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喉癌患者跨肿瘤的心理健康与生活质量

Psychological Well-Being and Quality of Life in Laryngeal Cancer Patients across Tumor.

作者信息

Murariu Maria Octavia, Boia Eugen Radu, Horhat Delia Ioana, Mot Cristian Ion, Balica Nicolae Constantin, Trebuian Cosmin Iosif, Brici Alexandru Cristian, Zahoi Delia Elena

机构信息

Department of Doctoral Studies, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.

ENT Department, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.

出版信息

J Clin Med. 2024 Oct 15;13(20):6138. doi: 10.3390/jcm13206138.

Abstract

Laryngeal cancer significantly impacts patients' psychological well-being and quality of life (QoL). This study aims to evaluate the psychological impact and QoL in patients with laryngeal cancer, focusing on differences based on tumor stage and treatment. This longitudinal study included 75 patients diagnosed with laryngeal cancer. Participants were assessed at diagnosis and 3 months post-treatment using validated tools such as the Hospital Anxiety and Depression Scale (HADS) and the EORTC QLQ-H&N35 questionnaire. This study analyzed the impact of tumor stage, treatment type, and demographic factors on psychological well-being and QoL. Patients with early-stage tumors (Stage I) reported significantly better psychological well-being and QoL compared to those with more advanced tumors (Stages III and IV) both before and after treatment. The non-significant -values in advanced stages suggest a uniformity of severe distress and poor QoL among these patients. Treatment led to significant reductions in anxiety and depression in early-stage patients, while those with advanced-stage disease showed less improvement. The findings highlight the critical need for early psychological intervention, particularly in advanced-stage laryngeal cancer patients who continue to experience substantial psychological distress and poor QoL despite treatment. Integrating comprehensive psychological support into standard care is essential to improve overall outcomes for these patients.

摘要

喉癌对患者的心理健康和生活质量(QoL)有显著影响。本研究旨在评估喉癌患者的心理影响和生活质量,重点关注基于肿瘤分期和治疗的差异。这项纵向研究纳入了75名被诊断为喉癌的患者。使用经过验证的工具,如医院焦虑抑郁量表(HADS)和欧洲癌症研究与治疗组织头颈癌问卷(EORTC QLQ-H&N35),在诊断时和治疗后3个月对参与者进行评估。本研究分析了肿瘤分期、治疗类型和人口统计学因素对心理健康和生活质量的影响。与肿瘤分期较晚(III期和IV期)的患者相比,早期肿瘤(I期)患者在治疗前后的心理健康和生活质量报告明显更好。晚期患者中不显著的数值表明这些患者中严重痛苦和生活质量差的情况具有一致性。治疗使早期患者的焦虑和抑郁显著降低,而晚期疾病患者的改善较少。研究结果突出了早期心理干预的迫切需求,特别是对于那些尽管接受了治疗但仍持续经历严重心理困扰和生活质量差的晚期喉癌患者。将全面的心理支持纳入标准护理对于改善这些患者的总体预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a5b/11508364/4170003fbf6c/jcm-13-06138-g001.jpg

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