Determinants of functional recovery in older adults surgically treated for cancer.
Determinants of functional recovery in older adults surgically treated for cancer.
复制标题
接受癌症手术治疗的老年人功能恢复的决定因素。
DOI：
10.1097/00002820-200401000-00002
复制
发表时间：
2004
期刊：
影响因子：
2.6
通讯作者：
Given,CharlesW
中科院分区：
文献类型：
--
作者：
Hodgson,NancyA;Given,CharlesW
本研究的目的是研究影响新诊断为癌症的老年人功能恢复的社会心理和疾病特异性因素。多变量logistic回归模型使用来自社区居住的65岁以上接受过肺癌、前列腺癌、乳腺癌或结直肠癌手术治疗的成年人样本的面板数据进行估计（N 172）。数据是在1993年至1997年癌症手术后第1波4至6周和出院后第2波14至16周的访谈中获得的。功能恢复是通过比较医学结果研究（MOS） SF-36的身体功能和身体角色亚量表来确定的。研究结果显示，与肺、结肠或乳房切除的患者相比，前列腺切除术患者更有可能在第2波中恢复。合并症和症状严重程度均与恢复可能性降低显著相关。无论原发部位如何，疼痛和疲劳是最常见和最严重的症状。当年龄、合并症、疾病部位和症状严重程度得到控制时，心理健康是影响功能恢复的重要因素。研究结果明确指出，癌症手术后需要心理支持。
The purpose of this study was to examine the psychosocial and disease-specific factors that influence functional recovery in older adults newly diagnosed with cancer. Multivariate logistic regression models were estimated using panel data from a sample of community-residing adults older than 65 years surgically treated for lung, prostate, breast, or colorectal cancer (N 172). Data were obtained between 1993 and 1997 during interviews 4 to 6 weeks after cancer surgery for Wave 1 and 14 to 16 weeks after hospital discharge for Wave 2. The outcome measure, functional recovery, was determined by comparing the physical function and physical role subscales of Medical Outcomes Study (MOS) SF-36 over time. Findings showed that prostatectomy patients were more likely to recover by Wave 2 when compared to individuals with lung, colon, or breast resections. Comorbidities and symptom severity were each significantly associated with a decreased probability of recovery. Pain and fatigue were the most common and most severe symptoms reported, regardless of primary site. Psychological well-being was a significant factor influencing functional recovery when age, comorbidities, site of disease, and symptom severity were controlled. The results clearly point to the need for psychological support following cancer surgery.