对吸烟,肺癌污名和情绪功能之间的关系的现实世界分析
Kari Chansky1,2, Maureen Rigney3, Jennifer C King3
1Chansky Consulting LLC Mercer Island, Mercer Island, Washington, USA.
Cancer medicine
|January 12, 2024
概括
肺癌的污名显著影响情绪健康,无论吸烟史,都会引起痛苦. 解决污名化问题对于改善肺癌患者的社会心理护理至关重要.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 公共卫生 公共卫生
背景情况:
- 肺癌患者经常面临严重的痛苦,疾病的耻辱加剧了这种痛苦.
- 了解耻辱,情绪功能和吸烟史之间的相互作用对于有效的患者支持至关重要.
研究的目的:
- 评估患者报告的情绪功能和在现实肺癌患者群体中经历的耻辱感.
- 为了检查吸烟史,耻辱和情绪健康之间的关系.
主要方法:
- 分析了肺癌注册表的539名全球参与者的问卷 (2019年11月至2022年7月).
- 经过验证的调查工具评估了人口统计,吸烟史,耻辱和生活质量 (EORTC QLQ-C30情绪功能表).
- 用多变量逻辑回归模型来检查关联.
主要成果:
- 所有形式的肺癌污名都与情绪功能受损相关 (抑郁,焦虑,压力,易怒).
- 当前/前吸烟者报告了更高的内化和感知的耻辱感.
- 诊断的限制性披露是常见的,与情绪功能较差有关,但没有吸烟史.
结论:
- 肺癌的污名对情绪功能有负面影响,独立于吸烟史.
- 内化和感知到的耻辱与吸烟史有关.
- 研究结果强调了针对肺癌患者进行有针对性的心理社会干预的必要性.
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