癌症告知策略和早期应对方式与心理痛苦的关系研究  

Relationship of Cancer Disclosure Strategy with Early Coping Style and Psychological Distress of Cancer Patients

作　　者：晋溶辰[1] 陈燕[1] 潘晓彦[1] 陈偶英[1] 朱建华[1] 黎吉娜[1] 

机构地区：[1]湖南中医药大学护理学院

出　　处：《中国全科医学》2013年第4期450-452,共3页Chinese General Practice

摘　　要：目的评价医务人员和家属共同决策在癌症病情告知中对患者应对方式、心理痛苦产生的影响。方法采用方便取样方法，使用医学应对问卷（MCMQ）及心理痛苦温度计（DT）对共商告知的137例患者和医生直接告知的159例癌症患者进行调查。结果癌症病情告知后早期显著心理痛苦发生率为46．62％（138／296）。共商告知策略组与直接告知策略组在面对方式得分[（17．3±1．7）分vs．（16．9±0．8）分]、回避方式得分[（17．5±2．8）分VS．（17．0±1．2）分]、显著心理痛苦程度得分（（2．9±1．5）分VS．（3．7±1．4）分]和显著心理痛苦发生率（39．4％VS．52．8％）间差异均有统计学意义（P〈0．05）；面对（r=-0．321，P=0．000）、回避（r=-0．142，P=0．014）与心理痛苦呈负相关。结论共商告知策略能帮助患者采取积极的应对方式，减轻心理痛苦。Objective To explore the effects of shared decision -making by the doctors and family members on the coping style and psychological distress of cancer patients. Methods A total of 137 and 159 patients were enrolled into the shared decision - making group and direct disclosure group, respectively, using convenience sampling method. They were surveyed u- sing medical coping method questionnaire and distress thermometer. Results The total prevalence of significant distress was 46. 62% （138/269）. The patients in the shared decision - making group had significantly higher scores in confrontation and res- ignation, and lower scores in levels of psychological distress and incidence of psychological distress （ P 〈 0. 05 ）. Conclusion Psychological distress is negatively correlated with positive coping style. The shared decision - making can help cancer patients to take active coping style and to alleviate psychological distress.

关 键 词：肿瘤 告知策略 心理痛苦 

分 类 号：R473.73[医药卫生—护理学]