在局部晚期直肠癌中,患者对非手术治疗策略的偏好:一个横截面调查
Surendran Veeraiah1, Revathy Sudhakar1, Jagan Murugan2
1Department of Psycho-Oncology & RCTC, Cancer Institute (WIA), 38, Sardar Patel Road, Adyar, 600036 Chennai, Tamil Nadu India.
Indian journal of surgical oncology
|February 23, 2026
概括
只有三分之一的直肠癌患者更喜欢非手术治疗 (NOM) 而不是手术,担心进展和副作用是关键因素. 患者咨询对于直肠癌护理的观察和等待方法至关重要.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 手术切除是直肠癌的标准治疗方法.
- 在新辅助放射治疗后的非手术管理 (NOM) 是选定的患者的新兴选择.
- 了解患者对NOM的偏好对于治疗规划至关重要.
研究的目的:
- 评估患者对直肠癌非手术治疗 (NOM) 的意愿.
- 确定影响患者在NOM和手术之间偏好的因素.
- 评估心理参数对NOM接受的影响.
主要方法:
- 对59名局部晚期直肠癌患者进行了前性横截面研究.
- 结构化的采访评估了在各种条件下对NOM的意愿.
- 心理评估包括对进步的恐惧 (FOP) -12,生活导向测试修订和MHLC-C.
主要成果:
- 37.3%的患者表示愿意接受NOM.
- 随着副作用或瘤再生风险的增加,对NOM的意愿下降.
- 对进展的恐惧 (50%的患病率) 和低的乐观 (79.7%) 显著影响了决策.
结论:
- 少数直肠癌患者更喜欢NOM而不是手术.
- 患者的决策受到治疗进展和治疗副作用的恐惧的影响.
- 在考虑观察和等待策略之前,对NOM进行全面的患者咨询是必不可少的.
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