晚期和转移性肺癌患者的焦虑和抑郁状况-与功能状态和治疗类型的相关性。

Anxiety and Depression in Advanced and Metastatic Lung Cancer Patients-Correlations with Performance Status and Type of Treatment.

机构信息

Clinical Department, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.

Oncology-Palliative Care Department, "Sf. Luca" Chronic Diseases Hospital, 041915 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2024 Sep 9;60(9):1472. doi: 10.3390/medicina60091472.

Abstract

: The treatment of advanced and metastatic lung cancer is multimodal, and it is coordinated by a multidisciplinary team. Anxiety and depression occur frequently in patients with lung cancer, creating considerable discomfort in therapeutic management. At the same time, these psychoemotional symptoms affect the patients' quality of life. Objective: This research seeks to identify correlations both between anxiety and depression and the patients' performance statuses, as well as between anxiety and depression and the type of treatment: radiotherapy, chemotherapy, tyrosine kinase inhibitors (TKI), immunotherapy and palliative care. : The study evaluated 105 patients with lung cancer from two oncologic centers. Patients were assessed for anxiety and depression using the questionnaire Hospital Anxiety and Depression Scale (HADS). The HADS is a self-report rating scale of 14 items. It measures anxiety and depression, and has two subscales. There are seven items for each subscale. There are 4-point Likert scale ranging from 0 to 3. For each subscale, the score is the sum of the seven items, ranging from 0 to 21. : The most powerful correlation with statistical significance was observed between the IT type of treatment (immunotherapy) and the normal level of anxiety, PC = 0.82 ( < 0.001) as well as the normal level of depression. Palliative treatment was correlated with anxiety and depression, both borderline and abnormal. For ECOG 3-4 performance status and abnormal anxiety, respectively, abnormal depression was significantly associated. Also, continuous hospitalization was associated with abnormal anxiety and depression. : Early assessments of anxiety and depression are necessary in patients with advanced and metastatic lung cancer, with unfavorable performance status, who have been admitted to continuous hospitalization, and who require palliative care.

摘要

: 晚期和转移性肺癌的治疗是多模式的,并由多学科团队协调。肺癌患者经常出现焦虑和抑郁,在治疗管理中造成相当大的不适。同时,这些心理情绪症状影响患者的生活质量。目的:本研究旨在确定焦虑和抑郁与患者的功能状态之间的相关性,以及焦虑和抑郁与治疗类型(放疗、化疗、酪氨酸激酶抑制剂(TKI)、免疫疗法和姑息治疗)之间的相关性。:该研究评估了来自两个肿瘤中心的 105 例肺癌患者。使用医院焦虑和抑郁量表(HADS)对患者进行焦虑和抑郁评估。HADS 是一个 14 项的自我报告评分量表。它测量焦虑和抑郁,有两个分量表。每个分量表有 7 个项目。有 4 分 Likert 量表,范围从 0 到 3。对于每个分量表,分数是七个项目的总和,范围从 0 到 21。:观察到与统计学意义最相关的是治疗类型(免疫疗法)与正常焦虑水平之间的相关性,PC = 0.82(<0.001)以及正常抑郁水平。姑息治疗与焦虑和抑郁相关,均为边缘和异常。对于 ECOG 3-4 表现状态和异常焦虑,分别与异常抑郁显著相关。此外,连续住院与异常焦虑和抑郁有关。:对于晚期和转移性肺癌、功能状态不佳、需要连续住院和姑息治疗的患者,需要早期评估焦虑和抑郁。

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