Department of Palliative Care, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
J Palliat Med. 2023 Jul;26(7):1020-1023. doi: 10.1089/jpm.2022.0232. Epub 2023 Feb 2.
Head and neck cancer patients have high rates of psychological distress, which may be exacerbated by the treatments they receive. Many patients who undergo radiation therapy report significant anxiety associated with the thermoplastic mask required for immobilization during treatment. This report presents two examples of head and neck cancer patients reporting high mask anxiety, along with a history of claustrophobia, who expressed concern about their abilities to initiate and adhere to treatment. Both were referred to supportive care psychology before radiation treatment initiation. With counseling and the use of systematic desensitization, they were successfully able to complete their treatments. Results of these case reports highlight the value of integrating early supportive care in the treatment of head and neck cancer and support the need for further study in future randomized controlled trials.
头颈部癌症患者的心理困扰发生率较高，这可能是由于他们接受的治疗所致。许多接受放射治疗的患者报告说，在治疗过程中，由于需要使用热塑面罩来固定头部，因此会产生明显的焦虑。本报告介绍了 2 例头颈部癌症患者的案例，这些患者报告说他们的面罩焦虑程度很高，并且有幽闭恐惧症病史，他们担心自己是否有能力开始并坚持治疗。这两人在开始放射治疗前都被转介到支持性护理心理学部门。通过咨询和系统脱敏，他们成功地完成了治疗。这些病例报告的结果强调了在头颈部癌症治疗中尽早纳入支持性护理的重要性，并支持在未来的随机对照试验中进一步研究的必要性。
