化学療法を受けている胃腸がん患者における症状の負担と利益の発見の関係:総合的なニーズとコミュニケーションパターンの連鎖仲介の役割
Fang Liu1, Hui Shan1, Weiwei Bing1
1The Affiliated Hospital of Qingdao University, Qingdao, China.
まとめ
化学療法を受けている胃腸がん患者の症状の負担は,利益の発見に悪影響を及ぼします. 総合的なニーズとコミュニケーションパターンは,この関係を部分的に仲介し,心理社会的介入のターゲットを強調します.
科学分野:
- 腫瘍学
- 心理的腫瘍学
- がん の 治療
背景:
- 胃腸がん患者の化学療法は,しばしば様々な症状を伴う.
- 心理的な適応の影響は,これらの患者に有益である.
研究 の 目的:
- 胃腸がん患者における症状の負担と効果の関連性を調査する.
- この関係における包括的なニーズとコミュニケーションパターンの仲介的な役割を評価する.
主な方法:
- 中国の青島で221人の胃腸がん患者を対象とした横断的な研究.
- M.D.を活用した アンダーソン症候群インベントリー (MDASI),CNAT,PCPS,およびベネフィティングスケール (BFS).
- 記述的統計,ピアソン相関,線形回帰,PROCESSマクロを用いて分析したデータ.
主要な成果:
- 症状の負担は総合的なニーズ (r=0. 512) と,コミュニケーションパターン (r=- 0. 473) と利益の発見 (r=- 0.520) と正に相関していた.
- 総合的なニーズとコミュニケーションパターンは,症状の負担と利益の発見の間の部分的なメディエーター (それぞれ33. 05%と15. 38%) として機能しました.
- - 0. 034 (全効果の9. 69%) の連鎖メディエーション効果が観察されました.
結論:
- 総合的なニーズとコミュニケーションパターンは,胃腸がん患者の症状の負担と利益との関係を媒介する.
- 患者のニーズ評価とコミュニケーション戦略を最適化することは 心理社会的介入において極めて重要です
- 患者のニーズをダイナミックにモニタリングすることで 利益の発見を向上させるための 精密なコミュニケーションの介入を促すことができます
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