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患者对肺癌根治术后生活变化的接受程度。

The patient's readiness to accept the changes in life after the radical lung cancer surgery.

作者信息

Gryglicka Kinga, Białek Katarzyna

机构信息

Clinical Department of Thoracic Surgery and Oncological Surgery with Pulmonary Rehabilitation Subdivision, The John Paul II Specialist Hospital in Krakow, Poland.

Institute of Medical Sciences, Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland.

出版信息

Contemp Oncol (Pozn). 2020;24(1):42-50. doi: 10.5114/wo.2020.94729. Epub 2020 Mar 13.

Abstract

INTRODUCTION

Lung cancer holds the first position as the number of deaths among both the genders and, even if oncological efficient, is related to lasting psychological effects, which may significantly influence further functioning of a patient's professional and social life. The researches objective was to find the level of acceptance of lung cancer and to determine what is the patient's readiness to accept the changes in life after the surgery.

MATERIAL AND METHODS

In total, 135 patients suffering from lung cancer were enrolled. To evaluate the readiness to accept the changes in life after the surgery the authors' questionnaire was used and to evaluate of level of acceptance of illness the standardized the Acceptance of Illness Scale (AIS) was used.

RESULTS

The awareness of the treatment consequences is high among the patients scheduled for surgery. The acceptance of lung cancer is high (mean = 32.23; SD = 7.53). The level of disease acceptance depends on the evaluation of own health - both currently (it is higher among the patients who consider their health as good) and compared to the previous year (it is higher among the patients who evaluate it as the same or better than a year ago) ( < 0.05). The willingness to accept the life changes depends on a gender, age, marital status, education, employment and health orientation ( < 0.05).

CONCLUSIONS

Regardless of the achievements of the recent years in the lung cancer treatment, it remains the biggest oncologic challenge worldwide. Only multidisciplinary actions including prevention and psychological support may contribute to much more efficient treatment.

摘要

引言

肺癌在两性死亡人数中位居首位,即使在肿瘤治疗方面取得了成效,它仍会带来持久的心理影响,这可能会显著影响患者职业和社会生活的进一步功能。本研究的目的是了解肺癌的接受程度,并确定患者对术后生活变化的接受准备情况。

材料与方法

共纳入135例肺癌患者。为评估患者对术后生活变化的接受准备情况,使用了作者自行设计的问卷;为评估疾病接受程度,使用了标准化的疾病接受量表(AIS)。

结果

计划接受手术的患者对治疗后果的认知度较高。肺癌的接受程度较高(均值 = 32.23;标准差 = 7.53)。疾病接受程度取决于对自身健康的评估——包括当前(认为自己健康状况良好的患者接受程度更高)以及与上一年相比(认为自己健康状况与一年前相同或更好的患者接受程度更高)(P < 0.05)。接受生活变化的意愿取决于性别、年龄、婚姻状况、教育程度、就业情况和健康取向(P < 0.05)。

结论

尽管近年来肺癌治疗取得了诸多成果,但它仍是全球最大的肿瘤学挑战。只有包括预防和心理支持在内的多学科行动,才可能有助于实现更有效的治疗。

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