探索晚期癌症疼痛患者主观认知功能的影响因素:采用潜形状分析的横截面研究
Hongyu Zhu1, Xi Ke1, Yunzhen Pen1
1Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, No. 420, Fuma Road, Fuzhou, China.
Scientific reports
|January 6, 2026
概括
晚期癌症疼痛患者的主观认知功能有所不同,抑郁症,焦虑和疼痛影响着不同的个人资料. 定制的干预措施对于管理这些患者的认知变化至关重要.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 主观认知功能在晚期癌症疼痛管理中经常被忽视.
- 了解认知亚型对于个性化患者护理至关重要.
研究的目的:
- 在晚期癌症疼痛患者中对主观认知功能亚型进行分类.
- 确定影响这些认知亚型的因素.
主要方法:
- 在220名晚期癌症疼痛患者的潜形状分析中.
- 利用了癌症治疗-认知 (FACT-Cog) 的功能评估,数值评分表 (NRS),患者健康问卷-9 (PHQ-9) 和通用焦虑障碍-7 (GAD-7).
- 多重后勤回归分析确定了影响因素.
主要成果:
- 确定了三个认知特征:高 (3.2%),中等 (73.6%) 和低 (23.2%) 的主观认知功能.
- 24.5%的患者表现出认知障碍.
- 抑郁症,焦虑,年龄,教育,疼痛评分 (NRS) 和突破性疼痛频率显著影响了认知概况.
结论:
- 晚期癌症疼痛患者的主观认知功能呈现出不同的概况.
- 认知功能受到心理困扰,人口统计和疼痛特征的显著影响.
- 针对性的认知干预应根据患者特定的个人资料来制定.
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