학술논문
Navigating the Cancer Journey: Experiences and Perspectives of Young Adult Patients in Tunisia.
Document Type
Academic Journal
Author
Berrazaga Y; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Rachdi H; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Saadi M; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Haouari AA; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Fendri S; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Daoud N; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Mejri N; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.; Boussen H; Medical Oncology Department, Abderrahmane Mami Hospital, University of Medicine Tunis El Manar, Tunis, Tunisia.
Source
Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 101543508 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2156-535X (Electronic) Linking ISSN: 21565333 NLM ISO Abbreviation: J Adolesc Young Adult Oncol Subsets: MEDLINE
Subject
Language
English
Abstract
Purpose: This study aimed to explore the experiences of young adult cancer patients within the Tunisian context. Methods: A total of 104 patients between the ages of 20 and 40, undergoing treatment for various types and stages of cancer, participated in a questionnaire-based survey. The survey encompassed topics related to the socioeconomic and psychological impacts of cancer, coping mechanisms, relationships, sexuality, and future aspirations. Results: Of the participants, 78 were women (75%) and 26 were men (25%), with an average age of 33 years. Financial difficulties were reported by 60 patients (57.7%). The most common emotional responses to the diagnosis were sadness (54.8%), followed by denial (18.3%) and anger (5.8%). Thirteen patients (12.5%) choose not to receive information about the stage of their disease. In addition, 42 patients (40.4%) experienced a decrease in perceived physical attractiveness, while negative effects on sexuality were observed in 44.2% of cases. The primary concerns reported by patients were the fear of recurrence or progression (48%) and infertility (48%). Furthermore, 43 patients (41.3%) expressed a decrease in self-confidence, notably influenced by financial difficulties (OR: 2.77 [95% CI: 1.12-6.87]), physical alterations (OR: 0.18 [95% CI: 0.07-0.45]), and sexual issues (OR: 0.17 [95% CI: 0.06-0.48]). Notably, 78 patients (75%) continued to make future plans, particularly those under 30 years of age (OR: 0.2 [95% CI: 0.04-0.96]). Moreover, 47.1% of patients expressed an inclination toward immigration to developed countries, primarily due to perceived superior health care systems (61.5%). Conclusions: Young cancer patients face a range of social and psychological challenges, suggesting the necessity for a specialized care approach.