007/s11764-021-01069-9

Thuler LCS, Melo, AC de. Sars-CoV-2/Covid-19 em pacientes com Câncer. Rev Bras Cancerolog [Internet]. 2020 [acesso em 2024 Mai 06];66(2):e-00970. doi: 10.32635/2176-9745.RBC.2020v66n2.970

Henderson A, Xin H. Challenges Experienced by U.S. Cancer Patients during COVID-19: Implications for Future Public Health Emergency Preparedness. Universal Journal of Public Health [Internet]. 2022 [acesso em 2024 Ago 24];10(5):539-546. doi: 10.13189/ujph.2022.100511

Published

2025-01-23

How to Cite

Moreira, S. N. da C., Barboza, M. C. N., Gabatz, R. I. B., Linck, C. de L., Rutz, N. R., & Peter, P. A. (2025). Experience of Young Adults with Cancer During the COVID-19 Pandemic: A Qualitative Study on Health Care and Psycho-Emotional Impact. Enfermería: Cuidados Humanizados, 14(1), e4076. https://doi.org/10.22235/ech.v14i1.4076