在高度痛苦的乳腺癌患者中提供精神瘤护理
Tanja Schlaiss1, Susanne Singer2,3, Saskia-Laureen Herbert1
1Department of Gynaecology and Obstetrics, University of Würzburg, Würzburg, Germany.
Geburtshilfe und Frauenheilkunde
|June 8, 2023
概括
很大一部分乳腺癌 (BC) 患者经历了心理困扰. 虽然提供和使用心理服务,但公平的访问和改善的综合支持对于所有BC患者子组至关重要.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 乳腺癌 (BC) 患者经常经历心理困扰和并发症.
- 了解心理支持提供和利用的模式对于患者护理至关重要.
研究的目的:
- 评估BC患者心理困扰的发生率.
- 评估在不同困境级别提供和采用心理支持的情况.
- 检查疾病轨迹 (急性,新兴,慢性) 和心理支持之间的关联.
主要方法:
- 从诊断到5年的456名BC患者的长度评估.
- 后勤回归分析基于危险级别的心理支持的提供和使用情况.
- 回归分析以探索疾病状况与心理治疗/精神药物使用之间的联系.
主要成果:
- 在5年的随访中,在45%的BC患者中检测到心理困扰.
- 大多数患有中度/重度痛苦的患者接受了心理服务的报价 (77%在基线,71%在5年).
- 患有痛苦的患者更有可能使用提供的服务;急性并发症患者获得了更多的心理治疗建议.
结论:
- 有相当数量的BC患者提供并使用心理服务.
- 需要解决BC患者的所有子组,以加强全面的心理支持.
- 针对性干预对于患有新兴或慢性疾病轨迹的患者可能是必要的.
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