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晚期癌症患者生命最后一年死亡焦虑:eQuiPe研究的纵向结果
Moyke A J Versluis1,2, Froukje E de Vries3, Yvette M van der Linden2,4,5
1Graduate School of Social and Behavioral Sciences, Tilburg University, Tilburg, the Netherlands.
Psycho-oncology
|March 17, 2026
概括
晚期癌症患者的死亡焦虑在生命的最后一年保持稳定. 关键因素包括性别,年龄,疲劳,应对策略和社会支持,强调需要开放的沟通和支持性护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 心理社会瘤学
背景情况:
- 死亡焦虑是晚期癌症患者的一个重要问题,可能因症状负担和预后意识而升级.
- 了解死亡焦虑的时间动态对于有效的患者护理至关重要.
研究的目的:
- 调查晚期癌症患者在生命的最后一年死亡焦虑的轨迹.
- 在这个人群中确定与死亡焦虑相关的因素.
主要方法:
- 利用了前性,多中心,观察性eQuiPe研究的数据.
- 包括患有第四期固体癌症的患者,通过三个月的问卷和死亡和死亡痛苦量表 (DADDS) 收集数据.
- 雇佣混合效应回归用于对死亡焦虑患病率和相关因素的纵向分析.
主要成果:
- 死亡焦虑的患病率保持稳定,12-15%的人经历过死亡焦虑,30%-34%的人报告过一些焦虑,52%-58%的人报告没有死亡焦虑.
- 发现与女性性别,年龄,疲劳,规划和接受应对策略以及社会支持有显著的关联.
- 对死亡对亲属的影响的担忧是突出的 (84%在DADDS数据中).
结论:
- 对于晚期癌症患者来说,死亡焦虑的患病率在生命的最后一年中是一致的.
- 心理社会因素显著影响死亡焦虑,强调了量身定制护理的重要性.
- 开放的沟通和支持性护理,以解决应对和关系问题至关重要.
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