在胃肠道癌症的治疗意图手术后,表征监视相关的焦虑:一种混合方法方法
Natalie M Bath1, Rakhsha Khatri1, Patrick L Quinn1
1Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
手术后的癌症监测成像可能会引起焦虑,但在胃肠道和肝胆瘤幸存者中,症状通常是轻微的. 以前的心理健康诊断和年轻的年龄可能会增加这种"焦虑".
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗成像医学成像
背景情况:
- 癌症监测成像在治疗意图手术后至关重要.
- 在监测期间患者的痛苦,称为"焦虑",在胃肠道 (GI) 和肝胆瘤 (HPB) 癌症幸存者中没有得到充分研究.
研究的目的:
- 在切除的GI和HPB癌症患者的癌症监测期间调查焦虑和创伤后压力症状的频率和严重程度.
- 确定与该人口中"焦虑"增加相关的潜在风险因素.
主要方法:
- 横截面混合方法研究,涉及101名经过切除的肠道/肠道瘤患者.
- 患者在成像后完成了事件影响尺度修订 (IES-r) 和医院焦虑和抑郁量表 (HADS) 的焦虑子表.
- 进行了半结构面试,以探索患者的经历和应对策略.
主要成果:
- 整体焦虑和创伤后压力症状很常见,但轻微 (平均IES-r:12.1,平均HADS:5.2).
- 之前的心理健康诊断与更高的焦虑分数有关.
- 年龄较小,非洲裔美国人种族,公共保险和较长的旅行距离与高兴症状的增加有关.
结论:
- 与监视成像相关的焦虑和创伤后压力症状很普遍,但在肠道/肝癌幸存者中通常是轻微的.
- 以前的心理健康诊断和年轻的年龄可能表明"焦虑症"的风险更高.
- 需要进一步的研究来确定有风险的患者,以针对性,以患者为中心的干预措施.
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