自我衰老感知、癌症观与肿瘤老年患者健康的相关性：一项为期一年的纵向研究。
Association between self-perception of aging, view of cancer and health of older patients in oncology: a one-year longitudinal study.
机构信息
Psychology of Aging Unit, Department of Psychology, University of Liège (ULg), Traverse des Architectes (B63c), 4000, Liege, BE, Belgium.
INSERM U12919 Bordeaux Population Health, University of Bordeaux, Bordeaux, France.
出版信息
BMC Cancer. 2017 Sep 2;17(1):614. doi: 10.1186/s12885-017-3607-8.
BACKGROUND
Identifying older people affected by cancer who are more at risk of negative health outcomes is a major issue in health initiatives focusing on medical effectiveness. In this regard, psychological risk factors such as patients' perception of their own aging and cancer could be used as indicators to improve customization of cancer care. We hypothesize that more negative self-perception of aging (SPA) and view of cancer could be linked to worse physical and mental health outcomes in cancer patients.
METHODS
One hundred one patients diagnosed with cancer (breast, gynecological, lung or hematological) were followed for 1 year. They were evaluated on four occasions (baseline, 3, 6 and 12 months after the baseline). Their SPA, view of cancer and health (physical and mental) were assessed at each time of evaluation.
RESULTS
Negative SPA and/or view of cancer at baseline are associated with negative evolution of patients' physical and mental health. Moreover, when the evolution of SPA and cancer view were taken into account, these two stigmas are still linked with the evolution of mental health. In comparison, only a negative evolution of SPA was linked to worse physical health outcomes.
CONCLUSIONS
Such results indicate that SPA and view of cancer could be used as markers of vulnerability in older people with cancer.
背景
在关注医疗效果的健康倡议中，识别易发生负面健康结果的癌症老年患者是一个主要问题。在这方面，患者对自身衰老和癌症的认知等心理风险因素可以作为指标，以提高癌症护理的针对性。我们假设，对衰老的负面自我认知（SPA）和对癌症的看法与癌症患者的身心健康结果恶化有关。
方法
101 名被诊断患有癌症（乳腺、妇科、肺部或血液）的患者接受了为期 1 年的随访。他们在四个时间点（基线、基线后 3、6 和 12 个月）进行了评估。在每次评估时，评估他们的 SPA、癌症观和健康状况（身体和精神）。
结果
基线时的 SPA 和/或癌症观呈负面与患者身心健康的负面发展有关。此外，当考虑 SPA 和癌症观的演变时，这两个污名将仍然与心理健康的演变相关。相比之下，只有 SPA 的负面演变与更差的身体健康结果有关。
结论
这些结果表明，SPA 和癌症观可以作为老年癌症患者易损性的标志物。
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