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头颈癌患者确诊后第一年的健康行为

Health behaviors of head and neck cancer patients the first year after diagnosis.

作者信息

Duffy Sonia A, Khan Mumtaz J, Ronis David L, Fowler Karen E, Gruber Stephen B, Wolf Gregory T, Terrell Jeffrey E

机构信息

VA HSR&D Center for Practice Management and Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

出版信息

Head Neck. 2008 Jan;30(1):93-102. doi: 10.1002/hed.20665.

Abstract

BACKGROUND

This prospective, cohort study is the first to describe 5 health behaviors of head and neck cancer patients the first year after diagnosis.

METHODS

Patients (N = 283) were recruited in otolaryngology clinic waiting rooms and asked to complete written surveys. A medical record audit was also conducted. Descriptive statistics and multivariate analyses were conducted to determine which variables were associated with the 5 health behaviors.

RESULTS

Half of the patients smoked and 25% were problem drinkers. Over half of the smokers and drinkers quit 1 year post-diagnosis. Smoking and problem drinking were highly associated and both were associated with lower body mass index (BMI) (p < .01). Moreover, physical activity and sleep were associated with each other (p < .01). Low SLEEP (Medical Outcomes Study Sleep Scale) scores were common and highly associated with depression (p < .01).

CONCLUSION

The health behaviors of head and neck cancer patients are interrelated, and assessing and treating these behaviors together may be beneficial.

摘要

背景

这项前瞻性队列研究首次描述了头颈癌患者在确诊后第一年的5种健康行为。

方法

在耳鼻喉科诊所候诊室招募患者(N = 283),并要求他们完成书面调查。还进行了病历审核。进行描述性统计和多变量分析以确定哪些变量与这5种健康行为相关。

结果

一半的患者吸烟,25%为问题饮酒者。超过一半的吸烟者和饮酒者在确诊后1年戒烟或戒酒。吸烟和问题饮酒高度相关,且两者均与较低的体重指数(BMI)相关(p < 0.01)。此外,身体活动和睡眠相互关联(p < 0.01)。低睡眠(医学结局研究睡眠量表)得分很常见,且与抑郁高度相关(p < 0.01)。

结论

头颈癌患者的健康行为相互关联,同时评估和治疗这些行为可能有益。

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