战争与癌症:在随机综合性瘤学研究中探索患者叙述
Eran Ben-Arye1,2, Orit Gressel1,2, Yael Keshet3
1Integrative Oncology Program, The Oncology Service; Lin, Carmel, and Zebulun Medical Centers, Clalit Health Services, Haifa, Israel.
Psycho-oncology
|May 6, 2025
概括
综合性瘤学 (IO) 改善了与战争有关的痛苦面临的癌症患者的生活质量. 手动放松缓解了情绪上的担忧,而针增强了疼痛缓解,使患者立即和24小时后受益.
科学领域:
- 综合性瘤学 综合性瘤学
- 癌症护理 癌症护理
- 心理社会瘤学
背景情况:
- 以色列正在进行的战争对癌症患者的生活质量 (QoL) 产生了重大影响.
- 综合性瘤学 (IO) 在支持性和息性护理环境中提供补充疗法.
- 需要评估IO对患有癌症和与战争有关的担忧的患者的有效性.
研究的目的:
- 检查综合性瘤学计划对以色列北部癌症患者的影响.
- 评估该计划在解决与癌症有关的和与战争有关的生活质量问题的有效性.
- 在IO框架内探索患者与手动放松和针的体验.
主要方法:
- 一个定性研究嵌入在一个潜在的随机对照试验.
- 患有 QoL 问题的瘤学和息护理患者随机分配到手动放松 (A 组) 或没有 (B 组) 针.
- 用MYCaW问卷收集了患者关于担忧和幸福感的叙述,并使用ATLAS.Ti软件进行分析.
主要成果:
- 患者的叙述揭示了冷静和减少情绪困扰的主题,特别是在B组 (仅手动放松).
- 减轻疼痛严重程度在A组 (用针进行手动放松) 中更为突出.
- 很高比例的患者 (97%) 在IO治疗后立即报告了改善的QoL,在24小时后观察到持续的好处.
结论:
- 综合性瘤疗法对面临癌症和战争相关生活质量挑战的患者产生有益影响.
- 单独手动放松对情绪问题更有效,而针加上增强了疼痛缓解.
- 需要进一步的研究来更深入地探索这些定性和定量发现.
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