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癌症复发了吗?-乳腺癌幸存者面临的心理问题。

Is cancer back?-psychological issues faced by survivors of breast cancer.

机构信息

Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR), Sao Paulo, Brazil.

GRASP, Baltimore, MD, USA.

出版信息

Ann Palliat Med. 2024 Sep;13(5):1229-1234. doi: 10.21037/apm-24-54. Epub 2024 Aug 14.

Abstract

Breast cancer survival rates have shown notable improvements over the years thanks to advancements in detection, treatment modalities, and supportive care. However, survivors often encounter challenges when reintegrating into daily life and managing persistent physical and psychological concerns. This review article aims to delve into the multifaceted emotional complexities faced by survivors, encompassing a spectrum of issues from fear of recurrence to body image insecurities, thus emphasizing the imperative for comprehensive support. Articles were reviewed through searches of PubMed and through searches of the author's own file. We will examine not only the risk factors contributing to heightened psychological distress but also the periods of vulnerability and the most common unmet needs encountered by these individuals. Additionally, we will discuss various psychological interventions and strategies designed to promote resilience and enhance the quality of life post-diagnosis. Furthermore, we will underscore the pressing need for ongoing, specific research endeavors aimed at addressing the long-term psychological impacts of cancer recurrence on survivorship. By shedding light on these critical aspects, we aim not only to provide insight into the challenges faced by survivors but also to advocate for the importance of integrating comprehensive psychological support into survivorship care. Through this thorough exploration, we seek to empower both survivors and healthcare professionals alike, facilitating a deeper understanding of the complexities inherent in the breast cancer survivorship journey. Ultimately, our aim is to highlight the crucial aspects that must be considered by healthcare professionals in providing holistic care to breast cancer survivors.

摘要

由于在检测、治疗方式和支持性护理方面的进步,乳腺癌的存活率多年来有了显著提高。然而,幸存者在重新融入日常生活和管理持续的身体和心理问题时经常面临挑战。本文旨在深入探讨幸存者所面临的多方面情感复杂性,涵盖从复发恐惧到身体形象不安的一系列问题,从而强调提供全面支持的必要性。通过在 PubMed 上进行搜索以及作者自己的文件搜索来回顾这些文章。我们不仅将研究导致心理困扰加剧的风险因素,还将研究这些个体易受伤害的时期和最常见的未满足需求。此外,我们将讨论旨在促进复原力和提高诊断后生活质量的各种心理干预和策略。此外,我们将强调需要持续进行专门的研究,以解决癌症复发对生存者的长期心理影响。通过揭示这些关键方面,我们不仅旨在了解幸存者所面临的挑战,还倡导将全面的心理支持纳入生存者护理。通过深入探讨,我们旨在为幸存者和医疗保健专业人员提供支持,加深对乳腺癌生存之旅内在复杂性的理解。最终,我们的目标是强调医疗保健专业人员在为乳腺癌幸存者提供全面护理时必须考虑的关键方面。

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