妇科癌症新诊断女性的癌症相关问题：年龄组差异的探索。
Cancer-related concerns among women with a new diagnosis of gynecological cancer: an exploration of age group differences.
机构信息
*Rutgers Cancer Institute of New Jersey, New Brunswick, NJ; †Memorial Sloan Kettering Cancer Center, New York, NY; ‡Monash University, Melbourne, Australia; and Memorial Sloan Kettering Cancer Center, New York, NY; §University of Pennsylvania School of Medicine, Philadelphia, PA; ∥Fox Chase Cancer Center, Philadelphia, PA; and ¶Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA.
出版信息
Int J Gynecol Cancer. 2014 Jan;24(1):165-71. doi: 10.1097/IGC.0000000000000010.
OBJECTIVE
The study aimed to characterize cancer-related concerns among women with a new diagnosis of gynecological cancer from a developmental life stage perspective. The study compared the degree of cancer-related concern between young women (45 years or younger), middle age women (46-64 years), and older women (65 years or older).
MATERIALS/METHODS: Data from women (N = 243) with a condition diagnosed as primary gynecological cancer who were participating in a randomized control trial were analyzed. Women completed a measure that assessed the degree of concern in 12 cancer-related domains (physical functioning, cancer treatment, emotional functioning, sexual functioning, disease progression/death, own well-being, partner well-being, relationship with spouse/partner, body image, relationship with others, employment, and finances). Multivariate comparisons were made between the 3 age groups on the cancer-related concerns.
RESULTS
There were age group differences in overall cancer-related concern and specific cancer-related domains. Young women reported the greatest cancer-related concern (P < 0.001). They reported greater concern over emotional functioning (P < 0.001) and sexual functioning (P < 0.001) compared to the middle- and older-age groups. Older women reported less concern over the impact of cancer on finances (P = 007). There were no differences between age groups in concern over physical impairment, cancer treatment, disease progression/death, own well-being, partner well-being, relationship with spouse/partner, body image, and relationship with others.
CONCLUSIONS
Age may play an important role in the impact of a gynecological cancer diagnosis in domains of functioning, specifically emotional functioning, sexual functioning, and finances. Other cancer-related areas may represent more universal degree of impact. Professionals may benefit from considering the impact of cancer from a developmental life stage perspective.
目的
本研究旨在从发展生命阶段的角度描述新诊断为妇科癌症的女性的癌症相关问题。本研究比较了年轻女性（45 岁或以下）、中年女性（46-64 岁）和老年女性（65 岁或以上）之间的癌症相关问题的严重程度。
材料/方法：对参加一项随机对照试验的 243 名患有原发性妇科癌症的女性进行数据分析。女性完成了一项评估 12 个癌症相关领域（身体功能、癌症治疗、情绪功能、性功能、疾病进展/死亡、自身福祉、伴侣福祉、与配偶/伴侣的关系、身体形象、与他人的关系、就业和财务）的癌症相关问题的严重程度的措施。对 3 个年龄组在癌症相关问题上进行了多变量比较。
结果
在整体癌症相关问题和特定癌症相关领域存在年龄组差异。年轻女性报告的癌症相关问题最严重（P<0.001）。与中、老年组相比，她们在情绪功能（P<0.001）和性功能（P<0.001）方面报告了更大的担忧。老年女性报告癌症对财务的影响较小（P=0.07）。年龄组之间在身体功能障碍、癌症治疗、疾病进展/死亡、自身福祉、伴侣福祉、与配偶/伴侣的关系、身体形象和与他人的关系方面没有差异。
结论
年龄可能在妇科癌症诊断对功能领域的影响方面发挥重要作用，特别是在情绪功能、性功能和财务方面。其他癌症相关领域可能代表更普遍的影响程度。专业人员可能受益于从发展生命阶段的角度考虑癌症的影响。
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