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乳腺癌:诊断、治疗及缓解的心理影响

Breast Cancer: The Psychological Impact of Diagnosis, Treatment, and Remission.

作者信息

Graham Joseph

机构信息

Neurosurgery, Royal Sussex County Hospital, Brighton, GBR.

出版信息

Cureus. 2024 Oct 4;16(10):e70814. doi: 10.7759/cureus.70814. eCollection 2024 Oct.

Abstract

Breast cancer affects millions of people worldwide. With physical manifestations being the predominant feature of management, healthcare professionals can overlook the psychological toll that the disease can have on the patients and their support network. This literature review examines the vast multi-factorial approach that must be taken when managing breast cancer patients from initial screening to diagnostic investigations, treatment, and remission. A literature search in PubMed from January 2000 to April 2024 was executed. Data sets in the studies filtered during the literature search were collected and analysed, looking not only at the data itself but also the entirety of the study. This included its limitations and possible biases. From screening, the possibility of cancer as a diagnosis can trigger mixed emotions including fear, depression, and anxiety. During diagnostic, patients may find themselves subject to fear of negative body image evaluation and fear of judgment. Medical professionals must be prepared to support the patient when they experience these feelings. The treatment stages can be the most difficult for the patient as side effects and complications of treatment can impact their lives in numerous ways, making management challenging. These include pain, sexual dysfunction, and alopecia. Overall, the analysis of the selected literature showed areas in clinical practice that can be optimised when providing psychological support for a patient's cancer diagnosis, management, and treatment. Being able to counsel prior to the presentation of these, and ideally prevent unnecessary cases of these can substantially increase a patient's quality of life during treatment. This literature review hopes to identify and promote awareness and further implementation of support systems by healthcare professionals.

摘要

乳腺癌影响着全球数百万人。由于身体表现是治疗的主要特征,医疗保健专业人员可能会忽视这种疾病对患者及其支持网络所造成的心理创伤。这篇文献综述探讨了在管理乳腺癌患者时,从初始筛查到诊断检查、治疗及缓解阶段必须采取的广泛的多因素方法。我们在PubMed上进行了从2000年1月至2024年4月的文献检索。收集并分析了在文献检索过程中筛选出的研究中的数据集,不仅查看数据本身,还审视了整个研究。这包括其局限性和可能存在的偏差。从筛查开始,癌症诊断的可能性就可能引发包括恐惧、抑郁和焦虑在内的复杂情绪。在诊断期间,患者可能会担心负面的身体形象评价以及他人的评判。当患者出现这些感受时,医疗专业人员必须做好准备为其提供支持。治疗阶段对患者来说可能是最艰难的,因为治疗的副作用和并发症会在许多方面影响他们的生活,给管理带来挑战。这些包括疼痛、性功能障碍和脱发。总体而言,对所选文献的分析表明,在为患者的癌症诊断、管理和治疗提供心理支持时,临床实践中的一些领域可以得到优化。能够在这些情况出现之前进行咨询,理想情况下预防不必要的情况发生,可大幅提高患者治疗期间的生活质量。这篇文献综述希望能识别并提高医疗保健专业人员对支持系统的认识,并进一步推动其实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d04b/11531659/4bda521768fd/cureus-0016-00000070814-i01.jpg

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