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接受放射治疗的喉癌患者照顾者的生活状况

Well-Being of Caregivers of Patients with Laryngeal Cancer Treated by Radiotherapy.

作者信息

Karlsson Therese, Johansson Mia, Finizia Caterina

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

Department of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.

出版信息

Int Arch Otorhinolaryngol. 2020 Apr;24(2):e170-e174. doi: 10.1055/s-0039-3399542. Epub 2020 Jan 28.

Abstract

Laryngeal cancer is the second most common head and neck cancer, but no study to date reports exclusively on the well-being of the caregivers of patients with laryngeal cancer treated by radiotherapy.  The present prospective pilot study aims to describe the impact of the work on the well-being of the caregivers of patients with laryngeal cancer.  The caregivers of patients undergoing radiotherapy with curative intent for laryngeal cancer were included in the present study, and they were asked to fill out a specific questionnaire, while the patients filled out the Hospital Anxiety and Depression Scale (HADS) following diagnosis but prior to treatment.  A total of 50 caregivers were included, 20% of which were male, and 80%, female. In total, 62% (  = 31) of the caregivers were spouses, while the remaining were daughters/sons (  = 11; 22%), siblings (  = 6; 12%), or they were classified as "other" (  = 2; 4%). The female caregivers scored lower (worse) on the depression/worry domain, and this was statistically significant (  = 0.047); they also reported a statistically significant higher negative impact on employment (  = 0.011) compared with the male caregivers. In general, the caregivers of patients with late-stage tumors tended to report lower (worse) scores on all domains (except hospital contact) compared with the caregivers of patients with early-stage tumors. No other differences were observed regarding the patients' age, gender, tumor site or their HADS score.  The diagnosis and treatment of laryngeal cancer impacts the caregiver's psychological well-being, particularly that of female caregivers. This should be taken into consideration when the patients begin the hospital treatment pathway. However, larger studies are needed to target resources more appropriately.

摘要

喉癌是第二常见的头颈癌,但迄今为止尚无研究专门报道接受放射治疗的喉癌患者的照料者的健康状况。 本前瞻性试点研究旨在描述工作对喉癌患者照料者健康状况的影响。 本研究纳入了对喉癌进行根治性放疗患者的照料者,并要求他们填写一份特定问卷,而患者在诊断后但治疗前填写医院焦虑抑郁量表(HADS)。 总共纳入了50名照料者,其中20%为男性,80%为女性。总体而言,62%(n = 31)的照料者为配偶,其余为女儿/儿子(n = 11;22%)、兄弟姐妹(n = 6;12%),或被归类为“其他”(n = 2;4%)。女性照料者在抑郁/担忧领域得分较低(较差),且具有统计学意义(P = 0.047);与男性照料者相比,她们在就业方面也报告了具有统计学意义的更高的负面影响(P = 0.011)。一般来说,与早期肿瘤患者的照料者相比,晚期肿瘤患者的照料者在所有领域(医院接触除外)的得分往往较低(较差)。在患者的年龄、性别、肿瘤部位或他们的HADS得分方面未观察到其他差异。 喉癌的诊断和治疗会影响照料者的心理健康,尤其是女性照料者。在患者开始住院治疗时应考虑到这一点。然而,需要进行更大规模的研究以便更合理地分配资源。

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本文引用的文献

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Head and neck cancer and dysphagia; caring for carers.头颈部癌症和吞咽困难;关爱照护者。
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Psychological functioning of caregivers for head and neck cancer patients.头颈部癌症患者照顾者的心理功能。
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