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对接受化疗的土耳其妇科癌症患者的焦虑及症状评估。

Anxiety and symptom assessment in Turkish gynecologic cancer patients receiving chemotherapy.

作者信息

Nazik Evşen, Arslan Sevban, Nazik Hakan, Narin Mehmet Ali, Karlangic Hatice, Koc Zeynep

机构信息

Department of Nursing, Adana Health School, Çukurova University, Adana, Turkey.

出版信息

Asian Pac J Cancer Prev. 2012;13(7):3129-33. doi: 10.7314/apjcp.2012.13.7.3129.

Abstract

Diagnosis and treatment procedures in cancers and resulting anxiety negatively affect the individual and the family. Particularly treatment methods may generate psychological symptoms. The aim of this study was to determine the level of such symptoms in Turkish gynecologic cancer patients receiving chemotherapy. A total of 41 patients who were referred to our gynecologic oncology research clinic between January-March 2012, receiving 3 months or more chemotherapy and who agreed to participate were enrolled in study. All the data were collected using a personal information form, Edmonton Symptom Assesment System and State-Trait Anxiety Inventory. Patients received highest point average from fatigue symptom (6.53±2.67) and lowest point average from dyspnea (1.53±3.03) according to Edmonton Symptom Assesment System. The mean State Anxiety score of patients was 43.1±9.77 and mean Trait Anxiety score was 46.7±7.01. Comparing symptoms of patients and mean State Anxiety score it was found that there was a statistically significant corelation with symptoms like pain (p<0.05), sadness (p<0.001), insomnia (p<0.05), state of well being (p<0.001) and dyspnea (p<0.05). Similarly comparing symptoms of patients and mean Trait Anxiety score demonstrated significant correlations for fatigue (p<0.05), sadness (p<0.01), insomnia (p<0.01) and state of well-being (p<0.01). As a result, patients with gynecological cancers experienced symptoms related to chemotherapy and a moderate level of anxiety. In accordance, appropriate interventions should recommended for the evaluation and improvement of anxiety and symptoms related to treatment in cancer patients.

摘要

癌症的诊断和治疗程序以及由此产生的焦虑会对个人和家庭产生负面影响。特别是治疗方法可能会引发心理症状。本研究的目的是确定接受化疗的土耳其妇科癌症患者的此类症状水平。共有41名在2012年1月至3月期间转诊至我们妇科肿瘤研究诊所、接受3个月或更长时间化疗且同意参与的患者被纳入研究。所有数据均通过个人信息表、埃德蒙顿症状评估系统和状态-特质焦虑量表收集。根据埃德蒙顿症状评估系统,患者在疲劳症状方面获得的平均分数最高(6.53±2.67),在呼吸困难方面获得的平均分数最低(1.53±3.03)。患者的状态焦虑平均得分为43.1±9.77,特质焦虑平均得分为46.7±7.01。比较患者的症状和状态焦虑平均得分发现,与疼痛(p<0.05)、悲伤(p<0.001)、失眠(p<0.05)、幸福感(p<0.001)和呼吸困难(p<0.05)等症状存在统计学上的显著相关性。同样,比较患者的症状和特质焦虑平均得分显示,疲劳(p<0.05)、悲伤(p<0.01)、失眠(p<0.01)和幸福感(p<0.01)存在显著相关性。结果,妇科癌症患者经历了与化疗相关的症状和中度焦虑水平。因此,应推荐适当的干预措施,以评估和改善癌症患者的焦虑及与治疗相关的症状。

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