腹腔大动脉瘤监测引起的心理社会问题:一个横截面调查
Jane Hughes1, Elizabeth Lumley1, Alan Elstone2
1SCHARR, The University of Sheffield, Sheffield, UK.
Journal of medical screening
|April 15, 2025
概括
腹腔大动脉瘤 (AAA) 监测可能会在少数男性中引起焦虑. 年轻的男性,来自贫困地区的男性或健康状况较差的男性在AAA监测期间经历了更重要的心理社会问题.
科学领域:
- 血管外科 血管外科
- 心理社会健康 心理健康
- 公共卫生查 公共卫生查
背景情况:
- 腹腔大动脉瘤 (AAA) 构成破裂风险,需要对低于值的大小进行监测.
- 英国目前的监测协议包括定期的超声波监测.
- 这种监控可能会导致心理社会困扰,包括焦虑,影响生活质量.
研究的目的:
- 为了确定在监视期间经历AAA相关心理社会问题的男性的特征.
- 使用AAA特定的生活质量衡量标准来评估这些问题.
主要方法:
- 在五个NHS查中心向接受AAA监视的男性发送了一份邮政调查.
- 该调查采用了e-PAQ-AAA生活质量测量标准,包括查问卷的心理后果.
- 分析了734名受访者 (64%的响应率) 的数据.
主要成果:
- 大多数男性报告没有与AAA相关的显著焦虑或对日常生活的影响.
- 然而,在每三个月进行监测的男性中,有11%的人经常经历了AAA相关的焦虑.
- 更高的焦虑和后果与年龄较小,社会剥夺,身体健康较差以及AAA较大/增长较快有关.
结论:
- 由于AAA监视而产生的心理社会问题并不常见,但显著影响了一小部分男性.
- 需要进行干预,以支持男性应对与监视相关的心理挑战.
- 针对性支持可能对监控计划中的年轻人,更贫困或更不健康的人有益.
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