跨学科提供者访问减弱了癌症老年人患者的患者担忧和痛苦之间的关系
Kelly M McConnell1, Alexandra K Zaleta2, Rebecca Saracino1
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
概括
多维患者的担忧与癌症老年人的焦虑和抑郁相关. 看到专业提供者,如息护理或心理健康的提供者,可以缓冲这些负面影响.
科学领域:
- 老年瘤学 老年瘤学
- 心理社会瘤学
- 癌症 护理 提供 研究 研究
背景情况:
- 患有癌症的老年人 (OAC) 面临着独特的挑战,包括影响心理健康的多维问题.
- 焦虑和抑郁症在OAC中很普遍,需要对缓解因素进行研究.
- 跨学科护理在OAC中应急管理中的作用需要进一步调查.
研究的目的:
- 检查OAC中多维患者关注和焦虑/抑郁之间的关联.
- 为了研究看到各种医疗保健提供者的缓冲效应,这些关系.
- 确定潜在的干预措施,以改善OAC的心理社会福祉.
主要方法:
- 通过癌症经验登记册对277名OAC (≥65岁) 进行了横截面调查.
- 参与者报告了多个领域,焦虑和抑郁等级的担忧严重程度.
- 收集了关于参与者是否从不同类型的提供者那里获得症状和副作用的护理的数据.
主要成果:
- 45%的OAC报告过度焦虑,31%报告过度抑郁.
- 最严重的担忧与身体形象,健康的生活方式和症状负担有关.
- 更高的担忧严重程度与焦虑和抑郁症的增加有关;对于OACs来说,这种联系较弱,OACs看到了息治疗,心理健康,治疗,药房或初级保健提供者.
结论:
- 专业供应商的访问减弱了OAC的担忧和困境之间的关系.
- 跨学科的团队护理对于OAC中以患者为中心的全面护理至关重要.
- 整合不同专家可能会改善老年癌症患者的心理健康结果.
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