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癌症患者经历着因进食能力下降而导致的情绪后果的重大影响:一项横断面调查研究。

Patients with cancer experience high impact of emotional consequences of reduced ability to eat: A cross sectional survey study.

机构信息

Netherlands Comprehensive Cancer Organisation, Utrecht, The Netherlands.

Netherlands Association for Palliative Care, Utrecht, The Netherlands.

出版信息

Eur J Cancer Care (Engl). 2022 Jul;31(4):e13595. doi: 10.1111/ecc.13595. Epub 2022 Apr 27.

Abstract

OBJECTIVE

Patients with cancer can experience emotional consequences of reduced ability to eat, their impact is unknown. This study assesses the impact of these emotional consequences, and patients' satisfaction with healthcare professionals' (HCPs) support.

METHODS

A cross-sectional survey was conducted among patients with head/neck, lung cancer and lymphoma, who experienced reduced ability to eat in the past year. Patients were recruited through patient organisations and hospitals. The questionnaire encompassed the impact of emotional consequences of reduced ability to eat (scale 1-10) and satisfaction with HCPs' support for reduced ability to eat (scale 1-10). The differences in patient characteristics between unsatisfied (Score < 6) and satisfied patients (score ≥6) were tested using independent t-tests and the chi-square or Fishers' exact tests.

RESULTS

Overall, 116 patients (48%) responded and 98 were included in the analyses. The most impactful emotional consequences were as follows: disappointment (mean ± SD: 8.31 ± 1.49), grief/sadness (7.90 ± 1.91), and anger (7.87 ± 1.41). Patients were less satisfied when more time had passed since their diagnosis (p < 0.002) and when they expected no improvements regarding their eating problems (p < 0.001).

CONCLUSION

The impact of emotional consequences of reduced ability to eat is high. Support for emotional consequences is needed, especially for patients with reduced ability to eat, which persists in recovery and remission.

摘要

目的

癌症患者可能会经历进食能力下降带来的情绪后果,但这些后果的影响尚不清楚。本研究评估了这些情绪后果的影响,以及患者对医护人员(HCPs)支持的满意度。

方法

在过去一年中经历过进食能力下降的头颈部、肺癌和淋巴瘤患者中开展了一项横断面调查。通过患者组织和医院招募患者。问卷包括进食能力下降带来的情绪后果影响(1-10 分)和对 HCPs 支持进食能力下降的满意度(1-10 分)。采用独立 t 检验和卡方检验或 Fisher 确切概率法比较满意度评分<6 的不满意患者和评分≥6 的满意患者的患者特征差异。

结果

共有 116 名患者(48%)回复,其中 98 名患者纳入分析。最具影响的情绪后果包括:失望(平均±标准差:8.31±1.49)、悲伤/难过(7.90±1.91)和愤怒(7.87±1.41)。患者的诊断时间越久(p<0.002)和对进食问题的改善预期越低(p<0.001),满意度越低。

结论

进食能力下降带来的情绪后果影响较大。需要对情绪后果提供支持,特别是对那些在恢复和缓解期仍存在进食能力下降的患者。

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