在接受化疗的晚期肺癌老年患者中,癌症缓解症和心理社会影响之间的相关性
Rika Sato1,2, Tateaki Naito2,3,4, Haruyasu Murakami4
1Division of Nursing, Shizuoka Cancer Center, Shizuoka, Japan.
Asia-Pacific journal of oncology nursing
|March 19, 2025
概括
癌症缓解症在接受化疗的老年肺癌患者中显著影响营养和心理健康. 早期评估对于管理这些身体和心理影响至关重要.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
背景情况:
- 癌症缓解症是一种复杂的综合征,其特点是不自发的体重减轻和肌肉消耗.
- 它显著影响癌症患者的生活质量和治疗结果.
- 接受化疗的晚期肺癌的老年人特别容易患上白血病及其相关症状.
研究的目的:
- 评估癌症缓解症与心理社会影响,营养影响症状 (NIS) 和新诊断的晚年肺癌患者的老年评估之间的关联.
- 了解卡赫西亚患者在饮食和体重变化方面所经历的经历.
主要方法:
- 招募了接受一线化疗的晚期肺癌老年患者队列.
- 使用国际共识标准来诊断卡赫西亚.
- 经过验证的问卷 (EORTC QLQ C30,CAX24,ERD) 评估了NIS和心理社会影响.
- 非参数测试分析了关联,定性访谈探索了患者的经验.
主要成果:
- 68%的参与者在基线呈现出缓解症.
- 缓冲症组报告的食物厌恶,饮食和减肥的担忧,以及失去控制的严重程度显著更高.
- 两组之间在与饮食相关的痛苦或老年人评估得分方面没有发现显著差异.
- 采访显示,患者早期认识到饮食和体重的变化,并尝试自我管理.
结论:
- 癌症缓解症与老年肺癌患者的营养影响症状和心理社会困扰有显著的关联.
- 对于这种患者群体,建议对癌症缓解症进行全面评估,包括身体和心理层面.
- 早期识别和干预可赫克西亚相关症状可能会改善患者的治疗结果和生活质量.
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