在晚期肺癌和前列腺癌中,感知疾病严重程度和终极性的相关性
Michaela Di Palmo1, Ekin Secinti1, Ellen Krueger1
1Department of Psychology (M.D.P, E.S., E.K., C.E.M.), Indiana University Indianapolis, Indianapolis, Indiana, USA.
患有晚期癌症的患者往往低估了他们的预后. 认为癌症是严重的,而不仅仅是终端的,与症状负担和生活质量下降相关,突出需要更好地了解预后.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 晚期癌症的预后意识通常仅限于感知到疾病的终结性.
- 对疾病严重程度和终结性的看法可能会显著影响症状负担和生活质量.
研究的目的:
- 调查感知疾病严重程度和终极性与身体/心理症状,生活质量和吸烟状况之间的关系.
- 在患有晚期,不可手术的肺癌和前列腺癌的患者中检查这些关联.
主要方法:
- 一次性调查对来自美国中西部医院的198名晚期癌症患者进行了调查.
- 预后意识被归类为"相对健康"",严重病但不绝症"或"严重和绝症".
主要成果:
- 只有12%的患者准确地认为他们的预后是"严重和绝症";66%的人觉得"相对健康".
- 增加的焦虑,抑郁,疲劳,疼痛和更差的生活质量与将疾病视为严重的感知有关,无论终结感知如何.
- 在晚期肺癌患者中,喘息与严重/终端疾病感知相关;吸烟状态与预后意识无关.
结论:
- 认为癌症是严重的,不仅仅是末期的,是与症状负担和生活质量相关的关键因素.
- 这些发现强调了加强预后理解和改善晚期癌症患者应对机制的干预的必要性.
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