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癌症诊断后6个月内士气丧失的纵向观察研究:一个交叉滞后的面板网络分析
Su Ting Liu1,2, Xin Yi Zhang1, Qing Su1
1School of Nursing, Southern Medical University, Baiyun District, No.1023, South Shatai Road, Guangzhou, Guangdong, 510515, China.
概括
癌症患者经常经历丧,陷入困境和绝望的感觉是关键预测因素. 干预措施应适应诊断后的特定时间点,以满足这些不断变化的心理需求.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 心理健康 心理健康
背景情况:
- 丧气是一种癌症患者经历的重大心理痛苦.
- 了解抑郁的纵向变化和相关因素对于有效的患者护理至关重要.
- 以前的研究还没有完全阐明癌症诊断后随着时间的推移而发生的士气丧失的动态性质.
研究的目的:
- 为了确定癌症患者的士气丧失的动态变化.
- 探索丧症状的纵向相关性和网络相互作用.
- 在癌症诊断后的不同时间点提供针对性干预措施的基于证据的参考资料.
主要方法:
- 研究了一组来自中国广州一家三级医院的127名癌症患者.
- 抑郁症在三个时间点进行评估:诊断后1个月 (T1),3个月 (T2) 和6个月 (T3).
- 交叉滞后的面板网络分析被用来检查抑郁症症状之间的纵向相互作用.
主要成果:
- 52% (T1),55.4% (T2) 和56.0% (T3) 的参与者报告了高度的丧.
- 在T1-T2中",陷入困境的感觉" (D24) 是最有影响力的变量,预测和被其他症状预测.
- 在T2-T3中",感到绝望" (D9) 成为其他症状最有影响力的预测因素.
结论:
- 陷入困境的感觉和绝望是关键的症状,可以随着时间的推移显著预测其他士气降低指标.
- 针对癌症患者的抑郁症的临床干预需要特定时期的目标.
- 根据丧的时间动态来定制干预措施,可以增强患者的支持.
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