Prostate cancer patients' support and psychological care needs: Survey from a non-surgical oncology clinic
Prostate cancer patients' support and psychological care needs: Survey from a non-surgical oncology clinic
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DOI：
10.1002/pon.702
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发表时间：
2003-12-01
期刊：
影响因子：
3.6
通讯作者：
Watson, M
中科院分区：
文献类型：
--
作者：
Lintz, K;Moynihan, C;Watson, M
虽然前列腺癌的检测和治疗存在许多不确定性，但需要更多关注前列腺患者心理需求的研究。本研究探讨男性摄护腺癌患者的支持与心理照护需求。在泌尿肿瘤门诊期间接触患者，并要求其完成：支持护理需求调查（SCNS）、支持护理偏好问卷、EORTC QLQ-C30（第3版）测量加前列腺模块和医院焦虑和抑郁量表（HADS）。在符合研究入选标准的249例患者中，有89%的缓解率，导致210例患者的队列。数据显示，在心理和卫生系统/信息领域的许多领域存在着大量未满足的需求。最常见的需求是“担心癌症扩散（44%）”、“担心身边人的担忧（43%）”和“性感觉的变化（41%）”。“一半的患者报告在性方面有一些需求，特别是65岁以下的男性。病人护理和支助领域的需求得到了很好的满足。相当多的患者报告说，他们使用或希望获得支持服务，例如关于他们疾病的信息，关于癌症患者服务和福利的小册子（55%），工作人员关于前列腺癌方面的一系列讲座（44%），以及一对一的咨询（48%）。生活质量（QoL）在以下人群中受到的负面影响最大：小于或等于65岁，在一年内被诊断出或患有转移性疾病。小于或等于65岁的男性社会功能下降，疼痛更大，睡眠障碍增加，并且更可能对性亲密感到不舒服。最近确诊的患者疲劳增加，更频繁的排尿，更大的睡眠障碍，更容易有潮热。晚期疾病患者在15个QoL类别中的12个类别中得分较低。PSA水平对生活质量或焦虑/抑郁评分无影响。患有晚期疾病的男性抑郁程度更高，而那些小于或等于65岁的人更容易焦虑。虽然大多数前列腺癌患者的功能似乎很好，但有相当多的少数人报告了未满足的需求，这些需求可能是改善护理的目标。版权所有（C）2003约翰威利父子有限公司。
While there are numerous uncertainties surrounding prostate cancer's detection and treatment, more research focusing on the psychological needs of prostate patients is required. This study investigated the support and psychological care needs of men with prostate cancer. Patients were approached during urological oncology clinics and asked to complete the: Support Care Needs Survey (SCNS), Support Care Preferences Questionnaire, EORTC QLQ-C30 (Version 3) Measure plus Prostate Module, and the Hospital Anxiety and Depression Scale (HADS). Of the 249 patients meeting study entry criteria, there was an 89% response rate resulting in a cohort of 210 patients. The data showed that significant unmet need exists across a number of domains in the areas of psychological and health system/information. The more commonly reported needs were 'fears about cancer spreading (44%),' 'concerns about the worries of those close to you (43%),' and 'changes in sexual feelings (41%).' Half of all patients reported some need in the domain of sexuality, especially men younger than 65 years. Needs were being well met in the domain of patient care and support. A significant number of patients reported having used or desiring support services, such as information about their illness, brochures about services and benefits for patients with cancer (55%), a series of talks by staff members about aspects of prostate cancer (44%), and one-on-one counselling (48%). Quality of life (QoL) was most negatively impacted in those who: were less than or equal to 65 years old, had been diagnosed within one year, or had metastatic disease. Men less than or equal to65 had decreased social functioning, greater pain, increased sleep disturbance, and were more likely to be uncomfortable about being sexually intimate. Patients recently diagnosed had increased fatigue, more frequent urination, greater disturbance of sleep, and were more likely to have hot flushes. Those with advanced disease scored lower on 12 out of 15 QoL categories. PSA level had no effect on QoL or anxiety/depression scores. Men with advanced disease had greater levels of depression and those less than or equal to65 years old were more likely to be anxious. Although most men with prostate cancer seem to function quite well, a substantial minority report areas of unmet need that may be targets for improving care. Copyright (C) 2003 John Wiley Sons, Ltd.