在接受免疫检查点阻塞治疗的晚期癌症幸存者中,情绪困扰,认知投诉和护理需求:混合方法研究
Nathalie Vanlaer1, Iris Dirven1, Bart Neyns1
1Department of Medical Oncology, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium.
Cancers
|May 11, 2024
概括
接受免疫检查点封锁 (ICB) 治疗的晚期癌症幸存者经历了显著的心理痛苦,恐惧复发和认知问题. 解决这些生存挑战对于改善长期患者护理和福祉至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症的生存率 癌症的生存率
- 免疫治疗是一种免疫疗法.
背景情况:
- 在接受免疫检查点阻塞 (ICB) 治疗的晚期癌症患者中了解生存问题至关重要.
- 关键的关注领域包括心理困扰,认知功能,身体健康,家庭影响和护理要求.
研究的目的:
- 在接受ICB的晚期癌症幸存者中识别和描述与生存相关的问题.
- 专注于心理困扰,认知问题,身体后果,家庭动态和未满足的护理需求.
主要方法:
- 进行了半结构面试,并使用了患者报告的结果指标 (PROM).
- 采访时使用内容分析和PROM时使用描述性分析.
- 这项研究涉及70名在布鲁塞尔大学医院接受治疗的晚期癌症幸存者.
主要成果:
- 54.3%的幸存者报告了对癌症复发 (FCR) 的临床恐惧;18.6%的患者有过高的认知问题.
- 已识别的心理困扰触发因素包括免疫相关的不良事件,疾病进展/复发以及生活压力因素.
- 还注意到持续存在的身体问题和未得到满足的心理/营养需求.
结论:
- 幸存者在ICB治疗后面临着持续的心理,身体和认知挑战.
- 建议进行常规的FCR查.
- 了解痛苦触发因素可以帮助临床医生提供及时干预,并提高幸存者护理.
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