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Psychological Experiences of Terminal Cancer Patients with an Emphasis on Their Concerns and Needs: A Phenomenological Study
Faezeh Bakhshalizadeh Irani, Shahriar Shahidi, Abdolrahim Hazini,
Volume 14, Issue 2 (9-2020)
Abstract
Terminal patients with advanced cancer have important and undeniable concerns as well as worries which may provide valuable information to care providers so that they can act for planning and care improvement based on their needs. The aim of the present study was to investigate the psychological experiences, especially concerns, needs and worries of these patients throughout the disease. In this research, a qualitative method with a descriptive phenomenological approach was employed. From amongst all cancer patients receiving palliative care for advanced cancer in Firoozgar hospital and Ala cancer control and prevention centre, eleven patients were chosen according to the targeted sampling method. Data collection was used with a semi-structured interview and data interpretation was done in Collizi method. The results of this study were categorised in five main clusters: “concerns about family and friends”, “socio-economic concerns”, “concerns about oneself”, “concerns regarding hospital staff, environment and medical treatment” and “spiritual and religious concerns” in addition to 34 sub-clusters. Being on the verge of death and diagnosed with cancer causes concerns, worries and needs in different dimensions of a person and their family’s life. If such aspects are neglected, a person’s well-being and quality of life will be disrupted. Recognition and emphasis on patients’ feelings, anxieties and concerns along with taking care of their needs may help them feel at peace and more confident in accepting this difficult situation.

Structural Relationship Analysis of Treatment Adherence Based on Emotional Awareness in Patients with Psoriasis: The Mediating Role of Perceived Social Support
Amir Yousefi, Mohsen Jalali, Mohmmad Taghi Badelleh Shamushki, Leila Sadat Azizi Ziabari,
Volume 18, Issue 2 (9-2024)
Abstract
The aim of the present study was to analyze the structural relationships of treatment adherence based on emotional self-awareness in patients with psoriasis and to examine the mediating role of perceived social support. This research employed a descriptive-correlational design using structural equation modeling. The statistical population included psoriasis patients referred to three specialized dermatology hospitals in Tehran. Convenience sampling was used, and ultimately, 250 psoriasis patients meeting the inclusion and exclusion criteria were enrolled in the study. Various tools were utilized for data collection, including the Treatment Adherence Questionnaire (Ziaei, 2011), the Perceived Social Support Questionnaire (Zimet et al., 1988), and the Emotional Self-Awareness Questionnaire (Reef et al., 2007).The results of the structural equation modeling analysis indicated that emotional self-awareness has a direct and significant effect on treatment adherence in patients with psoriasis. Additionally, perceived social support and concerns about body image also had a direct impact on treatment adherence. Furthermore, the findings revealed that emotional self-awareness indirectly and significantly affects treatment adherence through the mediation of body image concerns and perceived social support.These results highlight the importance of considering psychological and social dimensions, such as emotional self-awareness and social support, in the treatment process of patients with psoriasis, as they can improve treatment adherence and therapeutic outcomes.

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