与低风险乳头甲状腺癌及其治疗有关的恐惧的性别差异
Anna M Sawka1, Sangeet Ghai2, Lorne Rotstein3
1Division of Endocrinology, University Health Network and University of Toronto, Toronto, Ontario, Canada.
JAMA otolaryngology-- head & neck surgery
|July 6, 2023
概括
患有低风险乳头甲状腺癌 (PTC) 的女性比男性更害怕手术,但对疾病进展的恐惧是相似的. 性别影响对PTC诊断和治疗的情绪反应.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 性别研究是性别研究.
背景情况:
- 恐惧是新诊断出乳头甲状腺癌 (PTC) 的患者的常见情绪反应.
- 了解患者恐惧的性别特异性差异对于在PTC管理中量身定制的支持性护理至关重要.
研究的目的:
- 调查性别与与低风险PTC疾病进展相关的恐惧之间的联系.
- 探索对低风险PTC手术治疗的看法中的性别差异.
主要方法:
- 一项涉及低风险PTC患者的前性队列研究提供了甲状腺切除术或积极监测.
- 使用经过验证的问卷来评估对进展和手术恐惧的恐惧.
- 两性之间的恐惧,决策自我有效性和治疗选择的比较,根据年龄进行调整.
主要成果:
- 与男性相比,女性报告的外科手术恐惧明显高;经过年龄调整后,对疾病进展的恐惧在性别之间是相似的.
- 没有发现男性和女性在决策自我有效性或最终治疗选择方面存在显著差异.
- 性别之间的人口和临床特征是可比的.
结论:
- 性别影响低风险PTC的情感体验,女性表现出更大的手术恐惧.
- 尽管手术恐惧有差异,但对管理决策的信心和满意度在两种性别中都相似.
- 这些发现强调了在为甲状腺癌患者提供心理社会支持时考虑性别的重要性.
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