接受放疗的老年前列腺癌和乳腺癌患者的希望、应对策略及其预测因素：一项横断面研究。

Hope, coping strategies, and their predictors in older patients with prostate and breast cancer undergoing radiotherapy: A cross-sectional study.

作者信息

Yildizel Sema, Arayici Mehmet Emin, Umay Cenk, Sahin Sevnaz

机构信息

Division of Geriatrics, Department of Internal Medicine, Institute of Health Sciences, Ege University, Bornova, Izmir, Turkey.

Department of Public Health, Faculty of Medicine, Dokuz Eylul University, Inciralti, Izmir, Turkey.

出版信息

J Med Imaging Radiat Oncol. 2024 Jun;68(4):481-488. doi: 10.1111/1754-9485.13645. Epub 2024 Apr 5.

DOI:10.1111/1754-9485.13645

PMID:38576403

Abstract

INTRODUCTION

The aim of this paper was to evaluate the level of hope, coping methods, and the factors affecting them in patients aged 60 years and over who were diagnosed with breast and prostate cancer and who were receiving radiotherapy (RT) as part of their treatment.

METHODS

A total of 66 patients (37 breast cancer and 29 prostate cancer patients) were included in this cross-sectional study. The RT and treatment information of the patients were collected by using the records in the hospital database. The scale responses, baseline characteristics, and demographic information of the participants were collected through the questionnaire form and scales [HHI (Heart Hope Index), COPE (Coping Attitudes Assessment Scale), and VAS (Visual Analogue Scale)]. Two surveys were administered to the participants before and after radiotherapy treatment. A first survey was administered to the participants 10-15 days before radiotherapy treatment, and the second survey was administered within 2-3 weeks after radiotherapy treatment. The weight and waist circumference of the patients were also measured before and after radiotherapy.

RESULTS

The median age of the participants was 65 (interquartile range (IQR): 62.0-70.2) years. There was a decrease in the weight (mean change (MC): -1.5, 95% CI: -2.9 to -0.2, P = 0.029) and waist circumference (MC: -1.8, 95% CI: -3.2 to -0.4, P = 0.014) of the participants after RT. There was no significant change in the HHI (MC: 0.4, 95% CI: -0.7 to 1.5) and COPE (MC: -0.6, 95% CI: -3.2 to 2.0) total scores of the patients before and after RT (P = 0.459 and P = 0.650, respectively). When only patients with prostate cancer were studied, the self-help sub-dimension of COPE (MC: -1.5, 95% CI: -2.7 to -0.3, P = 0.013) was found to be lower.

CONCLUSION

Multidimensional evaluations and interventions may be required in terms of hope levels and coping attitudes of cancer patients receiving radiotherapy. There is an increasing need for further studies in larger populations and cohorts related to this topic in the literature.

摘要

引言

本文旨在评估60岁及以上被诊断患有乳腺癌和前列腺癌且正在接受放射治疗（RT）作为其治疗一部分的患者的希望水平、应对方法以及影响这些的因素。

方法

本横断面研究共纳入66例患者（37例乳腺癌患者和29例前列腺癌患者）。通过医院数据库中的记录收集患者的放疗及治疗信息。通过问卷形式和量表[HHI（心脏希望指数）、COPE（应对态度评估量表）和VAS（视觉模拟量表）]收集参与者的量表反应、基线特征和人口统计学信息。在放射治疗前后对参与者进行了两次调查。第一次调查在放射治疗前10 - 15天对参与者进行，第二次调查在放射治疗后2 - 3周内进行。还测量了患者放疗前后的体重和腰围。

结果

参与者的中位年龄为65岁（四分位间距（IQR）：62.0 - 70.2）。放疗后参与者的体重（平均变化（MC）：-1.5，95%置信区间：-2.9至-0.2，P = 0.029）和腰围（MC：-1.8，95%置信区间：-3.2至-0.4，P = 0.014）有所下降。放疗前后患者的HHI（MC：0.4，95%置信区间：-0.7至1.5）和COPE（MC：-0.6，95%置信区间：-3.2至2.0）总分无显著变化（分别为P = 0.459和P = 0.650）。仅研究前列腺癌患者时，发现COPE的自助子维度（MC：-1.5，95%置信区间：-2.7至-0.3，P = 0.013）较低。