在甲状腺癌患者中与心理痛苦相关的因素
Matthew E Lin1, Eric X Wei2, Andrey Finegersh2,3
1Department of Head and Neck Surgery, David Geffen School of Medicine of University of California Los Angeles, Los Angeles, California, USA.
概括
近30%的甲状腺癌患者经历了心理困扰,特别是年轻人和那些不经常去看全科医生的人. 识别有风险的患者对于有针对性的心理社会干预至关重要.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 心理困扰 (PD) 是癌症患者的一个重要问题.
- 了解甲状腺癌患者 (TCP) 的PD患病率和相关因素对于支持性护理至关重要.
研究的目的:
- 为了确定中度至重度心理困扰 (MSPD) 在TCP的患病率.
- 为了确定与MSPD相关的人口,临床和社会经济因素.
主要方法:
- 追溯分析2016-2018年国家健康访谈调查数据.
- 包括成人癌症患者,重点是TCP.
- 利用K6心理困扰量表来定义MSPD (得分≥5) 并使用加权多变量后勤回归来识别相关因素.
主要成果:
- 28.4%的TCP报告了MSPD.
- 与前列腺,膀和非黑色素瘤皮肤癌患者相比,TCP的MSPD率较高,但低于胰腺癌患者.
- 与较低的MSPD相关的因素包括年龄较大,先前的酒精消费和定期的全科医生访问. 女性性别,多种并发症和功能限制与MSPD的增加有关.
结论:
- 相当大比例的TCP患有MSPD,这凸显了对心理健康支持的需要.
- 年轻的TCP和那些不经常与全科医生接触的人似乎面临更高的风险.
- 需要进一步的研究来确定高风险个体,以进行定制的预防和心理社会干预.
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