癌症患者的痛苦及其对治疗的遵守:一项前性研究
M Lithika Lavanya1, S Mukesh, Sathya Maruthavanan
1Department of Radiation Oncology, Krishna Rajendra Hospital, Irwin Rd, Devaraja Mohalla, Yadavagiri, Mysuru, Karnataka, India.
Indian journal of cancer
|August 11, 2025
概括
在这项研究中,癌症患者的高痛苦水平与治疗不遵守没有显著的相关性. 然而,建议为患有高焦虑症的患者提供咨询,以改善治疗坚持.
科学领域:
- 在瘤学瘤学.
- 精神瘤学 精神瘤学
- 临床研究 临床研究
背景情况:
- 在全球范围内,50%的癌症患者经历压力;在印度,在诊断,治疗和随访期间,这一数字上升到60% - 70%.
- 患者的压力是一个常见的,经常被忽视的问题,影响治疗结果.
- 这项研究调查了癌症患者的痛苦水平及其与治疗遵从性的相关性.
研究的目的:
- 评估癌症患者经历的痛苦程度.
- 评估应急评分和患者对治疗的遵守之间的关系.
主要方法:
- 国家综合癌症网络 (NCCN) 的痛苦温度计 (DT) 和问题列表被用来评估患者在初次诊所期间的痛苦.
- 对于文盲患者,由第三方填写问卷.
- 在整个研究过程中,对患者的治疗顺应性进行了监测,并记录了患者违约的任何情况.
主要成果:
- 在224名患者中,43人 (19%) 失败了治疗.
- 虽然70%的违约者被确定为高危险风险,但违约者 (5.54) 和完成治疗 (5.37) 之间的平均危险分数差异在统计学上并不显著 (P = 0.663).
结论:
- 尽管缺乏统计学意义,但这些发现表明,高痛苦和治疗不合规之间存在潜在联系.
- 建议对癌症患者进行重复咨询,这些癌症患者的痛苦得分很高,以防止治疗中断.
相关概念视频
Nursing Ethical Principles II
1.3K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.3K
Cancer Survival Analysis
455
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
455
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Obedience
33.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
33.1K
Cancer
49.5K
Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
49.5K
Targeted Cancer Therapies
7.8K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.8K


