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结直肠癌患者心理社会结局及应对策略的性别差异:一项系统综述

Gender Differences in Psychosocial Outcomes and Coping Strategies of Patients with Colorectal Cancer: A Systematic Review.

作者信息

Zhou Junrui, Wang Zhiming, Chen Xuan, Li Qiuping

机构信息

Wuxi School of Medicine, Jiangnan University, Wuxi 214122, China.

出版信息

Healthcare (Basel). 2023 Sep 20;11(18):2591. doi: 10.3390/healthcare11182591.

Abstract

(1) Background: Gender is an important factor impacting cancer experience. This review mainly aimed to summarize colorectal cancer (CRC) patients' gender differences in psychosocial outcomes and coping strategies. (2) Methods: Relevant studies were searched for in four electronic databases from 2007 to July 2023. And manual searching was performed on the included studies' reference lists to identify additional eligible studies. (3) Results: A total of 37 eligible articles were included in this review. These studies were conducted in 19 countries, and they targeted CRC patients at various treatment stages. Significant results showed that female patients tended to have more psychological distress, complex social functioning, and less sexual distress and to choose more positive coping strategies than male patients. But there was no gender difference in psychosocial outcomes and/or coping strategies in some studies, which implied that gender similarity also existed. (4) Conclusions: The findings support the fact that there are both gender differences and similarities in CRC patients' psychosocial outcomes and coping strategies. A perspective beyond the simple masculine-feminine binary improved our in-depth understanding of gender tendency. Importantly, taking gender tendency into account is critical for medical staff to provide more personalized support and communication interventions.

摘要

(1) 背景:性别是影响癌症体验的一个重要因素。本综述主要旨在总结结直肠癌(CRC)患者在心理社会结局和应对策略方面的性别差异。(2) 方法:在2007年至2023年7月期间在四个电子数据库中检索相关研究。并对纳入研究的参考文献列表进行手工检索,以识别其他符合条件的研究。(3) 结果:本综述共纳入37篇符合条件的文章。这些研究在19个国家进行,针对处于不同治疗阶段的CRC患者。显著结果表明,女性患者往往比男性患者有更多的心理困扰、更复杂的社会功能、更少的性困扰,并且选择更积极的应对策略。但在一些研究中,心理社会结局和/或应对策略不存在性别差异,这意味着性别相似性也存在。(4) 结论:研究结果支持结直肠癌患者在心理社会结局和应对策略方面存在性别差异和相似性这一事实。超越简单的男性 - 女性二元视角有助于我们更深入地理解性别倾向。重要的是,考虑性别倾向对于医护人员提供更个性化的支持和沟通干预至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d4/10530630/41a7614e19dd/healthcare-11-02591-g001.jpg

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