Loneliness in patients with cancer: the first year after cancer diagnosis

Loneliness in patients with cancer: the first year after cancer diagnosis
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DOI:
10.1002/pon.3818
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发表时间:
2015-11-01
期刊:
影响因子:
3.6
通讯作者:
Buntinx, Frank
Buntinx, Frank
中科院分区:
医学2区
文献类型:
--
作者:
Deckx, Laura;van den Akker, Marjan;Buntinx, Frank

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目的研究老年癌症患者与年轻癌症患者和未患癌症的老年人的社会和情感孤独的频率和演变。我们评估了常见的癌症相关和衰老相关问题(如疲劳、认知功能和功能状态)的变化是否会导致孤独感的发生。本研究是KLIMOP研究(荷兰语为比利时和荷兰老年癌症患者项目的缩写)的一部分,研究对象包括老年(70岁)、年轻癌症患者(50-69岁)和无癌症的老年人。在基线和1年随访时收集数据。孤独感采用De Jong-Gierveld量表进行测量。1年后孤独感与疲劳、认知功能、功能状态变化的关系采用多因素logistic回归分析。结果475名参与者获得数据。在基线上,老年癌症患者比没有癌症的老年人更不孤独。1年后,老年癌症患者的情感孤独频率显著增加(26-42%,p
ObjectivesWe studied the frequency and evolution of social and emotional loneliness in older cancer patients in comparison with younger cancer patients and older people without cancer. We evaluated if changes in common cancer-related and ageing-related problems such as fatigue, cognitive functioning and functional status contributed to the occurrence of loneliness.MethodsThis study was part of the KLIMOP study (Dutch acronym for project on older cancer patients in Belgium and the Netherlands) and included older (70years) and younger cancer patients (50-69years) and older people without cancer. Data were collected at baseline and 1-year follow-up. Loneliness was measured with the loneliness scale of De Jong-Gierveld. The relationship between loneliness after 1year and changes in fatigue, cognitive functioning and functional status was tested in multivariate logistic regression analyses.ResultsData were available for 475 participants. At baseline, older cancer patients were less lonely compared with older people without cancer. After 1year, the frequency of emotional loneliness had significantly increased for older cancer patients (26-42%, p