Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study.
Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers: A 2-year longitudinal study.
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DOI：
10.1177/02692163211001721
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发表时间：
2021-05
影响因子：
4.4
通讯作者：
Soejima K
中科院分区：
文献类型：
--
作者：
Sato T;Fujisawa D;Arai D;Nakachi I;Takeuchi M;Nukaga S;Kobayashi K;Ikemura S;Terai H;Yasuda H;Kawada I;Sato Y;Satomi R;Takahashi S;Hashiguchi MH;Nakamura M;Oyamada Y;Terashima T;Sayama K;Saito F;Sakamaki F;Inoue T;Naoki K;Fukunaga K;Soejima K
晚期癌症患者和他们的家庭照顾者在癌症诊断后都会经历痛苦，并有一系列的担忧。然而，缺乏对这一主题的纵向研究。从诊断开始纵向调查晚期肺癌患者及其家庭照顾者的担忧。一项多中心、前瞻性、基于药物的研究。我们在日本的16家医院招募了新诊断的晚期肺癌患者及其家庭护理人员。我们前瞻性地评估了他们的关注使用的关注清单的患病率，并调查了他们的关注和精神状态以及生活质量之间的关联，直到诊断后24个月。共有248名患者及其232名家庭照顾者入组。诊断时严重担忧的患病率最高（患者：68.3%，家庭照顾者：65.3%）。最常见的严重问题是在诊断时对两组患者的未来的担忧（分别为38.2%和40.5%），随着时间的推移，这一问题的患病率仍然很高，而对缺乏信息的担忧的高患病率在两组患者诊断后3个月有所改善。大约三分之一的患者-家庭照顾者对严重问题的报告不一致。在两组中，严重关切的存在与焦虑和抑郁持续显著相关。大多数晚期肺癌患者及其家庭照顾者对诊断有严重的担忧，这与他们的心理困扰有关。关注的范围随着疾病的发展而变化，在诊断后立即为两组患者提供有效的定制护理和支持。
Both advanced cancer patients and their family caregivers experience distress and have a range of concerns after cancer diagnosis. However, longitudinal studies on this topic have been lacking. To investigate concerns in both patients with advanced lung cancer and their family caregivers longitudinally from diagnosis. A multi-center prospective questionnaire-based study. We recruited patients with newly diagnosed advanced lung cancer and their family caregivers at 16 hospitals in Japan. We prospectively assessed the prevalence of their concerns using the Concerns Checklist and investigated the associations between their concerns and mental status as well as quality of life until 24 months after diagnosis. A total of 248 patients and their 232 family caregivers were enrolled. The prevalence of serious concerns was highest at diagnosis (patients: 68.3%, family caregivers: 65.3%). The most common serious concern was concern about the future in both groups at diagnosis (38.2% and 40.5%, respectively) and this remained high in prevalence over time, while the high prevalence of concern about lack of information improved 3 months after diagnosis in both groups. Approximately one-third of patient-family caregiver dyads had discrepant reports of serious concerns. The presence of serious concerns was significantly associated with anxiety and depression continuously in both groups. The majority of advanced lung cancer patients and their family caregivers have serious concerns from diagnosis, which is associated with their psychological distress. The spectrum of concerns alters over the disease trajectory, warranting efficient tailored care and support for both groups immediately after diagnosis.
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影响因子：
25.8
作者：
Henson, Katherine E.;Brock, Rachael;Pitman, Alexandra
通讯作者：
Pitman, Alexandra
影响因子：
45.3
作者：
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通讯作者：
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影响因子：
5.4
作者：
Hodges, LJ;Humphris, GM;Macfarlane, G
通讯作者：
Macfarlane, G
影响因子：
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作者：
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通讯作者：
Fukui, Sakiko
影响因子：
2.4
作者：
Sakamoto, Nobuhiro;Takiguchi, Shuji;Akechi, Tatsuo
通讯作者：
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