肿瘤患者心身症状临床管理中国专家共识  

Chinese Expert Consensus on Clinical Management of the Psychosomatic Symptoms in Patients with Cancer

作　　者：尹营营[1] 赵宽 王彩莲 汤立晨 何红波 刘向欣 潘昱[6] 杨海龙[7] 杨阳[8] 周波[9] 谢可[10] 林铮[11] 喻林珍 骆艳丽 陆峥[13] 王小平[14] 任涛 邹韶红[16] 魏镜[17] 冯威 袁勇贵[1] YIN Yingying;ZHAO Kuan;WANG Cailian;TANG Lichen;HE Hongbo;LIU Xiangxin;PAN Yu;YANG Hailong;YANG Yang;ZHOU Bo;XIE Ke;LIN Zheng;YU Linzhen;LUO Yanli;LU Zheng;WANG Xiaoping;REN Tao;ZOU Shaohong;WEI Jing;FENG Wei;YUAN Yonggui(Department of Psychiatry and Psychosomatics,Zhongda Hospital,School of Medicine,Jiangsu Provincial Key Laboratory of Brain Science and Medicine,Southeast University,Nanjing 210009,China;Department of Psychological Medicine,Fudan University Shanghai Cancer Center/Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Department of Oncology,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China;Department of Breast Surgery,Fudan University Shanghai Cancer Center/Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;Guangdong Mental Health Center,Guangdong Provincial People's Hospital(Guangdong Academy of Medical Sciences),Southern Medical University,Guangzhou 510000,China;Department of Psychology,the First Medical Center of the PLA General Hospital,Beijing 100853,China;Department of Psychology,Drum Tower Hospital,Affiliated to Nanjing University Medical School,Nanjing 210008,China;The Comprehensive Cancer Centre of Drum Tower Hospital,Medical School of Nanjing University&Clinical Cancer Institute of Nanjing University,Nanjing 210008,China;Sichuan Provincial Center for Mental Health,Sichuan Provincial People's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610072,China;Department of Oncology,Sichuan Provincial People's Hospital,Chengdu 610072,China;Department of Psychiatry,Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310009,China;Department of Psychological Medicine,Renji Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200127,China;Department of Psychiatry,Tongji Hospital of Tongji University,Shanghai 200065,China;Department of Psychiatry,the Second Xiangya Hospital,Central South University,Changsha 410011,China;Depart

机构地区：[1]东南大学附属中大医院心身医学科,江苏省南京市210009 [2]复旦大学附属肿瘤医院心理医学科复旦大学上海医学院肿瘤学系,上海市200032 [3]东南大学附属中大医院肿瘤科,江苏省南京市210009 [4]复旦大学附属肿瘤医院乳腺外科、复旦大学上海医学院肿瘤学系,上海市200032 [5]南方医科大学附属广东省人民医院(广东省医学科学院)广东省精神卫生中心,广东省广州市510000 [6]解放军总医院第一医学中心医学心理科,北京市100853 [7]南京大学医学院附属鼓楼医院医学心理科,江苏省南京市210008 [8]南京大学医学院附属鼓楼医院肿瘤中心,江苏省南京市210008 [9]四川省医学科学院·四川省人民医院(电子科技大学附属医院)四川省精神医学中心,四川省成都市610072 [10]四川省人民医院肿瘤中心,四川省成都市610072 [11]浙江大学医学院附属第二医院精神科,浙江省杭州市310009 [12]上海交通大学医学院附属仁济医院心理医学科,上海市200127 [13]同济大学附属同济医院精神医学中心,上海市200065 [14]中南大学湘雅二医院精神卫生研究所精神病学科,湖南省长沙市410011 [15]成都医学院第一附属医院肿瘤科,四川省成都市610500 [16]新疆维吾尔自治区人民医院临床心理科,新疆维吾尔自治区乌鲁木齐市830000 [17]中国医学科学院北京协和医院心理医学科,北京市100730

出　　处：《中国全科医学》2025年第15期1809-1822,1830,共15页Chinese General Practice

基　　金：江苏省重点研发计划(BE2019748);上海市加强公共卫生体系建设三年行动计划学科带头人项目(GWVI-11.2-XD23)。

摘　　要：肿廇患者常伴有严重的抑郁、焦虑、失眠、疼痛等心身症状,严重影响患者生活质量及预后。该类症状目前在我国临床中容易被医患忽视或未有效转诊治疗。目前国内肿瘤管理相关共识对心身症状处理内容较少,鉴于此,本共识系统阐述了肿瘤患者相关心身症状的临床管理建议,结合相关文献,整合实用管理工具,全面回答了肿瘤相关心身症状的医患沟通、诊断评估、心理干预、药物治疗以及如何建立医-护-患-家属同盟等重要问题,旨在提高非精神专科医生对肿瘤相关心身症状的识别、转诊,并在精神心理科及其他多学科团队的互助下有效沟通、开展治疗及管理心身症状。Cancer patients are often accompanied by serious psychosomatic symptoms such as depression,anxiety,insomnia and pain,which seriously affect the quality of life and prognosis of patients.However,these symptoms are often under-appreciated and poorly treated.At present,the domestic consensus on the management of cancer lacks the content of psychosomatic symptoms.Therefore,this consensus systematically describes the clinical management methods of psychosomatic symptoms related to cancer patients,combining relevant literature and integrating practical management tools.It comprehensively answers the important questions of physician-patient communication,diagnosis and evaluation,psychological intervention,drug treatment,and how to establish the physician-nurse-patient-family alliance of cancer-related psychosomatic symptoms.Aim at raising awareness of cancer-related psychosomatic symptoms among non-psychiatrists,and selecting effective communication,treatment and management of psychosomatic symptoms with the help of psycho-psychological and other multidisciplinary teams.

关 键 词：肿瘤 心身症状 心身医学 临床管理 专家共识 

分 类 号：R749.92[医药卫生—神经病学与精神病学]