晚期癌症患者报告的最坏情况:存在,内容和预测因素
Joanna J Arch1,2, Mackenzie H Kirk1, Lauren B Finkelstein1
1Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, Colordo, USA.
Psycho-oncology
|December 22, 2024
概括
大多数晚期癌症患者 (66.5%) 担心最坏情况 (WCS),通常涉及死亡或痛苦. 了解这些恐惧可以改善患者和提供者之间的沟通,并为癌症幸存者提供支持.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 精确瘤学的进步增加了晚期癌症患者的生存率,导致预后不确定性和恐惧.
- 在晚期癌症中,最坏的未来恐惧 (WCS) 缺乏研究,限制了有针对性的支持.
- 了解患者的恐惧对于改善护理和支持至关重要.
研究的目的:
- 在晚期癌症患者中描述最坏情景 (WCS) 的流行情况.
- 分析这些WCS中的内容和主题.
- 为了确定 WCS 的预测因子,困难的晚期癌症患者.
主要方法:
- 对215名患有晚期癌症的痛苦患者进行了关于WCS存在和内容的调查.
- 混合方法方法分析WCS流行,主题和预测因素.
- 评估社会人口统计学,心理和医疗因素.
主要成果:
- 三分之二 (66.5%) 的患者报告患有WCS.
- 主要主题包括死亡,痛苦/恶化,癌症进展和家庭担忧.
- 更高的焦虑和更低的生活意义预测了WCS;年轻的年龄和与孩子一起生活预测了WCS专注于亲人.
结论:
- 最坏的情景在晚期癌症患者中是常见的,而且各不相同.
- 评估WCS可以促进患者与提供者关于强烈恐惧的沟通.
- 这种方法可以加强对面临不确定性的癌症幸存者的支持工作.
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