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干预措施以减轻头颈部癌症患者的心理社会负担:叙事性综述。

Interventions to Reduce Psychosocial Burden in Head and Neck Cancer Patients: A Narrative Review.

机构信息

Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.

Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.

出版信息

J Otolaryngol Head Neck Surg. 2024 Jan-Dec;53:19160216241251701. doi: 10.1177/19160216241251701.

Abstract

BACKGROUND

The diagnosis and treatment of head and neck cancer (HNC) is associated with several life-altering morbidities including change in appearance, speech, and swallowing, all of which can significantly affect quality of life and cause psychosocial stress.

COMMENTARY

The aim of this narrative review is to provide an overview of the evidence on psychosocial interventions for patients with HNC. Evidence regarding screening tools, psychological interventions, smoking and alcohol cessation, and antidepressant therapy in the HNC population is reviewed.

CONCLUSION

There is a large body of evidence describing various psychosocial interventions and several of these interventions have shown promise in the literature to improve psychosocial and health outcomes in the HNC population. Psychosocial interventions should be integrated into HNC care pathways and formal recommendations should be developed.

摘要

背景

头颈部癌症(HNC)的诊断和治疗与多种改变生活的疾病相关,包括外观、言语和吞咽的改变,所有这些都会严重影响生活质量并导致心理社会压力。

评论

本叙述性综述的目的是提供头颈部癌症患者心理社会干预措施的证据概述。综述了头颈部癌症患者的筛查工具、心理干预、戒烟和戒酒以及抗抑郁治疗方面的证据。

结论

有大量证据描述了各种心理社会干预措施,其中一些干预措施在文献中显示出有希望改善头颈部癌症患者的心理社会和健康结果。心理社会干预措施应纳入头颈部癌症的治疗路径,并应制定正式建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b11d/11403701/f997d5ae171e/10.1177_19160216241251701-img1.jpg

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