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化学辐射后头癌症状负担的心理社会后果:一种混合方法研究
Carley Geiss1, Aasha I Hoogland2, Brandy Arredondo1
1Participant Research, Interventions, and Measurement Core, Moffitt Cancer Center, 12902 USF Magnolia Drive, MRC-AS PRISM, Tampa, FL, USA.
概括
头癌 (HNC) 幸存者面临心理社会挑战,如羞耻和关系问题,由于治疗的副作用. 了解这些影响对于开发HNC患者和护理人员的支持性干预措施至关重要.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 癌症的生存率 癌症的生存率
背景情况:
- 接受化学辐射治疗的头癌 (HNC) 患者经历了显著的症状负担,影响了他们的生活质量.
- 这种症状负担的心理社会后果仍然不太清楚,需要进一步调查.
研究的目的:
- 检查HNC幸存者治疗相关症状负担的心理社会影响.
- 收集HNC医疗保健提供者对这些心理社会后果的观点.
主要方法:
- 在NCI指定的综合癌症中心进行横截面混合方法研究.
- 涉及33名参与者:20名HNC幸存者 (化疗后) 和13名HNC医疗保健提供者.
- 通过电子调查和半结构面试收集的数据.
主要成果:
- 幸存者 (平均年龄61) 主要是男性,白人,被诊断患有口腔大癌.
- 三个主要主题出现了:震惊/羞耻/自我意识,关系满意度下降,以及缺乏工作信心.
- 35%的幸存者报告了临床上显著的疲劳,抑郁,焦虑和认知功能障碍.
结论:
- HNC幸存者和提供者强调治疗负担如何影响心理社会认同,身体形象,人际关系和职业生活.
- 调查结果可以指导为HNC幸存者和护理人员开发支持性干预措施.
- 解决心理社会挑战对于改善HNC治疗和生存结果至关重要.
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