基于综述的口腔癌和头颈癌患者化疗前后情绪困扰和身体疼痛研究

Sanya Mehndiratta , Ravindra Singh , Saanjli Bhandari , Mansha Dadhich
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摘要

情绪困扰是一种心理反应,是对任何负面事件或状况所引起的经历的一种精神痛苦。它通常发生在那些在整个治疗过程中饱受与癌症相关的身体疼痛折磨的患者身上。癌症患者面临着大量的疲惫,这使他们在日常生活中身心失调。然而,由于肿瘤部位或手术本身的原因,头颈癌(HNC)患者面临着一些严重的问题。本研究旨在描述化疗和身体疼痛如何导致 HNC 患者的情绪困扰。此外,本研究还旨在确定所有三个因素(情绪困扰、疼痛和化疗)之间的关联,并强调 HNC 患者护理和补救需求的相关性。研究人员调查了与相关主题有关的文献,包括实证研究论文和综述论文。作者总共确定并审查了 42 篇与上述变量相关的文章。这些文章来自不同的数据库,如 Google Scholar、PubMed、JSTOR 和 Research Gate。然后,作者对所选文章的全文进行了资格评估,并从中提取了数据。研究显示,癌症患者在整个化疗过程中,忍受了身体上的痛苦,目睹了化疗的长期治疗过程,会经历极高的情绪困扰。研究还发现,与身体其他部位的癌症患者相比,HNC 患者的心理困扰更为常见。主要研究结果表明,女性患者的情绪困扰程度更高。应将社会心理支持和姑息治疗结合起来,以鼓励和提高癌症患者的能力。
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A review based study on emotional distress and physical pain in oral and head and neck cancer patients pre- and post-chemotherapy

Emotional distress is a psychological response that occurs in the form of mental suffering to an experience that arises from the any negative event or condition. It commonly occurs in patients who suffer from cancer-related physical pain throughout the treatments. Cancer patients face a lot of exhaustion which makes them physically and mentally dysfunctional in their daily lives. However, the Head and Neck Cancer (HNC) patients face some serious issues due to the site of tumour or surgery itself. The current study aims to describe how chemotherapy and physical pain cause emotional distress in HNC patients. Furthermore, the study aims to determine the association between all three factors (Emotional distress, pain, and chemotherapy) and highlight the relevance of care and remediation needs for HNC patients. The literature related to the concerned topic was investigated including empirical research papers, review papers. In total, the authors identified and reviewed 42 articles related to the above-mentioned variables. These articles were obtained from different databases, such as Google Scholar, PubMed, JSTOR and Research Gate. The authors then assessed the full texts of the selected articles for eligibility and extracted data from them. The study revealed that cancer patients who have tolerated physical pain and witnessed the long-term treatment of the process of chemotherapy experience extremely high emotional distress throughout the course. It was also observed that psychological distress is more common in HNC patients than in patients with cancer in other body parts. The main findings of the result indicated that emotional distress was much higher in females. Psychosocial support and palliative care should be integrated to encourage and improve the abilities of cancer-affected patients.

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