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癌症患者与焦虑:性别视角。

Cancer Patients and Anxiety: A Gender Perspective.

机构信息

Faculty of Nursing, University of Cantabria. Avda Valdecilla s/n, 39008 Santander, Cantabria, Spain.

Health Research Institute IDIVAL, Research Nursing Group, Cardenal Herrera Oria s/n, 39008 Santander, Cantabria, Spain.

出版信息

Int J Environ Res Public Health. 2020 Feb 18;17(4):1302. doi: 10.3390/ijerph17041302.

Abstract

The complexity of the diagnosis and treatment of cancer means that it is often associated with anxiety symptoms. The aim of our study was to further our understanding of the oncological process and the presence of anxiety symptoms, from a gender perspective. A cross-sectional study was performed, examining 402 medical records obtained by simple random sampling of oncology patients at a hospital in northern Spain from July 2012 to July 2014. Data collection took place between February and May 2015. Psychiatric and sociodemographic variables were gathered, as well as pain variables and information regarding the oncological process. The data analysis included a descriptive univariate analysis and a bivariate analysis, and a logistic regression model was performed. Our results suggest that women with cancer suffer more anxiety symptoms than men with cancer. Women with anxiety symptoms represented 76.5% of all patients with anxiety. The OR of suffering anxiety symptoms between women and men was 2.43 (95% CI 1.05-5.63) ( = 0.04). A greater incidence of anxiety symptoms was found in patients with cancer pain and oncological treatment with biological therapy. Our results suggest that the gender perspective is necessary in the management of mental health in patients with cancer. Nonetheless, further studies are necessary to confirm our findings.

摘要

癌症的诊断和治疗非常复杂,因此往往与焦虑症状有关。我们的研究旨在从性别角度进一步了解肿瘤学过程和焦虑症状的存在。这是一项横断面研究,于 2012 年 7 月至 2014 年 7 月间,采用简单随机抽样的方法,对西班牙北部一家医院的 402 例肿瘤患者的病历进行了检查。数据收集于 2015 年 2 月至 5 月间进行。收集了精神病学和社会人口统计学变量、疼痛变量以及肿瘤学过程信息。数据分析包括描述性单变量分析和双变量分析,并进行了逻辑回归模型分析。我们的结果表明,患有癌症的女性比患有癌症的男性遭受更多的焦虑症状。有焦虑症状的女性占所有焦虑患者的 76.5%。女性比男性出现焦虑症状的优势比为 2.43(95%CI 1.05-5.63)( = 0.04)。患有癌症疼痛和接受生物治疗的肿瘤学治疗的患者中,焦虑症状的发生率更高。我们的结果表明,在管理癌症患者的心理健康方面,性别视角是必要的。尽管如此,仍需要进一步的研究来证实我们的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a312/7175312/ef77fae6b190/ijerph-17-01302-g001.jpg

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