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抗癌治疗第一周期中淋巴系统恶性肿瘤青少年的疾病接受度、睡眠质量和情绪状态——初步报告

Acceptance of Illness, Quality of Sleep and Emotional State of Adolescents with Lymphatic Malignancy During the First Cycle of Anticancer Treatment-A Preliminary Report.

作者信息

Kruszecka-Krówka Agnieszka, Cepuch Grażyna, Królikowska Anna, Micek Agnieszka

机构信息

Nursing and Midwifery Institute, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501 Krakow, Poland.

Department of Pediatric Oncology and Hematology, University Children's Hospital of Krakow, 30-663 Krakow, Poland.

出版信息

Healthcare (Basel). 2025 Mar 14;13(6):637. doi: 10.3390/healthcare13060637.

Abstract

: Medical care provided to adolescents with lymphatic system cancer and leukemia should take into consideration psychological aspects, due to the increased risk of anxiety disorders, depression, irritability and sleep disorders, which may determine acceptance of the disease. : The study included 50 patients of both sexes, aged 14-17. The following questionnaires were used: The Hospital Anxiety and Depression Scale (HADS-M), Athens Insomnia Scale (AIS), Acceptance of Illness Scale (AIS) and Numeric Rating Scale (NRS). : A significant group of patients did not accept their disease. Male gender turned out to be a predictor of higher acceptance of the disease. The dominant emotion among young people was anxiety, especially among girls ( = 0.012). The level of depression of most respondents was low or moderate ( = 0.143), and irritability was high ( = 0.074), regardless of gender. Sleep disorders were more common in girls ( < 0.001) and were associated with high levels of anxiety and depression. Regardless of gender, most adolescents experienced pain (≥3 NRS). : Recognizing the predictors of disease acceptance, especially in the initial stage of treatment, may be of key importance for current and further therapeutic effects in adolescents; therefore, it should be included in the standards of care for this group of patients.

摘要

由于焦虑症、抑郁症、易怒和睡眠障碍的风险增加,而这些可能决定对疾病的接受程度,因此为患有淋巴系统癌症和白血病的青少年提供医疗护理时应考虑心理因素。

该研究纳入了50名年龄在14至17岁之间的男女患者。使用了以下问卷:医院焦虑抑郁量表(HADS-M)、雅典失眠量表(AIS)、疾病接受量表(AIS)和数字评定量表(NRS)。

相当一部分患者不接受自己的疾病。结果显示男性是对疾病接受度较高的一个预测因素。年轻人中的主要情绪是焦虑,尤其是女孩(P = 0.012)。大多数受访者的抑郁程度为低或中度(P = 0.143),易怒程度较高(P = 0.074),与性别无关。睡眠障碍在女孩中更常见(P < 0.001),并且与高水平的焦虑和抑郁相关。无论性别如何,大多数青少年都经历过疼痛(NRS评分≥3)。

识别疾病接受度的预测因素,尤其是在治疗的初始阶段,可能对青少年当前及进一步的治疗效果至关重要;因此,应将其纳入这组患者的护理标准中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/059e/11942510/3d51b98c62d6/healthcare-13-00637-g001.jpg

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