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自我和告密者报告的与原发性脑瘤相关的认知问题:系统性审查
Shelley Mekler1, Sian Virtue-Griffiths1,2, Kerryn Pike3,4,5
1School of Applied Psychology, Griffith Health, Griffith University, 1 Parklands Drive, Gold Coast, QLD, Australia.
概括
患有原发性脑瘤 (PBT) 的患者通常报告认知问题,如记忆和注意力问题. 患者和护理人员的报告一致,为PBT治疗和结果提供了宝贵的见解.
科学领域:
- 神经瘤学神经瘤学
- 认知心理学 认知心理学
- 临床研究 临床研究
背景情况:
- 初级脑瘤 (PBT) 与客观认知障碍有关.
- 对PBT患者的主观认知问题的理解较少.
- 了解患者报告的结果对于PBT管理至关重要.
研究的目的:
- 在PBT幸存者中识别自我和告密者报告的认知问题.
- 根据患者,瘤和治疗特征来探索认知问题的变化.
- 评估主观报告,客观发现和告密者报告之间的一致性.
主要方法:
- 对 PsycINFO 和 Medline 数据库进行系统的文献搜索.
- 包括英语语言的,关于PBT的全文研究.
- 排除对非PBT,仅对客观认知或儿科PBT的研究.
主要成果:
- 分析了11项涉及957名PBT参与者的研究.
- 常见的主观问题包括全球认知,语言,记忆,执行功能和注意力.
- 患者和告知者报告之间的协调是强大的;与客观措施的协调是不同的.
结论:
- 患者和告知者的报告对PBT治疗和结果评估有价值,特别是当患者无法自我报告时.
- 患者的观点至关重要,在临床研究中不应仅仅被客观措施所取代.
- 患者和告密者报告之间的强有力的协议有助于理解PBT幸存者的认知影响的全部范围.
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