IMPROVING THE DETECTION OF PSYCHIATRIC-PROBLEMS IN CANCER-PATIENTS

IMPROVING THE DETECTION OF PSYCHIATRIC-PROBLEMS IN CANCER-PATIENTS
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DOI:
10.1016/0277-9536(85)90336-3
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发表时间:
1985-01-01
影响因子:
5.4
通讯作者:
MAGUIRE, P
MAGUIRE, P
中科院分区:
医学2区
文献类型:
--
作者:
MAGUIRE, P

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认为,癌症的诊断和治疗进行了相当大的风险,精神疾病(PM),特别是焦虑状态,抑郁症,或性问题的发展。这种发病率可能是由于患者无法克服重要的心理障碍。癌症患者面临的障碍包括生存的不确定性,失去家人和朋友的支持,患有疾病的耻辱,以及对疾病假设个人责任。治疗效果(如手术、细胞毒性治疗、放疗)有时也是PM发生的原因。PM的许多情况仍然隐藏和未经处理。对医生和护士的培训不足,以及患有PM的患者不愿意自发地向参与其护理的任何人透露他们的问题,是PM检测率低的原因之一。可能的解决方案,这个问题进行了讨论,包括使用专科护士和其他干预计划。(25参考)(PsycInfo数据库记录(c)2022阿帕,保留所有权利)
Argues that the diagnosis and treatment of cancer carries a considerable risk of psychiatric morbidity (PM), particularly the development of anxiety state, depressive illness, or sexual problems. This morbidity may arise from the patients' inability to surmount important psychological hurdles. Hurdles encountered by cancer patients include uncertainty of survival, loss of support from family and friends, stigma of having the disease, and assumption of personal responsibility for the disease. Effects of treatment (eg, surgery, cytotoxic therapy, radiotherapy) are also sometimes responsible for the development of PM. Many instances of PM remain hidden and untreated. Inadequate training on the part of doctors and nurses and the reluctance of patients who develop PM to spontaneously disclose their problem to anyone involved in their care are among the reasons for low detection of PM. Possible solutions to this problem are discussed, including the use of specialist nurses and other intervention schemes.(25 ref)(PsycInfo Database Record (c) 2022 APA, all rights reserved)