Psychological health in cancer survivors.

Psychological health in cancer survivors.
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DOI:
10.1016/j.soncn.2008.05.007
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发表时间:
2008-08-01
影响因子:
2.2
通讯作者:
Floyd, Andrea
Floyd, Andrea
中科院分区:
医学4区
文献类型:
--
作者:
Andrykowski, Michael A;Lykins, Emily;Floyd, Andrea

文献摘要

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目的:检查对癌症经历的消极(痛苦)和积极反应(成长、幸福)的普遍程度,并讨论确定这些反应普遍程度的困难。提出了一个理解癌症幸存者心理健康相关因素的概念框架。最后,研究了促进癌症幸存者心理健康的策略。数据来源:文献综述。结论:癌症幸存者的心理健康是通过是否存在痛苦以及是否存在积极的幸福感和心理成长来定义的。此外,癌症幸存者的心理健康取决于两类因素之间的平衡:癌症经历带来的压力和负担,以及可用于应对这种压力和负担的资源。 对护理实践的影响:一般来说,促进心理健康的基础是预防或治疗痛苦以及鼓励成长和福祉。在癌症发展过程中定期筛查心理困扰对于适当管理困扰至关重要。
OBJECTIVES: The prevalence of both negative (distress) and positive responses (growth, well-being) to the cancer experience is examined and difficulties in establishing the prevalence of these responses discussed. A conceptual framework for understanding factors associated with psychological health in cancer survivors is presented. Finally, strategies for promoting psychological health in cancer survivors are examined.DATA SOURCES: Review of the literature.CONCLUSION: Psychological health in cancer survivors is defined by the presence or absence of distress as well as the presence or absence of positive well-being and psychological growth. Furthermore, psychological health in cancer survivors is determined by the balance between two classes of factors: the stress and burden posed by the cancer experience and the resources available for coping with this stress and burden.IMPLICATIONS FOR NURSING PRACTICE: In general, promotion of psychological health is based on the prevention or treatment of distress as well as the encouragement of growth and well-being. Periodic screening for psychological distress across the cancer trajectory is critical to appropriate management of distress.