Center for Health Services Research in Primary Care, Durham Veterans Affairs Medical Center, Durham, NC 27701, USA.
J Psychosoc Oncol. 2011;29(3):242-53. doi: 10.1080/07347332.2011.563346.
The authors describe use of psychosocial services within +/- 3 months of diagnosis among male colorectal cancer (CRC) patients treated within the Veterans Affairs (VA) health care system. Analysis included 1,199 patients with CRC treated at 27 VA medical centers primarily diagnosed between the periods 2005 to 2007. Of the patients, 78.6% received some form of psychosocial support, including 50.5% social work, 58.9% chaplain, 6.2% psychologist, 7.1% psychiatry, 3.5% mental health nurse, and 4.4% other. Logistic regression results indicate that rectal cancer patients were less likely to receive psychosocial services (odds ratio = .65, 95% confidence interval [0.43, 0.97]). The majority of patients in the VA receive some type of psychosocial service at the time of CRC diagnosis.
作者描述了男性结直肠癌(CRC)患者在退伍军人事务部(VA)医疗保健系统内接受治疗后,在诊断后 +/- 3 个月内使用心理社会服务的情况。分析包括在 27 个 VA 医疗中心接受治疗的主要在 2005 年至 2007 年期间诊断出的 1199 名 CRC 患者。其中,78.6%的患者接受了某种形式的心理社会支持,包括 50.5%的社会工作者、58.9%的牧师、6.2%的心理学家、7.1%的精神病学家、3.5%的心理健康护士和 4.4%的其他人员。逻辑回归结果表明,直肠癌患者接受心理社会服务的可能性较低(优势比=0.65,95%置信区间[0.43, 0.97])。VA 中的大多数患者在 CRC 诊断时都会接受某种类型的心理社会服务。