适应不良的应对方式缓和了有关癌症治疗信息和心理症状之间的关系:一项意大利多中心研究
L Zerbinati1, F Folesani1, R Caruso1
1Institute of Psychiatry, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Frontiers in psychology
|July 5, 2024
概括
了解癌症患者的应对方式是关键. 低焦虑程度会改善生活质量,而低/中等绝望程度会在接受治疗信息时造成痛苦.
科学领域:
- 在瘤学瘤学.
- 心理瘤学 心理瘤学
- 癌症护理沟通 癌症护理沟通
背景情况:
- 沟通癌症诊断,预后和治疗是复杂的.
- 患者的意识有所提高,但个体特征需要量身定制的沟通.
- 应对方式可以影响患者如何处理困难的健康信息.
研究的目的:
- 调查应对方式在癌症治疗信息和患者结果之间的关系中所起的缓和作用.
- 检查应对机制如何影响生活质量 (QoL) 和心理痛苦.
主要方法:
- 这是一项多中心研究,涉及来自意大利七个瘤病房的288名固体瘤患者 (2015年10月 - 2016年2月).
- 使用了经过验证的仪器:危险温度计 (DT),微型心理适应癌症 (Mini-MAC),EORTC QLQ-C30和EORTC QLQ INFO25.
- 探索了应对风格对生活质量和痛苦的缓解作用,将治疗信息作为独立变量.
主要成果:
- 低焦虑程度显著缓解了治疗信息与QOL之间的联系 (R2=6%,p<0.001).
- 低到中等的绝望水平显著减轻了治疗信息和痛苦之间的关联 (R2=14%,p=0.033).
- 适应性 (战斗精神,宿命主义) 和避免应对策略并没有显著地调节这些关系.
结论:
- 应对机制是癌症护理沟通中的优先事项.
- 调整沟通策略以适应个体患者的应对方式,对于优化信息披露至关重要.
- 评估患者的应对方式可以提高在瘤学中传递治疗信息的有效性.
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