对接受精神瘤治疗的癌症患者的酒精消费进行纵向分析
Paulina Kiefer1,2, Lisa Lebherz3, Janina Freitag3
1Department of Medical Psychology, University Medical Center Hamburg Eppendorf, Martinistraße 52, 20246, Hamburg, Germany. p.kiefer@uke.de.
Scientific reports
|June 20, 2025
概括
许多癌症患者在诊断后继续饮酒,可能会使他们的预后恶化. 更高的焦虑与危险的饮酒有关,而并发症,老年和抑郁症与更低的几率有关,这表明需要在癌症治疗中更好地控制酒精.
科学领域:
- 在瘤学瘤学.
- 精神瘤学 精神瘤学
- 公共卫生 公共卫生
背景情况:
- 酒精消费对癌症的发展和进展产生负面影响.
- 患有癌症的患者经常经历心理困扰,导致一些人使用酒精作为应对机制.
- 关于接受精神瘤治疗的癌症患者的酒精消费模式和相关因素的知识有限.
研究的目的:
- 调查接受精神瘤治疗的癌症患者中潜在危险的酒精消费的流行情况.
- 为了确定预测癌症诊断后酒精消费的社会人口统计学,健康相关和心理社会因素.
主要方法:
- 对300名癌症患者 (72%为女性,平均年龄为52.74) 的数据进行了二次分析,这些患者在德国大学医疗中心接受治疗.
- 在2013-2021年期间通过人口统计,病史和心理社会因素的自我报告问卷收集的数据.
- 一般化的纵向线性混合模型用于分析风险饮酒的流行率 (AUDIT-C分数) 和相关的患者特征.
主要成果:
- 大约70%的患者在诊断后继续饮酒.
- 40-50%的患者在开始和精神瘤治疗6个月后报告了潜在的有害饮酒行为.
- 较多的并发病,年龄较大和抑郁症状较高与风险饮酒的几率较低有关.
- 更高的焦虑水平与风险饮酒的可能性增加有关.
结论:
- 很大一部分癌症患者在可能对其预后有害的水平上饮酒.
- 改善患者教育和指导方针是必要的,以解决癌症护理中的酒精消费问题.
- 识别高风险患者进行更密切的监测和实施酒精控制措施可以改善癌症患者在精神瘤护理中的结果.
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