呼吸不全的认知行为模型:与晚期肺癌患者进行定性采访
Stephen B Lo1, Aubrey D Svensson1, Carolyn J Presley2
1Department of Psychology, The Ohio State University, Columbus, OH, USA.
Palliative & supportive care
|May 30, 2023
概括
肺癌患者经历呼吸困难 (呼吸不良) 并识别影响它的思想,情绪和行为. 认知行为干预可以帮助管理这种令人痛苦的症状.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 呼吸困难 (气喘) 是肺癌患者常见和令人痛苦的症状.
- 目前用于呼吸障碍的药理疗法没有效果.
- 认知行为治疗显示出缓解呼吸障碍的潜力.
研究的目的:
- 了解影响肺癌患者呼吸障碍严重程度的心理,行为和社会因素.
- 探索患有呼吸障碍的患者的认知行为体验.
- 确定认知行为干预的潜在目标.
主要方法:
- 与15名肺癌患者进行了半结构面试,这些患者患有呼吸障碍.
- 采访的重点是患者的想法,情绪和与呼吸障碍相关的行为.
- 基于理论的方法被用来进行面试数据的定性分析.
主要成果:
- 患者报告说,他们对自己的健康和氧气水平有灾难性的想法.
- 焦虑是呼吸障碍最常见的情绪,其次是愤怒,悲伤和羞耻.
- 行为包括休息,深呼吸,活动修改和减少对爱好的参与.
结论:
- 肺癌患者的呼吸障碍与可识别的认知行为因素有关.
- 这些发现支持开发认知行为干预措施来管理呼吸障碍.
- 了解患者报告的经历对于有效的症状管理至关重要.
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