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在接受化疗的癌症患者中,基于创伤后生长和减值的症状体验和应对策略的差异:一个横截面研究
1Department of Nursing, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 03080, Seoul, Republic of Korea.
概括
接受化疗的癌症患者表现出明显的创伤后生长 (PTG) 和折旧 (PTD) 模式. 量身定制的心理支持对于在这些多样化的患者群体中管理症状经历和应对策略至关重要.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 接受化疗的癌症患者往往会经历严重的心理痛苦.
- 创伤后生长 (PTG) 和创伤后值 (PTD) 是癌症诊断和治疗后的公认,但截然不同的结果.
- 了解PTG和PTD之间的相互作用对于开发有效的支持性护理策略至关重要.
研究的目的:
- 将接受化疗的癌症患者根据他们的PTG和PTD水平分为不同的集群.
- 在这些已识别的群体中调查症状体验和应对策略的差异.
- 为癌症患者提供个性化心理社会干预措施的发展提供信息.
主要方法:
- 一项涉及211名接受化疗的癌症患者的横截面研究.
- 使用创伤后增长和折旧库存扩展 (PTGDI-X),纪念症状评估规模-简短形式 (MSAS-SF) 和应对策略指标 (K-CSI).
- 采用K-介质集群分析来识别患者集群和单向ANOVA,使用Scheffé的后期测试来比较群体.
主要成果:
- 确定了三个不同的集群:高PTG/低PTD,中等PTG/高PTD,低PTG/低PTD.
- 高PTG/低PTD集群最有效地利用了问题解决和社会支持.
- 中等PTG/高PTD集群报告了最高的症状负担,并严重依赖避免应对策略.
结论:
- 在癌症患者中,PTG和PTD可以独立共存.
- 不同的患者群体表现出不同的症状体验和应对机制.
- 基于PTG-PTD概况的个性化护理干预可以在整体癌症护理中增强患者的福祉和恢复.
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