在头癌患者中使用精神卫生保健:一项纵向队列研究
Femke Jansen1,2, Birgit I Lissenberg-Witte3, Jose A Hardillo4
1Department of Otolaryngology-Head and Neck Surgery, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Psycho-oncology
|November 13, 2023
概括
对于头癌患者来说,精神卫生保健的使用是有限的,受心理困扰,未满足的需求和患者因素的影响. 了解这些联系可以改善对癌症幸存者的支持.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 头癌 (HNC) 患者面临着严重的心理痛苦.
- 在这群人群中,精神卫生保健需求往往没有得到满足.
研究的目的:
- 调查HNC患者从诊断到治疗后两年的精神卫生保健利用情况.
- 识别与精神卫生保健使用相关的因素,包括心理症状,精神障碍和患者特征.
主要方法:
- 利用了来自荷兰生活质量和生物医学队列研究的数据 (n=610).
- 评估精神卫生保健的使用情况,心理症状 (HADS,CWS),精神障碍 (CIDI) 和需要护理 (SCNS-SF34).
- 采用通用估计方程来分析与精神卫生保健利用相关的因素.
主要成果:
- 精神卫生保健的使用率在各个时间点中从5%到9%不等.
- 患有精神障碍 (15%-35%) 和未满足需求 (5%-16%) 的患者的利用率更高.
- 焦虑症状,护理需求,年轻年龄,更高的疾病阶段,更低的自我效能和更高的社会支持寻求与利用有关.
结论:
- 在HNC患者中,精神卫生保健的利用是有限的.
- 使用与心理症状,护理需求和患者特定因素有关.
- 调查结果强调需要有针对性的干预措施,以改善HNC患者获得精神卫生保健的机会.
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