长期乳腺癌生存率中的情绪和功能福祉
Yumeng Ren1, Joanna Maselko1, Xianming Tan2,3
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Cancer causes & control : CCC
|April 20, 2024
概括
乳腺癌幸存者的长期情感和功能福祉 (EWB和FWB) 不同. 黑人妇女和那些患有侵袭性疾病的人面临着持续健康下降的更高风险.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康 结果 研究 研究 结果
背景情况:
- 情绪和功能健康 (EWB和FWB) 对心理健康和生活质量至关重要.
- 乳腺癌 (BC) 幸存者的长期福祉是幸存者护理的一个重要问题.
研究的目的:
- 评估乳腺癌幸存者的不同队列中长期的EWB和FWB.
- 确定随着时间的推移与幸福感变化相关的人口和临床因素.
主要方法:
- 利用卡罗来纳州乳腺癌研究第三阶段的数据,对黑人和年轻女性进行过量抽样.
- 在基线,25个月和诊断后84个月使用癌症治疗-乳腺功能评估 (FACT-B) 评估了EWB和FWB.
- 采用多项逻辑模型来分析特征和福祉变化之间的关联.
主要成果:
- 平均EWB和FWB通常在诊断后随着时间的推移而改善.
- 持续的FWB下降与黑人种族,年龄较大,没有化疗和复发有关.
- 脑电图下降与晚期和复发有关;综合健康下降与复发有很强的关联.
结论:
- 乳腺癌幸存者的长期福祉轨迹受人口和临床因素的影响.
- 黑人妇女和那些有侵略性疾病的人面临更高的健康持续下降的风险.
- 这些发现凸显了对有风险人群的生存目标有针对性的支持性护理的需要.
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