Planning a mental care program for patients with brain tumors

被诊断患有脑瘤的人可能会面临严重的压力。在本研究中，我们测量脑肿瘤患者在回归自己的社会生活后的生活质量。资料：选取50例因脑肿瘤在我科住院的患者作为研究对象。所有患者均表现出较高的Karnofsky表现分数，因此他们有望恢复以前的社会生活。方法：在入院（预）、出院（1岗）和出院后3个月以上（2岗）进行自答测试。测试如下。知情同意问卷、康奈尔医学指数（Cornell Medical Index， CMI）、情绪状态量表（POMS）(测量患者的紧张焦虑（TA）、抑郁(D)、愤怒-敌意（AH）、活力(V)、疲劳（F)、困惑(C)等情绪状态）和工作状态问卷。结果：数据显示患者对治疗有满意的同意。15%的患者CMI表现为神经症的边界。只有POMS子量表的TA在Post 2中有显著改善，而其他子量表没有变化。与入院时相比，出院时POMS各分量表受干扰程度较低，但回归社会生活后恢复到前水平。结果表明，即使在治疗完成后，脑肿瘤患者仍暴露出严重的压力。

Persons who are diagnosed as having brain tumors might be exposed to severe stress. In the present study, we measure the QOL in the patients with brain tumors after they return to their own social living. Materials : 50 patients who admitted in our department because of the brain tumors were included in the study. All patients presented high Karnofsky performance score, so that they are expected to return their previous social living. Method : The self-answering tests were performed on admission (Pre), on discharge (Post 1), and on more than 3 months after the discharge (Post 2). The tests were the followings. An original questionnaire asking the informed consent, Cornell Medical Index (CMI) which measured the self-consciousness of the healthiness, and Profile of mood state (POMS) which measured the patients'mood states including tension-anxiety (TA), depression (D), anger-hostility (AH), vigor (V), fatigue (F), and confusion (C), and the questionnaire asking the job status. Results : The data showed that the patients feel the satisfactory consent to the treatment. CMI showed aborderline of neurosis in 15% patients. Only TA of POMS subscale improved significantly in Post 2, however, other subscales unchanged. All of the subscales of POMS showed less disturbed on discharge compared with those on admission, however, they returned to the prelevel after they returning the social living. The results shows that patients with brain tumors exposed severe stress even after the completion of the treatment.