肺结节和它们可能造成的心理伤害:一个范围审查
Grace C Hillyer1, Nicole Milano2, William A Bulman3
1Mailman School of Public Health at Columbia University, New York, NY, USA; Herbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY USA.
Respiratory medicine and research
|July 4, 2024
概括
肺结节会造成严重的心理伤害,包括痛苦和焦虑,影响患者的决策和遵守护理. 本次审查强调了这种危害的共同性和需要有针对性的干预措施.
科学领域:
- 肺部医学 肺部医学
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在美国,每年诊断出超过160万个肺结节.
- 虽然通常是良性的,但结节检测和恶性瘤评估可能会导致严重的心理痛苦.
- 现有的文献缺乏对这种心理伤害的全面概述.
研究的目的:
- 对有关肺结节的心理伤害的文献进行范围审查.
- 检查这种危害的流行,测量,相关因素和后果.
- 确定未来研究和干预开发的差距.
主要方法:
- 系统地搜索在线数据库,查找2023年6月30日之前发表的研究.
- 包括19篇研究肺结节相关心理伤害的出版物.
- 对有关流行率,风险因素和临床结果的研究数据的分析.
主要成果:
- 心理伤害,包括痛苦 (24.0%-56.7%),焦虑 (9.9%-42.1%) 和抑郁 (14.6%-27.0%),是常见的.
- 各种人口,社会和临床因素与心理伤害有关.
- 伤害影响治疗决策,监测遵守和生活质量.
结论:
- 与肺结节相关的心理伤害很普遍,并显著影响患者管理.
- 需要进一步的研究来区分痛苦和焦虑,识别有风险的患者,并开发有效的干预措施.
- 干预对于改善患者的生活质量和治疗结果至关重要.
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