探索晚期癌症中的焦虑,抑郁和感知负担:对患者和护理人员的纵向观察

Talita Caroline de Oliveira Valentino^1,2,3, Carlos Eduardo Paiva^1,2,4, Marco Antonio de Oliveira²

¹Oncology Graduate Program, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.

Palliative & supportive care

|December 29, 2025

概括

患有无法治愈的癌症的患者和家庭护理人员经历了显著的心理痛苦. 感觉像一个负担和糟糕的健康感知是关键因素,突出需要有针对性的息护理干预措施,以改善生活质量.

科学领域:

抚慰性护理是一种缓解性护理.
在瘤学瘤学.
心理医学心理医学

背景情况:

患有生命限制疾病的患者及其家庭护理人员面临着影响生活质量的重大生物心理社会挑战.
了解这些挑战对于有效的患者和护理人员支持至关重要.

研究的目的:

为了比较患有无法治愈的癌症的患者和他们的家庭护理人员之间的焦虑和抑郁水平.
调查感知负担与心理结果之间的纵向关联.
确定与该人口感知负担相关的因素.

主要方法:

一项前性的纵向研究的二次分析,涉及190名患者家庭护理人员.
心理因素,包括焦虑和抑郁 (通过HADS测量),每3个月评估一次,持续12个月.
用通用估计方程来分析患者和护理人员变量对心理结果随着时间的推移的影响.

主要成果:

在整个研究过程中,家庭护理人员报告的焦虑程度高于患者.
感觉像一个负担显着与增加的焦虑 (OR=4.45) 和抑郁 (OR=2.73) 相关.
糟糕的健康感知增加了患者和护理人员的焦虑和抑郁;在护理人员的积极就业减少了痛苦.

结论:

感知到的负担和不良的健康感知是导致晚期癌症患者及其家庭护理人员心理痛苦的重要因素.
这些发现强调了在息治疗中需要量身定制的干预措施,以满足患者和护理人员的心理需求.
在先进的癌症护理中,解决成为负担的感觉对于改善心理健康至关重要.

关键词:

晚期的癌症晚期的癌症生命周期结束时使用.家庭照顾者家庭照顾者感知到的负担.心理上的痛苦心理上的痛苦支持性护理支持性护理

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