关键词: Biological signals Heart rate Psychological anxiety Radiotherapy Smartwatch

来  源:   DOI:10.3857/roj.2023.01067   PDF(Pubmed)

Abstract:
OBJECTIVE: Patients undergoing radiation therapy (RT) often experience psychological anxiety that manifests as muscle contraction. Our study explored psychological anxiety in these patients by using biological signals recorded using a smartwatch.
METHODS: Informed consent was obtained from participating patients prior to the initiation of RT. The patients wore a smartwatch from the waiting room until the conclusion of the treatment. The smartwatch acquired data related to heart rate features (average, minimum, and maximum) and stress score features (average, minimum, and maximum). On the first day of treatment, we analyzed the participants\' heart rates and stress scores before and during the treatment. The acquired data were categorized according to sex and age. For patients with more than three days of data, we observed trends in heart rate during treatment relative to heart rate before treatment (HRtb) over the course of treatment. Statistical analyses were performed using the Wilcoxon signed-rank test and paired t-test.
RESULTS: Twenty-nine individuals participated in the study, of which 17 had more than 3 days of data. During treatment, all patients exhibited elevated heart rates and stress scores, particularly those in the younger groups. The HRtb levels decreased as treatment progresses.
CONCLUSIONS: Patients undergoing RT experience notable psychological anxiety, which tends to diminish as the treatment progresses. Early stage interventions are crucial to alleviate patient anxiety during RT.
摘要:
目的:接受放射治疗(RT)的患者通常会出现心理焦虑,表现为肌肉收缩。我们的研究通过使用智能手表记录的生物信号来探索这些患者的心理焦虑。
方法:在开始RT之前从参与患者获得知情同意书。患者从候诊室佩戴智能手表,直到治疗结束。智能手表采集的与心率特征相关的数据(平均值,minimum,和最大值)和应力分数特征(平均值,minimum,和最大值)。在治疗的第一天,我们分析了参与者在治疗前和治疗期间的心率和压力评分。根据性别和年龄对获得的数据进行分类。对于数据超过三天的患者,在整个治疗过程中,我们观察了治疗期间心率相对于治疗前心率(HRtb)的趋势.使用Wilcoxon符号秩检验和配对t检验进行统计分析。
结果:29个人参与了这项研究,其中17人的数据超过3天。治疗期间,所有患者均表现出心率和压力评分升高,尤其是那些年轻群体。HRtb水平随着治疗进展而降低。
结论:接受RT的患者会出现明显的心理焦虑,随着治疗的进展,这往往会减少。早期干预对于缓解放疗期间患者的焦虑至关重要。
公众号