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ORIGINAL ARTICLE
Year : 2022  |  Volume : 27  |  Issue : 4  |  Page : 325-330

Challanges of meeting the palliative care needs of colorectal cancer patients in Iran: A qualitative research


1 Cancer Prevention Research Center, Department of Adult Health Nursing, Faculty Of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Cancer Prevention Research Center, Department of Hematology-Oncology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 ALA Cancer Prevention and Control Center, Department of Islamic Education, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 Student Research Committee, Faculty Of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

Correspondence Address:
Masoumeh Masoumy
Student Research Committee, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnmr.ijnmr_444_21

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Background: Despite the high prevalence of Colorectal Cancer (CRC) in Iran and the need to pay more attention to the Palliative Care (PC) needs of patients with this disease, a few studies have previously examined the PC needs of them by gaining the patients', family members', and treatment team's views. This study aimed to investigate the challenges in the way of meeting the PC needs of CRC patients. Materials and Methods: This study was a qualitative content analysis study conducted on 43 participants (including 15 patients, 20 health care providers, and eight family members) through purposive sampling and semi-structured individual interviews in Omid Educational and Medical Center and Iranian Cancer “Control Center (MACSA) in Isfahan from May 2020 to December 2021. Data analysis was performed simultaneously with data collection using conventional qualitative content analysis with the Graneheim and Lundman approach. In order to assess the trustworthiness of the obtained data, credibility, dependability, confirmability, and transferability criteria were used.Results: Data analysis led to the production of 615 primary codes, 16 sub-categories, and five main categories. These five main categories included “Lack of facilities and equipment”, “Lack of quality of services provided by the treatment team”, “Insufficient financial support to the patient and family”, “Insufficient psychological and emotional support from the patient and family”, and “Inefficiency of the patient and community awareness process”. Conclusions: To improve the quality of care and increase patients' satisfaction with the provided services, it is recommended that policymakers should meet the challenges of the PC.


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