基线痛苦和幸存者的有效性 关于博茨瓦纳癌症相关痛苦的视频叙述:试点研究
Yehoda M Martei1, Maanasa Gurram2, Lebogang T Mokokwe3,4
1Department of Medicine (Hematology-Oncology Division), University of Pennsylvania, Philadelphia, PA.
JCO global oncology
|June 18, 2025
概括
在文化上定制的视频中,乳腺癌幸存者显著减少了博茨瓦纳患者的痛苦. 恐惧和外表的担忧是关键的痛苦因素,显示了同行支持干预的潜力.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 全球健康 全球健康
背景情况:
- 乳腺癌在全球范围内构成了重大健康挑战,在不同的人口中产生不同的心理社会影响.
- 痛苦,包括恐惧和外观问题,在乳腺癌患者中很普遍,影响治疗坚持和生活质量.
研究的目的:
- 评估博茨瓦纳乳腺癌患者的基线应急水平.
- 评估文化适应的同行幸存者视频叙述在减少患者痛苦及其调解者的有效性.
主要方法:
- 在博茨瓦纳招募了160名患有I-IV期乳腺癌的患者队列.
- 国家综合癌症网络危险温度计 (DT) 和问题列表 (PL),翻译成塞茨瓦纳语,用于查.
- 参与者观看了一到两个文化定制的同行幸存者的视频,并在干预后4周和8周重新评估痛苦.
主要成果:
- 在基线时,67%的患者的查结果为中度至高痛苦呈阳性.
- 恐惧 (OR,11.25) 和外表 (OR,4.96) 显著与更高的痛苦有关.
- 在8周后,观看两个视频导致中度至高度的痛苦减少了29.8%,恐惧和看起来是痛苦来源的显著减少.
结论:
- 博茨瓦纳的大多数乳腺癌患者经历了严重的痛苦,恐惧和外表是主要的因素.
- 文化定制的同行幸存者视频在减轻这一群体中的痛苦及其媒介方面显示出有希望的有效性.
- 这些发现支持将基于视频的同行支持纳入资源有限的癌症护理环境.
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