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在患有膀癌的成年人中,未得到满足的需求及其预测因素与年龄相关的差异
Danielle Scharp1, Tung-Ming Leung2, Bente Thoft Jensen3
1Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.
Urologic oncology
|July 4, 2025
概括
患有膀癌的老年人有更大的医疗系统信息需求,而年轻患者报告更多的心理和护理支持需求. 量身定制的干预措施对于改善膀癌护理至关重要.
科学领域:
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 膀癌主要影响老年人,突出了解决年龄特定挑战的必要性.
- 了解影响未满足需求的因素是制定有针对性的干预措施以改善患者结果的关键.
研究的目的:
- 为了比较65岁以下的膀癌患者和65岁以上的膀癌患者之间的未满足需求.
- 确定与这两个年龄组未满足需求相关的社会人口统计学,临床和个人/社会资源因素.
主要方法:
- 一项横截面研究分析了来自膀癌倡导网络的155名成年膀癌患者 (18-85岁) 的调查数据.
- 使用膀癌需求评估尺度-32评估未满足的需求,涵盖心理,卫生系统,身体,患者护理,性,物流和通信领域.
- 单变量和多变量分析确定了与未满足需求相关的因素,按年龄分层 (<65岁和≥65岁).
主要成果:
- 65岁以下的患者报告在心理,患者护理/支持,性和伴侣沟通领域的未满足需求更高.
- 65岁以上的患者经历了与健康系统和信息相关的更多未满足的需求.
- 多变量分析显示,不同年龄段的未满足需求与社会支持,自我效能和应对机制之间存在明显的关联. 在老年人群中,女性报告的未满足需求比男性多.
结论:
- 年龄,性别和个人/社会资源显著影响膀癌患者的未满足需求.
- 研究结果强调需要个性化的支持性护理策略,以提高膀癌的治疗和治疗结果.
- 考虑到这些因素的定制干预措施对于改善膀癌幸存者的生活质量至关重要.
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