呼吸障碍相关的维度和自我效能:与晚期肺癌中福祉的关联
Stephen B Lo1, Anna L Ruprecht1, Kathryn E Post2
1Center for Psychiatric Oncology & Behavioral Sciences, Massachusetts General Hospital, Boston, MA, USA.
Journal of pain and symptom management
|February 2, 2024
概括
在肺癌患者中,呼吸障碍 (呼吸困难) 的感觉感知体验和自我有效性显著影响心理健康和生活质量 (QOL). 更高的自我效能改善了结果,而更大的感知努力使其恶化.
科学领域:
- 在瘤学瘤学.
- 肺部病理学 肺部病理学
- 心理学 心理学 心理学
背景情况:
- 呼吸不全 (呼吸短促) 是肺癌患者普遍存在的多维症状.
- 它对心理健康和生活质量 (QOL) 有负面影响.
- 关于呼吸障碍尺寸和患者结果之间的特定关联的数据有限.
研究的目的:
- 调查呼吸障碍 (感官感知,情感,功能) 和呼吸障碍自我有效性等维度之间的关系.
- 为了确定它们对晚期肺癌患者患有呼吸障碍的抑郁,焦虑和QOL的影响.
主要方法:
- 临床试验数据的二次分析.
- 患有晚期肺癌和中度至重度呼吸障碍的患者完成了自我报告措施.
- 层次回归模型评估了呼吸障碍尺寸/自我有效性和结果 (抑郁,焦虑,质量生活) 之间的关联.
主要成果:
- 呼吸障碍 (努力) 的感觉感知方面与抑郁症状增加和质量生活水平降低相关.
- 更高的呼吸障碍自我有效性与减少抑郁和焦虑症状以及改善QOL有关.
- 呼吸障碍的情感和功能维度与最终模型的结果没有显著关联.
结论:
- 呼吸不全的感觉感知体验和自我效能是影响肺癌患者心理健康和生活质量的关键因素.
- 了解呼吸障碍维度的不同贡献,为患者的影响提供了更精细的视角.
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