癌症患者在 COVID 期间孤独和沮丧 | UCSF 护理学院
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Loneliness and social isolation have been significant problems for the general population during the COVID-19 pandemic, but for cancer patients these issues were particularly acute, likely due to isolation and social distancing, according to a new UC San Francisco study.
The study, which is the first to evaluate loneliness, anxiety, depression, fatigue and other symptoms in a single group of patients, is published in Cancer, a peer-reviewed journal of the American Cancer Society.
“We found that oncology patients were experiencing a deep sense of loneliness,” said first author Christine Miaskowski, RN, PhD, a professor in the UCSF School of Nursing.
“For these patients, the burden of their symptoms is extremely high, and oncology clinicians can suggest a number of strategies to help them,” she said. “Patients should be encouraged to maintain contact with family and friends, and structure their daily routines when possible, through outdoor activities for example, as well as to maintain a healthy diet and sufficient sleep. These suggestions might mitigate some of the negative effects of loneliness.”
The COVID-19 pandemic brought to the forefront a pervasive sense of loneliness in the lay population, but the effects have not been well studied in oncology patients. The new survey, administered in late May 2020, evaluated the severity of loneliness, social isolation and related symptoms – such as anxiety, depression, fatigue, sleep disturbance, cognitive dysfunction and pain – in a sample of 606 oncology patients.
Altogether, 53 percent were found to be in the lonely group, which was higher than the range reported prior to the pandemic (32 percent - 47 percent). About a third had moderately high degrees of loneliness, and 5.3 percent reported high levels of depression
全文翻译（仅供参考）
根据加州大学旧金山分校的一项新研究，在 COVID-19 大流行期间，孤独和社会孤立一直是普通人群面临的重大问题，但对于癌症患者而言，这些问题尤其严重，可能是由于孤立和社会疏远所致。
这项研究，这是第一个在病人的一个小组，评估孤独，焦虑，抑郁，乏力等症状，被刊登在 癌症，美国癌症学会的同行评议期刊。
“我们发现肿瘤患者正经历着深深的孤独感，”第一作者、加州大学旧金山分校护理学院教授、注册护士、博士Christine Miaskowski说 。
“对于这些患者来说，他们的症状负担非常重，肿瘤临床医生可以提出一些帮助他们的策略，”她说。“应鼓励患者与家人和朋友保持联系，并在可能的情况下安排他们的日常生活，例如通过户外活动，以及保持健康的饮食和充足的睡眠。这些建议可能会减轻孤独的一些负面影响。”
COVID-19 大流行使非专业人群普遍存在孤独感，但尚未对肿瘤患者的影响进行充分研究。这项于 2020 年 5 月下旬进行的新调查评估了 606 名肿瘤患者样本中孤独、社会孤立和相关症状（如焦虑、抑郁、疲劳、睡眠障碍、认知功能障碍和疼痛）的严重程度。
总共有 53% 的人被发现属于孤独组，高于大流行之前报告的范围（32% - 47%）。大约三分之一的人有中等程度的孤独感，5.3% 的人报告有高度的抑郁症。
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