在为乳腺癌接受放射治疗的患者的放射治疗过程中,痛苦的发展
Cansu Delikanli1, Stefan Janssen1,2, Nathan Y Yu3
1Department of Radiation Oncology, University of Lübeck, Lübeck, Germany.
In vivo (Athens, Greece)
|October 31, 2023
概括
乳腺癌的放射治疗可能会引起痛苦. 这项研究发现,痛苦总体下降,但提供了对患者风险因素的见解,建议为所有患者提供心理支持.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
背景情况:
- 放射治疗 (RT) 是乳腺癌的常见治疗方法.
- 接受RT的患者可能会经历严重的心理痛苦.
研究的目的:
- 为了研究乳腺癌放射治疗过程中患者痛苦的变化.
- 为了确定与治疗期间的痛苦波动相关的因素.
主要方法:
- 一组330名乳腺癌患者完成了RT前后的痛苦温度计.
- 在各种人口统计和临床子组中分析了痛苦水平,包括年龄,卡诺夫斯基绩效得分 (KPS),RT意图和之前的RT史.
主要成果:
- 整体平均危险评分在RT后略有下降 (-0.4分),与KPS有显著的关联.
- 在KPS≤80或年龄<64岁的患者中观察到更大的痛苦减轻.
- 患有RT前应急评分≤5分的患者经历了平均应急增加 (+0.5分).
结论:
- 应主动为所有接受RT的乳腺癌患者提供心理支持.
- 应特别注意患有已确定的风险因素的患者,无论他们最初的痛苦水平如何.
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