治疗意图的癌症手术后的监视相关焦虑:系统性审查
Rakhsha Khatri1, Patrick L Quinn1, Sharla Wells-Di Gregorio2
1Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Annals of surgical oncology
|September 29, 2024
概括
癌症幸存者经常在监控成像期间经历扫描焦虑,或害怕复发. 虽然目前减少这种焦虑的干预措施通常是暂时的和可管理的,但尚未被证明是有效的,因此需要对高风险个体进行进一步的研究.
科学领域:
- 在瘤学瘤学.
- 精神瘤学 精神瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在癌症手术后,监视成像是标准的,以检测复发.
- 癌症幸存者经历痛苦和焦虑,称为"焦虑",与监视有关.
- 扫描焦虑的频率,严重程度和管理尚未得到充分了解.
研究的目的:
- 系统地审查有关癌症监测期间焦虑和情绪经验的文献.
- 评估旨在减少癌症幸存者的扫描焦虑的干预措施.
主要方法:
- 对PubMed,Embase,CINAHL和PsycINFO数据库进行系统审查.
- 包括22项研究,涉及8693名患者.
- 评估了关于扫描焦虑和干预措施的定性和定量数据.
主要成果:
- 扫描焦虑率各不相同,但在外科手术后的时间内通常会下降.
- 扫描焦虑在扫描结果等待期间最强烈.
- 风险因素包括社会人口统计学,癌症细节,低自我效能和先前存在的焦虑;放心是一个积极的方面.
- 干预试验没有降低扫描焦虑率.
结论:
- 扫描焦虑在癌症类型和患者中很常见,但通常是暂时的和轻微的.
- 目前减少扫描焦虑的干预措施是无效的.
- 未来的研究应该专注于确定高风险个体的有效策略.
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