癌症患者治疗偏好的年龄和性别差异:来自新型治疗偏好尺度的证据
Prajwal Dhakal1, Christopher S Wichman2, Bunny J Pozehl2
1The University of Iowa.
Research square
|January 27, 2025
概括
患者的治疗偏好因年龄和性别而异. 年长的女性优先考虑认知和日常功能,而年轻的成年人接受更多的痛苦,以获得有效的癌症疗法. 治疗偏好量表 (TPS) 有助于个性化护理.
科学领域:
- 在瘤学瘤学.
- 患者报告的结果
- 健康心理学 心理健康心理学
背景情况:
- 个性化癌症治疗计划中,患者的偏好是必不可少的.
- 治疗偏好量表 (TPS) 是为了评估癌症患者的偏好而开发的.
研究的目的:
- 为了研究癌症患者的偏好如何在不同的年龄和性别人口统计学上有所不同.
- 评估TPS在捕捉患者详细治疗偏好方面的实用性.
主要方法:
- 对300名成年癌症患者进行了30项自我报告问卷,即TPS.
- 参与者按性别分为四个年龄组:年轻男性 (<60岁),年长男性 (≥60岁),年轻女性 (<60岁) 和年长女性 (≥60岁).
- 使用克鲁斯卡尔-瓦利斯非参数ANOVA来比较各组之间的偏好反应.
主要成果:
- 老年女性优先考虑认知功能和日常活动,接受比认知障碍更短的预期寿命.
- 年轻的成年人更愿意忍受痛苦,以获得更有效的治疗方法.
- 年轻的男性特别重视维持性功能.
- 老年男性和女性都更喜欢口服药物而不是静脉注射疗法.
结论:
- 癌症患者的偏好显示出基于年龄和性别的显著差异.
- 老年女性优先考虑独立,而年轻人接受更大的治疗风险,以获得有效性.
- 该TPS是一个有价值的工具,可以引起个体患者的偏好,以支持瘤学中共享的决策.
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