Anchisi Annick, Anchisi Sandro, Hugentobler Valérie, Luyet Véronique, Pott Murielle
Haute école santé-social Valais, Gravelone 5, 1950 Sion, Valais, Suisse.
Bull Cancer. 2006 Apr;93(4):407-14.
This study is based on the interview of 21 subjects, aged 70 years and over, attending an oncology centre. At the end of their treatment, we have explored the processes of patient's choice, including goals, resources and constraints. The main variables influencing the acceptance of chemotherapy are full awareness of one's clinical condition, irrespective of whether a cure is possible or not, self perceived state of health, and lastly life expectancy. Age itself initially does not appear to be a limiting factor. Every effort should be made to tailor communication to individual needs, not least because of a link between learned and perceived treatment adverse effects. We found that symptoms, especially fatigue, hamper routine activities, leading to social withdrawal. Gradually the manifestations of the disease itself and of its treatment, combined with age, reveal both personal vulnerability and the role of support networks.
本研究基于对21名年龄在70岁及以上、前往肿瘤中心就诊的受试者的访谈。在他们治疗结束时，我们探讨了患者的选择过程，包括目标、资源和限制因素。影响化疗接受度的主要变量包括对自身临床状况的充分了解，无论是否有可能治愈、自我感知的健康状况，以及最后预期寿命。年龄本身最初似乎并不是一个限制因素。应尽一切努力根据个人需求调整沟通方式，尤其是因为了解到的治疗不良反应与感知到的不良反应之间存在联系。我们发现，症状，尤其是疲劳，会妨碍日常活动，导致社交退缩。疾病本身及其治疗的表现，再加上年龄，逐渐揭示了个人的脆弱性以及支持网络的作用。
