Center for Health Technology and Services Research (CINTESIS), Department of Education and Psychology, University of Aveiro, 3810-193 Aveiro, Portugal.
Center for Health Technology and Services Research (CINTESIS), Piaget Institute-ISEIT/Viseu, 3515-776 Viseu, Portugal.
Int J Environ Res Public Health. 2022 Mar 14;19(6):3424. doi: 10.3390/ijerph19063424.
This study presents a systematic review of the sociodemographic, clinical, and psychosocial factors associated with distress in elderly cancer patients. Relevant studies were identified using four electronic databases: PubMed, Scopus, Web of Science and ProQuest. Cross-sectional and longitudinal studies exploring factors associated with distress in people over 60 years of age were included and independently assessed using the Joanna Briggs Institute Critical Assessment Checklists. A total of 20 studies met the inclusion criteria. Research showed that being a woman, being single, divorced or widowed, having low income, having an advanced diagnosis, having functional limitations, having comorbidities, and having little social support were factors consistently associated with emotional distress. Data further showed that the impact of age, cancer type, and cancer treatment on symptoms of anxiety and/or depression in elderly patients is not yet well established. The findings of this review suggest that the emotional distress of elderly cancer patients depends on a myriad of factors that are not exclusive, but coexisting determinants of health. Future research is still needed to better understand risk factors for distress in this patient population, providing the resources for healthcare providers to better meet their needs.
本研究对与老年癌症患者痛苦相关的社会人口学、临床和心理社会因素进行了系统回顾。使用四个电子数据库：PubMed、Scopus、Web of Science 和 ProQuest 来确定相关研究。纳入了探讨 60 岁以上人群与痛苦相关因素的横断面和纵向研究，并使用 Joanna Briggs 研究所的关键评估清单进行独立评估。共有 20 项研究符合纳入标准。研究表明，女性、单身、离异或丧偶、收入低、诊断晚期、功能受限、合并症和社会支持少是与情绪困扰相关的一致因素。数据还表明，年龄、癌症类型和癌症治疗对老年患者焦虑和/或抑郁症状的影响尚未得到充分证实。本综述的结果表明，老年癌症患者的情绪困扰取决于许多因素，这些因素不是排他的，而是健康的共存决定因素。仍需要进一步研究，以更好地了解这一患者群体痛苦的风险因素，为医疗保健提供者提供更好地满足他们需求的资源。
