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Exploring Cutaneous Melanoma Patients' Experiences with Follow-Up Radiology: A Qualitative Study.

Laura Iacorossi1, Simona Molinaro2, Francesca Gambalunga3

  • 1Department of Life, Health and Health Professions Sciences, Link Campus University, 00165 Rome, Italy.

Healthcare (Basel, Switzerland)
|April 26, 2025
PubMed
Summary

Patients with cutaneous melanoma (CM) experience significant anxiety while awaiting diagnostic exams. Improving patient care requires healthcare professionals to implement coping strategies, balanced family support, and enhanced communication.

Keywords:
cutaneous melanomadiagnostic imagingemotional distresspatient experiencepsychological adaptationqualitative research

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Area of Science:

  • Oncology
  • Psychodermatology
  • Qualitative Health Research

Background:

  • Follow-up diagnostic examinations for cutaneous melanoma (CM) can induce emotional distress in patients due to concerns about recurrence or progression.
  • Understanding patient emotions and perceptions during the diagnostic waiting period is essential for enhancing cancer care.
  • This study addresses the need to explore the experiences of CM patients awaiting follow-up investigations.

Purpose of the Study:

  • To explore the lived experiences and emotional states of cutaneous melanoma patients during the waiting period for diagnostic follow-up investigations.
  • To identify key themes and factors influencing patient perceptions and emotional well-being while awaiting diagnostic results.
  • To provide insights for improving patient support and care pathways in oncology settings.

Main Methods:

  • Qualitative descriptive inductive, single-center study adhering to COREQ guidelines.
  • Semi-structured interviews conducted with 30 cutaneous melanoma patients at the San Gallicano Dermatological Institute.
  • Data analyzed using Framework Analysis (Ritchie & Spencer) to identify emergent themes.

Main Results:

  • Four major themes emerged: the impact of waiting on emotional experience, the dual nature of family support, coping strategies employed during waiting, and the need for person-centered environmental attention.
  • Waiting periods for diagnostic exams in CM patients are frequently associated with heightened anxiety and worry.
  • Patient experiences highlight the need for tailored support and communication strategies.

Conclusions:

  • Waiting for diagnostic exams in cutaneous melanoma care is a critical period marked by significant emotional challenges, primarily anxiety and worry.
  • Healthcare professionals should focus on implementing effective coping strategies, ensuring balanced family support, and improving communication to enhance patient satisfaction.
  • Addressing patients' emotional dynamics through staff training, psychological interventions, and technological innovation is vital for improving the overall care pathway and patient well-being.