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中国晚期癌症老年患者的身体症状,焦虑和抑郁:网络分析
Mo Tang1, Zhongge Su1, Yi He1
1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Psycho-oncology, Peking University Cancer Hospital & Institute, Fu-Cheng Road 52, Hai-Dian District, Beijing, 100142, China.
BMC geriatrics
|February 23, 2024
概括
精神病症状在中国老年癌症患者中很常见,并且高度相互联系. 了解这些症状网络可以帮助改善针对性的干预措施,以便在这个人群中更好地管理症状.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 老年病的医生 老年病的医生
背景情况:
- 在中国老年癌症患者中,对精神病体症状的理解有限.
- 高症状负担是这群人群的一个重大问题.
研究的目的:
- 在中国老年患者中调查精神病体症状与晚期癌症之间的关联.
- 探索这些症状的网络结构和中心性.
主要方法:
- 一个多中心横截面研究的二次分析.
- 利用了来自1022名晚期癌症患者 (年龄大于60岁) 的电子患者报告结果数据.
- 雇员网络分析,MD安德森症状清单 (MDASI) 和医院焦虑和抑郁量表 (HADS).
主要成果:
- 64.9%的患者报告了症状;高达80%的人经历了焦虑和抑郁.
- 症状网络 (身体,焦虑,抑郁) 显示出强烈的相互联系.
- "焦虑/感到不安"是一个关键的中心节点; "失去对外观的兴趣"具有较低的中心性.
结论:
- 晚期癌症的中国老年患者的症状负担较高.
- 精神病体症状是互动的,通常是并发症.
- 网络分析可以指导针对性的干预措施,以优化症状管理.
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