接受新辅助治疗的乳腺癌患者的心理痛苦和应对策略:系统性审查
Majid Omari1,2,3, Lamiae Amaadour4,5, Achraf El Asri1,6
1Laboratory of Epidemiology and Research in Health Sciences, Faculty of Medicine, Pharmacy and Dental Medicine, Sidi Mohamed Ben Abdallah University, Fez, Morocco.
Women's health (London, England)
|September 17, 2024
概括
接受新辅助疗法 (NAT) 的局部晚期乳腺癌 (LABC) 患者经常经历心理困扰 (PD). 移动健康应用程序和放松训练等干预措施可以帮助减少PD,并在治疗期间改善应对策略.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 系统审查是系统的审查.
背景情况:
- 接受新辅助疗法 (NAT) 的局部晚期乳腺癌 (LABC) 患者经常经历心理困扰 (PD).
- 了解PD和应对机制对于在NAT期间管理LABC患者至关重要.
研究的目的:
- 在NAT期间系统地审查PD的流行率和变化以及LABC患者的应对策略.
- 评估旨在减少PD的干预措施在这个人群中的有效性.
主要方法:
- 进行了定量和定性研究的系统审查.
- 在主要数据库 (PubMed,Cochrane,Scopus等) 中进行文献搜索. 在2023年7月之前.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 在NAT之前抑郁症的患病率:0-46%;焦虑:5.5-54%. 在NAT之后,抑郁:40-78.5%;焦虑:27%.
- 在NAT期间PD降低;关键决定因素包括社会支持,生活状况,COVID-19和治疗延迟.
- 积极应对和社会支持在NAT后增加,而辞职应对则下降. 有效的干预措施包括移动健康,饮食改变,放松和引导图像.
结论:
- 心理困扰和应对策略是整个NAT中LABC患者的关键考虑因素.
- 建议实施有针对性的心理干预措施,以支持患者在治疗期间.
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