癌症化疗期间心理状况的变化
Kensuke Kamimura1,2, Hiroaki Haga1, Tomomi Wada1
1Department of Pharmacy, Saiseikai Niigata Hospital, 280-7 Teraji, Nishi-ku, Niigata 950-1104, Japan.
Asian Pacific journal of cancer prevention : APJCP
|July 28, 2024
概括
癌症患者在化疗开始时会经历高度焦虑和抑郁,随着时间的推移,这种焦虑和抑郁会减少. 预先存在的精神疾病或药物使用与整个治疗过程中的持续较高的痛苦得分相关.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 临床药房 临床药房
背景情况:
- 在接受化疗的癌症患者中,心理困扰是常见的.
- 患者的心理健康显著影响生活质量和治疗坚持.
- 化疗可以诱导心理健康的变化.
研究的目的:
- 在化疗期间对癌症患者的焦虑和抑郁水平进行前性评估.
- 确定在癌症治疗期间影响心理痛苦的因素.
- 将患者的自我评估与医务人员对心理状况的评估进行比较.
主要方法:
- 对109名接受化疗的癌症患者进行前性观察性研究.
- 基线评估,第一疗程后,以及化疗后>2个月.
- 使用焦虑数值评分表 (NRS-A),医院焦虑和抑郁量表 (HADS-A,HADS-D) 和PRO-CTCAE进行患者自我评估.
- CTCAE v5.0用于医疗保健专业人员 (药剂师/护士) 的评估.
主要成果:
- 焦虑和抑郁的得分在化疗开始时达到峰值,随后下降.
- 患有先前精神疾病或服用精神药物的患者表现出更高的痛苦得分.
- 这些患者的高危情绪分数在整个化疗过程中持续存在.
- 患者自我报告的得分始终高于医务人员报告的得分.
结论:
- 精神疾病的困扰在化疗开始时最为明显.
- 患有精神病史或服用精神药物的患者经历了长时间的高度焦虑和抑郁.
- 与医务人员评估相比,自我评估提供了更高的患者痛苦指标.
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