肺癌放射治疗期间的痛苦评分:病程和预后因素
Dirk Rades1, Cansu Delikanli1, Stefan Janssen1,2
1Department of Radiation Oncology, University of Lübeck, Lübeck, Germany.
Cancer diagnosis & prognosis
|September 6, 2023
概括
在肺癌放射治疗 (RT) 期间,痛苦显著减少. 这项对159名患者的研究发现,RT后的痛苦得分降低了,这表明最初的焦虑随着治疗经验的减少而减少.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
背景情况:
- 癌症治疗,特别是放射治疗 (RT),可以引起患者的严重痛苦.
- 了解RT期间的应急轨迹对于肺癌患者的支持性护理至关重要.
研究的目的:
- 为了研究肺癌放射治疗患者所经历的痛苦水平的变化.
- 为了确定患者的特征与RT期间的痛苦变化相关.
主要方法:
- 一组159名接受RT的肺癌患者接受了治疗前和治疗后的痛苦评分评估.
- 分析包括患者的人口统计学 (年龄,性别),卡诺夫斯基绩效得分,RT意图和之前的RT史.
- 小组分析侧重于基线较低的痛苦患者 (RT前得分≤5).
主要成果:
- 平均应急分数从RT前的5.5 (±2.6) 下降到RT后的4.7 (±2.6).
- 没有患者特征与整体痛苦变化或增加显著相关.
- 在患有低基线痛苦的患者中,年龄较小 (≤64岁),女性性别和更高的绩效状态 (KPS 90-100) 显示了增加痛苦的非显著趋势.
结论:
- 肺癌的放射治疗与治疗过程中患者痛苦的减少有关.
- 这种观察到的减少可能源于缓解预期焦虑,因为患者获得了RT的直接经验.
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