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用化疗治疗的乳腺癌患者与认知功能相关的因素:一个多中心的横截面研究
Yu Liu1, Jun-E Liu1, Tie-Ying Shi2
1School of Nursing, Capital Medical University, You an Men, Beijing, 100069, PR China.
概括
化疗可以影响乳腺癌患者的认知功能. 低教育程度,某些治疗方法和心理健康问题等因素加剧了衰退,而运动可能有所帮助.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 乳腺癌是全球普遍存在的恶性瘤.
- 化疗是一种基石治疗,但可能导致认知副作用,通常称为"化脑".
- 了解影响这些患者认知功能的因素对于支持性护理至关重要.
研究的目的:
- 在中国接受化疗的乳腺癌患者中识别与认知功能相关的因素.
- 探索社会人口统计学,医学和心理因素对认知健康的影响.
主要方法:
- 一项涉及741名接受化疗的乳腺癌患者的多中心,横截面研究.
- 通过社会人口统计,病史,睡眠质量,疲劳,焦虑和抑郁的问卷收集的数据.
- 层次的多重回归分析用于确定感知认知功能的预测因素.
主要成果:
- 该模型解释了 31.5% 的感知认知功能的差异.
- 较低的教育程度,特定的化疗类型 (包括环胺) 和更多的循环与较差的认知功能有关.
- 定期炼 (每周≥3次) 对认知功能产生了积极的影响,而焦虑和抑郁是显著的负面因素.
结论:
- 低教育程度,特定化疗方案 (cyclophosphamide) 和更高循环数量的患者需要更密切的监测.
- 久坐不动的生活方式,焦虑和抑郁症与更大的认知能力下降有关.
- 建议专注于促进运动和控制焦虑和抑郁的干预措施,以减轻化疗期间乳腺癌患者的认知障碍.
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