癌症患者中痛苦的预测者报告身体问题
McKinzey Dierkes1,2, Yilin Cai3, Victoria Trotta4
1West Virginia Clinical and Translational Science Institute, Morgantown, WV, 26506, USA. mkd00001@mix.wvu.edu.
概括
癌症患者 癌症患者
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心理困扰显著影响癌症患者的结果.
- 增强的困境温度计 (eDT) 测量了困境和有助于问题的情况.
- 需要进一步调查eDT物理问题列表的预测有效性.
研究的目的:
- 通过使用eDT在患有身体问题的癌症患者中识别痛苦得分的预测因素.
- 评估人口/临床因素与危险程度之间的关联.
主要方法:
- 具有显著困扰的患者记录的回顾性审查 (eDT得分≥6或<6有>3个问题).
- 分类为轻度 (1-3),中度 (4-6) 和严重 (7-10) 的危险组.
- 奇方位和线性回归分析以确定痛苦的预测因素.
主要成果:
- 在头部和部,乳腺,皮肤和结肠直肠癌中,严重的痛苦普遍存在.
- 痛苦的关键预测因素包括年龄较小,女性性别,城市位置和身体问题数量 (NPP).
- 回归模型占15%的急救得分的差异.
结论:
- 年龄,地理位置,性别和NPP是影响癌症患者痛苦的重要因素.
- 需要进一步的研究来开发全面的个人资料来识别处于风险的患者.
- 改进的识别可以导致更好地满足支持性护理需求.
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