这项研究考察了全国癌症老年人样本（OAC≥65 岁）的多维患者担忧与焦虑和抑郁之间的关系，以及跨学科（例如肿瘤学、联合健康、初级保健、心理健康）就诊提供者的缓冲效应。 ）关于这些关系。参与者通过癌症支持社区的癌症经验登记处（CER）（一项基于社区的在线研究计划）完成了一项横断面调查。符合资格的参与者年龄为 65 岁及以上，并且在过去五年内被诊断出患有癌症。参与者完成了自我报告测量（1）他们在多个领域的担忧的严重程度，（2）焦虑和抑郁，以及（3）他们是否接受了不同提供者的“症状和副作用”护理。样本由 277 名参与者组成。 OAC； 45% 的人支持增加焦虑，31% 的人支持增加抑郁。最严重的担忧是身体形象、健康生活方式以及症状负担和影响领域。更严重的担忧与更高水平的焦虑和抑郁有关。相对于未接受过姑息治疗、心理健康、物理或职业治疗提供者、药剂师或初级保健提供者的 OAC 而言，关注严重程度与痛苦之间的关系较弱。拜访肿瘤科医师并不能缓和大多数担忧与痛苦之间的关系。OAC 的担忧与痛苦之间的关系因专业提供者的治疗而减弱。跨学科团队护理可能是以患者为中心的 OAC 综合护理的重要组成部分。© 2024。作者获得 Springer Nature Switzerland AG 的独家许可。

This study examined the relationship between multidimensional patient concerns and anxiety and depression in a national sample of older adults with cancer (OACs ≥ 65 years) and the buffering effect of visiting providers across disciplines (e.g., oncology, allied health, primary care, mental health) on these relationships.Participants completed a cross-sectional survey through the Cancer Support Community's Cancer Experience Registry (CER), an online community-based research initiative. Eligible participants were 65 years and older and diagnosed with cancer in the past five years. Participants completed self-report measures of (1) the severity of their concerns across multiple domains, (2) anxiety and depression, and (3) whether they received care for "symptoms and side effects" from various providers.The sample consisted of 277 OACs; 45% endorsed elevated anxiety and 31% endorsed elevated depression. The most severe concerns were in the domains of body image and healthy lifestyle and symptom burden and impact. More severe concerns were associated with higher levels of anxiety and depression. The relationship between concern severity and distress was weaker in OACs who saw a palliative care, mental health, physical or occupational therapy provider, pharmacist, or primary care provider relative to OACs who did not. A visit with an oncology provider did not moderate most relationships between concerns and distress.The relationship between OACs' concerns and distress was attenuated by treatment with a specialty provider. Interdisciplinary team care may be a vital component of comprehensive patient-centered care for OACs.© 2024. The Author(s), under exclusive licence to Springer Nature Switzerland AG.