晚期肿瘤患者治疗前被告知放化疗意义对后续治疗策略的影响  

Strategy to Patients with Advanced Tumors before Treatment

作　　者：徐可[1] 何依群[1] 王少龙[1] 张杰[1] 

机构地区：[1]成都医学院第一附属医院肿瘤科,成都610500

出　　处：《成都医学院学报》2015年第4期449-451,454,共4页Journal of Chengdu Medical College

摘　　要：目的探讨拟行放化疗的晚期肿瘤患者治疗前被告知放化疗意义对其后续治疗策略的影响。方法纳入成都医学院第一附属医院肿瘤科收治的80例晚期肿瘤患者,随机分为两组。试验组38例,治疗前被告知姑息性放化疗的目的及意义;对照组42例,治疗前以委托人知情模式告知放化疗目的及意义。比较两组治疗初、治疗2周后及整个治疗过程中治疗手段选择情况。结果治疗初期,试验组选择放化疗者较对照组少(P<0.001)且放弃治疗者多(P=0.034)。治疗2周后,试验组改变主意选择放化疗者多(P=0.043)。整个治疗过程中,选择放化疗的患者比率差异无统计学意义(P=0.438)且放弃治疗患者比率差异无统计学意义(P=0.433)。结论对于拟行放化疗的晚期肿瘤患者,治疗前期应选择委托人知情模式介绍治疗目的及意义,避免患者主观认识引起治疗延误;治疗过程中增强与患者沟通,逐步向患者介绍病情并告知放化疗意义,有利于顺利实施放化疗。Objective To investigate the influence of informing the significance of chemoradiotherapy on follow-up treatment strategy to patients with advanced tumors before treatment. Methods 80 cases with advanced tumors treated at the department of oncology in the First Affiliated Hospital of Chengdu Medical College were randomly divided into two groups. Among the trial group of 38, patients were informed of the purpose and significance of palliative chemoradiotherapy before treatment. In the control group of 42, patients were informed of the purpose and significance by the client-informed-mode hefore treatment. Choices of treatment methods in the initial period,after 2 weeks and during the whole course were compared between the two groups. Results In the initial period of treatment,less patients in the trial group chose to accept chemoradiotherapy（P〈0. 001） and more patients abandoned therapy（P=0. 034） than the control group. After 2 weeks, more patients changed their minds and accepted chemoradiotherapy in the trial group （P = 0. 043）. During the whole course of treatment, the ratio variability has no statistical significance among the patients who made the choice of chemoradiotherapy （P=0. 438） and who abandoned therapy （P = 0. 433）. Conclusion It is necessary to inform the purpose and significance of palliative chemoradiotherapy before treatment by the client-informed-mode in the initial period of treatment to avoid any delay of treatment caused by patients＇ subjective understanding. It is conductive to the implementation of chemoradiotherapy to enhance communication with patients during treatment and gradually introduce the disease and the significance of chemoradiotherapy.

关 键 词：晚期肿瘤 放化疗意义 放弃治疗 

分 类 号：R73-31[医药卫生—肿瘤]