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"没有它的想法是可怕的". 使用免疫,生物或精密疗法的患者的不确定性和心理依赖:一种定性研究
J Lecouturier1, L Crowe1,2, M C Brown1,2
1Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
接受免疫疗法,生物药物和精密疗法 (IBP) 的晚期癌症患者经历了显著的心理影响,包括与长期治疗相关的不确定性和依赖.
科学领域:
- 在瘤学瘤学.
- 心理医学 心理医学
- 癌症治疗方法 癌症治疗方法
背景情况:
- 免疫疗法,生物药物和精密疗法 (IBP) 提供了长期的癌症治疗选择,具有不可预测的副作用.
- 由于IBP疗法的性质,晚期癌症患者面临着独特的心理挑战.
研究的目的:
- 探索IBP治疗对晚期癌症患者的心理影响.
- 了解患者对患有晚期癌症和接受IBP治疗的看法.
主要方法:
- 与31名被诊断患有晚期癌症的患者 (20名女性,11名男性) 进行了半结构面试.
- 参与者患有肺,结肠直肠,卵巢,乳腺,脏或恶性黑色素瘤.
- 用专题分析来分析采访数据.
主要成果:
- 出现了两个主要主题:晚期癌症诊断和与癌症相处的心理影响,以及与IBP疗法相关的不确定性/依赖性.
- 患者对诊断的情绪反应各不相同,从缓解到震惊.
- 不确定性和心理依赖与治疗的有效性,连续性和未来的护理计划有关.
结论:
- 对接受IBP治疗的晚期癌症患者的心理支持至关重要.
- 干预措施不仅应解决治疗副作用,还应解决心理不确定性和依赖.
- 在IBP治疗途径中应整合支持性护理.
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