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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
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: lijunying2005@126.com; Chun-Hua Yu, Email: 15883850992@163.com; Yan Jiang, Email: a01070525@126.com; Hao Huang, Email: 475875661@qq.com.
Corresponding authors: Jun-Ying Li, Email: lijunying2005@126.com; Chun-Hua Yu, Email: 15883850992@163.com; Yan Jiang, Email: a01070525@126.com; Hao Huang, Email: 475875661@qq.com.
Corresponding authors: Jun-Ying Li, Email: lijunying2005@126.com; Chun-Hua Yu, Email: 15883850992@163.com; Yan Jiang, Email: a01070525@126.com; Hao Huang, Email: 475875661@qq.com.
Corresponding authors: Jun-Ying Li, Email: lijunying2005@126.com; Chun-Hua Yu, Email: 15883850992@163.com; Yan Jiang, Email: a01070525@126.com; Hao Huang, Email: 475875661@qq.com.

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.

Type
Original Research
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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