背景:老年乳腺癌患者在接受手术和化疗等常规治疗后,往往有更多未满足的需求。D型人格与一般人群的支持性护理需求有关。然而,其与老年乳腺癌患者支持性护理需求的相关性尚未进行前瞻性研究.本研究旨在弥补这一差距。
目的:目的是了解D型人格对老年乳腺癌患者诊断时支持性护理需求的影响,术后2周,术后3个月,和术后6个月,并分析D型人格对支持性护理需求变化轨迹的影响,控制混杂因素如人口统计学,症状困扰和社会支持。
方法:瑞金医院122例老年(≥65岁)乳腺癌患者,上海,中国,从2021年9月到2022年8月都包括在内。支持性护理需求通过支持性护理需求调查简短表格进行测量,并在诊断时进行跟踪。术后2周,术后3个月,术后6个月。调查老年乳腺癌患者支持性护理需求的变化以及D型人格对这些需求的影响,采用线性混合模型。
结果:共有122名老年患者参加。支持性护理需求总体呈下降趋势,D型人格患者在所有阶段的支持性护理需求水平均明显高于非D型人格患者。通过线性混合模型,发现D型人格组总体下降趋势低于非D型人格组,需求水平持续较高。在控制人口统计信息后,这种差异仍然存在,症状负担,社会支持。
结论:与非D型人格的老年乳腺癌患者相比,具有D型人格的老年乳腺癌患者对支持治疗的需求水平更高,并且在更长的时间内维持的下降速度更慢。
Elderly patients with breast cancer often have more unmet needs after receiving common treatments such as surgery and chemotherapy. Type D personality has been related to supportive care needs in the general population. However, its association with supportive care needs in elderly breast cancer patients has not been prospectively explored. This study aimed to address this gap.
The aim was to understand the impact of Type D personality on the supportive care needs of elderly breast cancer patients at diagnosis, 2 weeks postoperatively, 3 months postoperatively, and 6 months postoperatively and to analyse the impact of Type D personality on the changing trajectory of supportive care needs after controlling for confounding factors such as demographics, symptom distress and social support.
A total of 122 elderly patients (≥ 65 years) with breast cancer in Ruijin Hospital, Shanghai,
China, were included from September 2021 until August 2022. Supportive care needs were measured by the Supportive Care Needs Survey Short Form and tracked at diagnosis, 2 weeks postoperatively, 3 months postoperatively, and 6 months postoperatively. To investigate changes in the supportive care needs of elderly breast cancer patients and the effect of Type D personality on these needs, a linear mixed model was applied.
A total of 122 elderly patients participated. There was an overall decreasing trend in supportive care needs, with Type D personality patients having significantly higher levels of supportive care needs than the non-Type D personality patients at all stages. Through linear mixed models, it was found that the Type D personality group had a lower overall downward trend than the non-Type D personality group, with need levels remaining consistently higher. This difference persisted after controlling for demographic information, symptom burden, social support.
Elderly breast cancer patients with Type D personality had higher levels of supportive care needs and a slower rate of decline that was maintained over a longer period than those with non-Type D personality.