创伤后成长及其与头颈部癌症患者未满足的支持性护理需求和对癌症进展的恐惧的关系。

Posttraumatic growth and its association with unmet supportive care needs and fear of cancer progression among head and neck cancer patients.

机构信息

Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, Cheras, Kuala Lumpur, Malaysia.

Department of Community Health, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Pulau Pinang, Malaysia.

出版信息

PLoS One. 2022 Mar 15;17(3):e0265502. doi: 10.1371/journal.pone.0265502. eCollection 2022.

Abstract

BACKGROUND AND AIMS

The assessment of supportive care needs and fear of cancer progression are important variables to be considered when evaluating the psychological aspects of cancer patients. However, data on how these variables affect posttraumatic growth (PTG) are lacking. This study aimed to investigate the level of PTG among head and neck cancer (HNC) patients within the first year of cancer diagnosis and to determine the association between unmet supportive care needs, fear of cancer progression, and the level of PTG.

METHODS

Participants were administered socio-demographic and clinical characteristics questionnaire; the 34-item Supportive Care Needs Survey (SCNS-34) to measure the unmet needs; 12-item Fear of Progression Questionnaire-Short Form (FoP-Q-SF) to measure the fear of progression of cancer; and the Posttraumatic Growth Inventory-Short Form (PTGI-SF) to measure the degree of PTG.

RESULTS

A total of 190 HNC participants reported a mean total PTGI-SF score of 39.3 (standard deviation = 9.5). General linear model revealed that higher degree of patients' physical and daily living unmet needs and fear of cancer progression significantly predicted lower PTG, after controlling for sociodemographic and clinical factors.

CONCLUSION

HNC patients within the first year of cancer diagnosis reported a high level of PTG. Despite that, psychosocial intervention for HNC patients should emphasize on counteracting patients' physical and daily living unmet needs and fear of cancer progression to improve the psychological well-being of patients.

摘要

背景与目的

评估癌症患者的心理方面时,需要考虑支持性护理需求和对癌症进展的恐惧这两个重要变量。然而,关于这些变量如何影响创伤后成长(PTG)的数据尚缺乏。本研究旨在调查癌症诊断后第一年的头颈部癌症(HNC)患者的 PTG 水平,并确定未满足的支持性护理需求、对癌症进展的恐惧与 PTG 水平之间的关系。

方法

参与者接受了社会人口统计学和临床特征问卷、34 项支持性护理需求调查(SCNS-34)以衡量未满足的需求、12 项恐惧进展问卷-短表(FoP-Q-SF)以衡量对癌症进展的恐惧以及创伤后成长量表-短表(PTGI-SF)以衡量 PTG 的程度。

结果

共有 190 名 HNC 患者报告平均总 PTGI-SF 得分为 39.3(标准差=9.5)。一般线性模型显示,在控制社会人口统计学和临床因素后,患者身体和日常生活中未满足的需求以及对癌症进展的恐惧程度越高,PTG 越低。

结论

癌症诊断后第一年的 HNC 患者报告了较高水平的 PTG。尽管如此,HNC 患者的心理社会干预应强调对抗患者身体和日常生活中未满足的需求以及对癌症进展的恐惧,以改善患者的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b93c/8923508/137523e9c645/pone.0265502.g001.jpg

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