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放射治疗患者的痛苦和生活质量的动态:一个前性队列研究
Hana Park1, Danbee Kang1,2, Tae Hoon Lee3
1Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, 06355, Korea.
概括
放射治疗 (RT) 增加了痛苦,并暂时降低了癌症患者的生活质量 (QoL). 移动工具有效地跟踪这些变化,强调了针对睡眠,疲劳和情绪困扰的干预措施的必要性,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者报告的结果
背景情况:
- 放射治疗 (RT) 是癌症治疗的基石.
- 接受RT的患者经常经历显著的痛苦和生活质量 (QoL) 的降低.
- 动态监测这些变化对于及时干预至关重要.
研究的目的:
- 在RT期间评估食道,头和直肠癌患者的痛苦和QOL动态.
- 评估基于移动的评估工具的有效性,以跟踪患者报告的结果.
主要方法:
- 一项前性队列研究,涉及100名接受RT的癌症患者.
- 使用基于移动的评估工具在多个时间点收集数据:RT前,RT第2,4,6周和治疗后1个月.
- 雇佣了国家综合癌症网络危险温度计和欧洲癌症研究和治疗组织的生活质量调查问卷.
主要成果:
- 移动评估工具显示了高响应率 (95-100%).
- 在RT期间,痛苦水平显著增加,在第2周和第4周达到67%的峰值.
- 生活质量 (QoL) 在治疗期间下降,但在RT后恢复到基线. 较高的痛苦与较差的QoL相关.
- 睡眠障碍,疲劳,焦虑,焦虑和疼痛是普遍存在的,并且与不良的质量生活相关.
结论:
- RT与患者的痛苦增加和QoL的短暂下降有关.
- 针对睡眠问题,疲劳和情绪困扰的有针对性的干预措施对于改善患者的结果至关重要.
- 在RT期间,移动技术是监测癌症患者的痛苦和生活质量的可行和有效方法.
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