Anorexia and anxiety in advanced malignancy: the relative problem
Anorexia and anxiety in advanced malignancy: the relative problem
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DOI：
10.1046/j.1365-277x.2000.00219.x
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发表时间：
2000-04-01
影响因子：
3.3
通讯作者：
Hawkins, C
中科院分区：
文献类型：
--
作者：
Hawkins, C
背景和目的厌食症是晚期恶性肿瘤患者的常见症状，也是相当痛苦的一个来源。本研究旨在量化患者及其亲属与厌食症相关的焦虑。还评估了诱发因素。采用问卷调查对145例晚期恶性肿瘤患者的厌食症进行量化，并研究与厌食症相关的人口统计学和疾病因素。结果115例患者（79%）和83/101（82%）的亲属报告了厌食症。厌食症与上消化道恶性肿瘤、转移性疾病和估计预后短有关。只有41名厌食症患者（36%）报告焦虑是厌食症的后果，而他们的亲属中有72名（87%）。某些患者群体（年轻的年龄和社区位置）更有可能报告焦虑相关anorex.Conclusions焦虑的潜在影响的管理决策进行了讨论。亲属之间报告的焦虑频率可能反映了未满足的需求。这可能是改进实践的一个领域。
Background and aims Anorexia is frequently reported be patients with advanced malignancy and can be a source of considerable distress. This study was designed to quantify the anxiety related to anorexia in both patients and their relatives. Predisposing factors were also evaluated. A questionnaire was used to quantify anorexia in 145 patients with advanced malignancy and to examine demographic and disease factors associated with anorexia. Anxiety consequent to anorexia was also evaluated for patients and their relatives.Results Anorexia amongst patients was reported by 115 patients (79%) and 83/101 (82%) of their relatives. Anorexia was found to be associated with upper gastrointestinal malignancy, metastatic disease and short estimated prognosis. Only 41 anorectic patients (36%) reported anxiety as a consequence of their anorexia compared with 72 (87%) of their relatives. Certain patient groups (younger age and community location) were more likely to report anxiety related to anorexia.Conclusions The potential influence of anxiety on management decisions is discussed. The frequency of anxiety reported amongst relatives may reflect an unmet need. This may be an area for improving practice.