患者报告的头部和部癌症患者的痛苦
Melissa C White1, Cheyenne Corbett2, Trinitia Y Cannon2,3
1Duke University School of Medicine, Durham, North Carolina.
JAMA otolaryngology-- head & neck surgery
|December 19, 2024
概括
在头癌患者中,焦虑是常见的. 未婚状态,情绪问题和吸烟显著增加了痛苦,无论种族如何.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 健康差距 研究 研究 研究 研究
背景情况:
- 在癌症患者中,痛苦是普遍存在的,关于差异的证据是不同的.
- 头癌 (HNC) 是一种情感上令人痛苦的疾病,其特点是存在差异.
- 了解HNC的痛苦差异对于有针对性的干预至关重要.
研究的目的:
- 调查与HNC患者临床上有意义的痛苦相关的种族和社会人口因素.
- 在接受放射治疗的队列中确定痛苦的预测因素.
主要方法:
- 对507名接受放射治疗的HNC患者进行了回顾性队列研究.
- 临床上有意义的应急,定义为应急温度计得分≥4.
- 多变量后勤回归分析了社会人口统计学和临床因素,并根据问题列表领域进行调整.
主要成果:
- 45.8%的患者经历了临床上有意义的痛苦.
- 在最终模型中,种族与痛苦没有显著的关联.
- 未婚状态 (aOR 1.61),情绪问题 (aOR 2.03),吸烟 (aOR 2.14) 和实际问题 (aOR 2.08) 与增加的痛苦有关.
结论:
- 在HNC中的痛苦受到了种族和社会人口统计学以外的因素的影响.
- 社会和情感支持对于减轻HNC患者的痛苦至关重要.
- 进一步的研究应该检查应急轨迹及其对HNC结果的影响.
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