在妇科癌症手术住院期间的心理痛苦,身体形象和营养状况:一项前性观察性研究
Letizia Lafuenti1, Francesca Ciccarone2, Rebecca De Paola3
1Clinical Psychology Unit, Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 1, Rome, 00168, Italy. letizia.lafuenti1@policlinicogemelli.it.
概括
住院治疗改善了妇科癌症患者的情绪困扰和焦虑,但增加了对身体形象的担忧. 营养状况仍然令人担忧,强调需要综合护理.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 营养科学 营养科学
背景情况:
- 妇科癌症手术的住院治疗是评估患者脆弱性的关键时期.
- 这项研究检查了住院期间心理和营养状况的变化.
- 它还探讨了心理和营养因素之间的联系.
研究的目的:
- 在接受妇科癌症手术的妇女中,调查情绪困扰,焦虑,抑郁,身体形象不满,正食倾向和从入院到出院的营养状况的变化.
- 在此期间探索心理和营养变量之间的关联.
主要方法:
- 对220名接受妇科癌症手术的妇女进行前性观察性研究,其中181人完成了入院 (T0) 和出院 (T1) 时的评估.
- 心理结局使用痛苦温度计 (DT),医院焦虑和抑郁量表 (HADS),身体图像量表 (BIS) 和特鲁埃尔正食量表 (TOS) 进行评估.
- 使用迷你营养评估 (MNA) 评估营养状况;配对的t测试和相关性分析了变化和关联;物流回归确定了痛苦的预测因素.
主要成果:
- 从入院到出院,人们注意到焦虑,抑郁,情绪困扰和正食倾向的显著改善 (p < 0.001).
- 身体形象不满显著增加 (p < 0.001),而营养风险仍然很高且没有变化 (p = 0.221).
- 在入院时更高的身体形象不满预测出院时更大的痛苦 (p = 0.003).
结论:
- 住院治疗提供了一个关键的机会,以识别和管理妇科癌症患者的情绪和营养需求.
- 综合,多学科的护理,解决心理和营养方面的脆弱性,对于整体的康复至关重要.
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