在晚期癌症患者中,痛苦,孤独,社交互动和感知症状之间的关系
Ana María Higuita Rendón1, Angela Medina Medina1, Carolina Palacio González2,3
1Pain and Palliative Care Group, School of Health Sciences, Universidad Pontificia Bolivariana, Medellín, Colombia.
概括
孤独显著导致晚期癌症患者的痛苦,即使有强大的社会支持. 解决孤独问题对于有效的息护理干预和改善患者福祉至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 心理社会瘤学
背景情况:
- 了解晚期癌症患者的痛苦是有效干预的关键.
- 社会因素显著影响患者的体验和结果.
研究的目的:
- 检查痛苦,孤独,社会互动和症状困扰之间的关系.
- 确定晚期癌症患者遭受痛苦的关键心理社会预测因素.
主要方法:
- 定量,观察,分析的横截面研究.
- 144名晚期癌症患者从一个疼痛和息治疗单元.
- 使用了PRISM,UCLA孤独度量,埃德蒙顿症状评估问卷和科恩的社交网络指数.
主要成果:
- 75%的人报告中度至严重的痛苦;33%的人有临床显著的孤独感.
- 痛苦与孤独,疼痛,疲劳,抑郁和焦虑有关.
- 多重回归分析显示,孤独是痛苦的唯一显著预测因素.
结论:
- 很大一部分晚期癌症患者经历了严重的痛苦和孤独.
- 孤独,而不是社会互动水平,显著影响疾病经验和痛苦.
- 未来的研究应该进一步探索息治疗中的痛苦与孤独的联系.
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