在患有良性甲状腺结节的患者中,甲状腺癌相关的恐惧和焦虑:一种混合方法研究
Emily E Evans1, Ailish Dougherty1, Catherine B Jensen2
1University of Michigan Medical School, Ann Arbor, Michigan.
The Journal of surgical research
|September 5, 2024
概括
患有良性甲状腺结节的患者在想象癌症时会感到焦虑. 关于甲状腺癌和治疗的信息减少了恐惧,但外科医生的情感支持没有影响患者的焦虑或恐惧.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 心理学 心理学 心理学
背景情况:
- 甲状腺癌的诊断导致了严重的痛苦.
- 了解患者对良性甲状腺结节的情绪反应是有限的.
- 这项研究研究了在患有良性结节的患者中假设癌症诊断的情感影响.
研究的目的:
- 探索假设甲状腺癌诊断对患有良性结节的患者的情感影响.
- 评估治疗信息和外科医生情感支持对患者焦虑和恐惧的影响.
- 确定与考虑甲状腺癌诊断有关的患者关切和主题.
主要方法:
- 患有良性甲状腺结节的患者想象了癌症诊断,并报告了他们的感受.
- 参与者观看了关于甲状腺癌治疗的视频,有或没有情感支持 (随机化).
- 在视频之前和之后测量了焦虑和与癌症相关的恐惧;主题分析探索了患者的感受.
主要成果:
- 运动后和观看视频后焦虑增加 (P < 0.001),与癌症相关的恐惧减少 (P < 0.001).
- 视频中的外科医生情感支持并没有显著改变焦虑或恐惧水平.
- 关键主题包括信息搜索,信任,癌症经验,知识,手术恐惧和家庭影响.
结论:
- 患有良性甲状腺结节的患者在考虑甲状腺癌时会感到焦虑增加.
- 提供有关甲状腺癌和治疗的信息有效地减少了与癌症相关的恐惧.
- 外科医生的情感支持并没有减轻焦虑或恐惧; 活检前的信息可能是有益的.
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