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接受放射治疗的乳腺癌患者的应对方式和生活质量
Małgorzata Roszkowska1, Katarzyna Białczyk2
1Department of Clinical Neuropsychology, Nicolaus Copernicus University, Collegium Medicum, 85-821 Bydgoszcz, Poland.
Cancers
|December 9, 2023
概括
与健康个体相比,接受放射治疗的瘤患者报告生活质量 (QoL) 较低,并且从积极的应对策略中获益较少. 在这两组中,避免应对对QOL产生了负面影响.
科学领域:
- 心理社会瘤学
- 癌症护理研究 癌症护理研究
- 健康心理学 心理健康心理学
背景情况:
- 生活质量 (QoL) 是接受治疗的癌症患者的关键结果.
- 了解应对机制和生活质量之间的相互作用对于优化瘤学中心理社会支持至关重要.
研究的目的:
- 在接受放射治疗的乳腺癌患者中,研究不同应对方式和QoL之间的关系.
- 将这些关系与健康的对照组中的关系进行比较.
- 为癌症患者制定有针对性的心理社会干预措施提供信息.
主要方法:
- 评估了28名接受放射治疗的乳腺癌患者和29名健康对照者的队列.
- 使用COPE库存测量了应对风格 (积极,以情绪为中心,回避).
- 使用SF-36问卷来评估生活质量.
主要成果:
- 与对照组相比,乳腺癌患者在所有领域都表现出明显较低的QoL.
- 避免性应对策略与患者的精神,身体和整体体质量较差有很强的关联.
- 积极应对在患者中与身体QOL有很弱的相关性,但在对照组中与心理和整体QOL有很强的正相关性.
结论:
- 不适应性避免应对是癌症患者和健康个体降低QoL的重要决定因素,特别明显在接受放射治疗的患者中.
- 与对照组相比,积极应对策略为患者提供了有限的 QoL 益处.
- 针对适应不良应对的干预措施对于改善QOL和管理瘤病人的治疗副作用至关重要.
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