在接受血造细胞移植的血液性恶性瘤患者的应对
Richard Newcomb1,2, Hermioni L Amonoo2,3, Ashley M Nelson4
1Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital, Boston, MA.
Blood advances
|January 5, 2024
概括
接受血造细胞移植 (HCT) 的患者使用各种应对策略. 面向方法的应对与更好的生活质量 (QOL) 和更少的痛苦有关,而回避性应对与更糟糕的结果有关.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 移植医学 移植医学
背景情况:
- 血造细胞移植 (HCT) 涉及到重大的身体和心理挑战.
- 有限的研究存在于HCT之前患者使用的应对机制.
研究的目的:
- 描述HCT前的应对策略.
- 评估应对方式,生活质量 (QOL) 和心理痛苦之间的关联.
- 确定影响HCT前应对的社会人口因素.
主要方法:
- 从360名接受HCT的患者的基线数据进行横截面分析.
- 评估患者报告的质量生活,心理困扰和应对机制.
- 多变量回归分析以确定关联.
主要成果:
- 43.5%的患者使用了以方法为导向的应对方法,而31.3%的患者使用了回避性应对方法.
- 面向方法的应对与更好的QOL和更低的抑郁/焦虑相关.
- 避免应对与更糟糕的QOL和增加的抑郁症,焦虑症和PTSD症状有关.
- 年龄较大 (≥65岁) 与较少避免应对相关.
结论:
- 在HCT前的应对显著影响患者的QOL和心理困扰.
- 在HCT住院期间,有必要采取应对策略的干预措施.
- 了解应对机制可以为HCT患者的支持性护理策略提供信息.
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