孤独和抑郁水平是老年前列腺癌患者疼痛的风险因素

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Universa Medicina Pub Date : 2023-10-27 DOI:10.18051/univmed.2023.v42.294-302
Remziye Cici, G. Yılmazel, Nur Pınar Ayaz
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引用次数: 0

摘要

背景前列腺癌是男性中发病率最高的恶性肿瘤,心理症状可能会影响许多患者。虽然已有很多研究对老年前列腺癌患者的孤独感、抑郁和疼痛进行了研究,但对它们之间关系的研究却少之又少。因此,本研究探讨了老年前列腺癌患者的孤独感和抑郁与疼痛的关系。研究方法:本研究采用横断面研究方法,涉及 83 名年龄介于 60 岁至 74 岁之间的前列腺癌患者,他们都是某健康科学大学学生的近亲。研究人员使用老年人孤独感量表、贝克抑郁量表和数字评定量表收集数据。根据患者档案对前列腺诊断的持续时间进行了评估。数据分析采用了简单和多元逻辑回归分析。研究结果表明,研究对象的年龄中位数为 66 岁,疼痛持续时间中位数为两年。62.7%的患者有严重的疼痛感,61.4%的患者感到孤独,68.7%的患者患有抑郁症。诊断持续时间、孤独感和抑郁与疼痛强度有显著关联。抑郁会使患者的疼痛强度风险增加 3.41 倍(aOR=3.41;95% C.I.:3.07-8.16;p=0.038)。 结论:研究发现,诊断持续时间、孤独感和抑郁程度是老年前列腺癌患者疼痛强度的风险因素。在康复研究中针对患者的心理状态制定干预措施可能有助于减轻疼痛的严重程度。
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Loneliness and depression levels as risk factors of pain in geriatric prostate cancer patients
BackgroundProstate cancer is the most prevalent malignancy among men, and psychological symptoms may affect many patients. Although much work has been carried out on loneliness, depression, and pain in geriatric prostate cancer patients, far less research has examined their associations. Therefore, the present study explored the association of loneliness and depression with pain in geriatric prostate cancer patients. MethodsA cross-sectional study was conducted involving 83 patients between the ages of 60 and 74 years, who were diagnosed with prostate cancer and were close relatives of students studying at a health sciences university. Data were collected with the Loneliness Scale for the Elderly, Beck Depression Inventory, and Numerical Rating Scale. The duration of prostate diagnosis was evaluated according to patient files. Simple and multiple logistic regression analyses were used to analyze the data. Results It was determined that the median age of the individuals included in the study was 66 years, and the median pain duration of these patients was two years. Severe pain was found in 62.7%, loneliness in 61.4%, and depression in 68.7% of the patients. Duration of diagnosis, loneliness, and depression were significantly associated with pain intensity. Depression increases the risk of pain intensity 3.41 times among patients (aOR=3.41;95% C.I.: 3.07-8.16; p=0.038) ConclusionIt was determined that duration of diagnosis, loneliness, and depression levels were risk factors for pain intensity in geriatric prostate cancer patients. Developing interventions for patients' mental states in rehabilitation studies may help alleviate the severity of pain.
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Universa Medicina
Universa Medicina MEDICINE, GENERAL & INTERNAL-
自引率
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发文量
27
审稿时长
20 weeks
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