没有满足的生存需求:食道胃癌手术后的焦虑增加
Zainab Noor1, James Gossage1, Orla Evans1
1Gastrointestinal Medicine and Surgery Department, Guy's and St Thomas's NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.
胃食癌幸存者在出院后表现出越来越多的症状特异性焦虑和高警. 这些心理因素在诊断时升高,在出院3-6个月后再次上升,影响生活质量.
科学领域:
- 在瘤学瘤学.
- 心理上的痛苦 心理上的痛苦
- 与健康相关的生活质量.
背景情况:
- 胃食癌 (OGC) 手术显著影响患者的生活质量.
- 心理因素,如过度警和症状特异性焦虑,都与术后衰退有关.
- 了解OGC幸存者的这些心理趋势对于综合护理至关重要.
研究的目的:
- 调查OGC幸存者的超警和症状特异性焦虑的流行率和趋势.
- 在癌症治疗和康复的不同阶段检查这些心理因素.
主要方法:
- 招募了103名接受手术和/或新辅助化疗治疗的OGC患者.
- 消化管焦虑和高警觉度量表在五个时间点进行.
- 评估范围从诊断到医院出院后6个月.
主要成果:
- 症状特异性焦虑和高警度得分显示,医院出院后出院的趋势有所增加.
- 诊断时得分升高,最初在出院后下降,然后在3-6个月之间再次上升.
- 在整个研究期间,焦虑分数始终高于超警分数.
结论:
- OGC幸存者经历了显著和可变的心理痛苦,包括焦虑和过度警.
- 这些心理因素需要在OGC患者护理中进行系统的评估和管理.
- 解决心理困扰对于改善OGC患者的整体管理和结果至关重要.
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