title: The Psychosocial Influences of Waiting Periods on Patients Undergoing Endoscopic Submucosal Dissection.
abstract: This study aimed to clarify psychosocial influences of waiting periods on patients undergoing endoscopic submucosal dissection for cancer at an advanced medical care facility in Japan. Subjects were consenting patients hospitalized from 2009 to 2010. Qualitative and quantitative data were gathered about patients' characteristics, disease and stage, and waiting period. Qualitative content analysis was used to analyze free statements and interview data. Subjects included 154 patients with an average wait period of 46.28 days for admission. Qualitative analysis revealed the following wait period perceptions. For calmness, results indicated (1) no anxiety, (2) relief based on doctors' positive judgment, (3) whatever happens/no choice, and (4) trust in doctor. For uneasiness, perceptions included (1) the sooner, the better/eagerly waiting, (2) anxiety and concern, and (3) emotional instability. Four waiting period coping types were identified: (1) making phone inquiries, (2) busy and forgot about the medical procedure, (3) relief from anxiety, and (4) unable to function well in daily life. Patients need to be educated about cancer progression and provided an estimated wait time. They also require more information about how to manage daily life such as monitoring factors from the nursing domain including physical condition, digestive symptoms, diet, and exercise.
authors.affiliation: Noriko Nagao, PhD, MPH, RN, is at Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan. Aya Tsuchiya, RN, is at Department of Nursing, Kobe University Hospital, Kobe, Hyogo, Japan. Sae Ando, RN, is at Department of Nursing, Kobe University Hospital, Kobe, Hyogo, Japan. Mizue Arita, RN, is at Department of Nursing, Kobe University Hospital, Kobe, Hyogo, Japan. Takashi Toyonaga, MD, is at Department of Endoscopy, Kobe University Hospital, Kobe, Hyogo, Japan. Ikuko Miyawaki, PhD, RN, is at Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Nagao
authors.forename: Aya
authors.initials: A
authors.lastname: Tsuchiya
authors.forename: Sae
authors.initials: S
authors.lastname: Ando
authors.forename: Mizue
authors.initials: M
authors.lastname: Arita
authors.forename: Takashi
authors.initials: T
authors.lastname: Toyonaga
authors.forename: Ikuko
authors.initials: I
authors.lastname: Miyawaki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology*; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery; D003430:Cross-Sectional Studies; D004067:Digestive System Neoplasms / Q000473:pathology / Q000601:surgery*; D000069916:Endoscopic Mucosal Resection / Q000379:methods* / Q000523:psychology; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D011584:Psychology; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013997:Time Factors; D014850:Waiting Lists