Objectives: Personal beliefs about illnesses have received increasing interest because these cognitions help to explain and predict preventive and therapeutic coping efforts, adjustment to a disease and health outcome...Objectives: Personal beliefs about illnesses have received increasing interest because these cognitions help to explain and predict preventive and therapeutic coping efforts, adjustment to a disease and health outcomes. We sought to explore and compare non-specialised illness representations of hypertension among adults never suffering from hypertension who had and had not lived with hypertensive patients. Design: Hypertension representations were explored in a community-based, convenient sample of normotensive Spanish adults of both genders from different educational backgrounds and with different family experience with this illness. Method: An adapted Illness Perception Questionnaire-R was used to assess such perceptions among healthy people in nine dimensions: Identity, Time-line, Consequences, Personal Control, Treatment Control, Illness Coherence, Evolution, Emotional Representations and Causes. Results: The participants’ beliefs mixed accurate and folk knowledge, while gender, age and education level had little impact, family experience (having or not having a relative with hypertension) strongly determined the content of hypertension representations. Participants with family experience held significantly stronger beliefs of controllability of the disease, both by patients and treatments, considered the disease as less stable and reported a lower emotional impact when thinking on suffering from hypertension. Family experience was the only significant predictor of illness cognitions. Conclusions: This study allowed us to know the perceptions of hypertension among non-patients and healthy relatives of patients. Our findings are useful in designing interventions aimed at hypertension prevention, particularly considering family experience with the disease.展开更多
文摘Objectives: Personal beliefs about illnesses have received increasing interest because these cognitions help to explain and predict preventive and therapeutic coping efforts, adjustment to a disease and health outcomes. We sought to explore and compare non-specialised illness representations of hypertension among adults never suffering from hypertension who had and had not lived with hypertensive patients. Design: Hypertension representations were explored in a community-based, convenient sample of normotensive Spanish adults of both genders from different educational backgrounds and with different family experience with this illness. Method: An adapted Illness Perception Questionnaire-R was used to assess such perceptions among healthy people in nine dimensions: Identity, Time-line, Consequences, Personal Control, Treatment Control, Illness Coherence, Evolution, Emotional Representations and Causes. Results: The participants’ beliefs mixed accurate and folk knowledge, while gender, age and education level had little impact, family experience (having or not having a relative with hypertension) strongly determined the content of hypertension representations. Participants with family experience held significantly stronger beliefs of controllability of the disease, both by patients and treatments, considered the disease as less stable and reported a lower emotional impact when thinking on suffering from hypertension. Family experience was the only significant predictor of illness cognitions. Conclusions: This study allowed us to know the perceptions of hypertension among non-patients and healthy relatives of patients. Our findings are useful in designing interventions aimed at hypertension prevention, particularly considering family experience with the disease.
文摘目的比较老年Ⅰ期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者肺叶或肺段切除术后的远期预后。方法从SEER数据库收集2010—2020年老年Ⅰ期NSCLC患者数据,根据切除方式,将患者分为肺叶组和肺段组,通过倾向性评分匹配(肺叶∶肺段=2∶1)比较两组总生存(overall survival,OS)和肺癌特异性生存(lung cancer specific survival,LCSS)。结果共纳入9990例患者,其中女5840例(58.46%)、男4150例(41.54%),平均年龄(70.48±6.47)岁,其中肺叶组9029例,肺段组961例。通过倾向性评分匹配,共匹配2883例患者,其中肺叶组1922例,肺段组961例,两组患者基线资料差异无统计学意义(P>0.05)。肺叶组10年OS率和LCSS率均高于肺段组(OS:51.15%vs.38.35%,P<0.01;LCSS:79.68%vs.71.52%,P<0.01)。亚组分析发现,对于60~<70岁和≥80岁患者,肺叶切除有生存优势;对于70~<80岁患者,两种术式的OS和LCSS差异均无统计学意义(P>0.05)。此外,对于肿瘤直径≤2 cm(ⅠA1~ⅠA2期)、淋巴结清扫数目≥10枚、接受辅助放/化疗患者,肺段切除也可达到与肺叶切除相似的预后。结论总体上,对于老年Ⅰ期NSCLC患者,肺叶切除可获得更优的OS和LCSS。但应综合考虑个体差异、肿瘤特征及围手术期治疗方案以决定老年Ⅰ期NSCLC患者的手术方式。
