Postdischarge distress in surgically treated cancer patients and their spouses.
Postdischarge distress in surgically treated cancer patients and their spouses.
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接受手术治疗的癌症患者及其配偶的出院后痛苦。
DOI：
10.1002/nur.4770110404
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发表时间：
1988
影响因子：
2
通讯作者：
Scott,DW
中科院分区：
文献类型：
--
作者：
Oberst,MT;Scott,DW
研究了两组非绝症手术治疗的癌症患者（n= 40）及其配偶（n= 40）在出院前和出院后即刻的痛苦时间模式。在出院前和出院后10、30、60、90和180天获得了有关遇到的问题和痛苦标准化措施（状态焦虑指数、简明症状指数和脆弱性指数）的数据。患者和配偶所经历的痛苦的强度是非常相似的，虽然发生的时间模式是显着不同的。出院前配偶焦虑水平显著高于患者，高于住院患者常模。配偶在家中10天后最不痛苦，但此后经历了脆弱性的上升，最终在90天和180天时出现可观察到的临床抑郁症。患者的最大痛苦发生在出院后10天，这是意外或比预期更严重的身体症状的函数。造口患者（n= 20）恢复到病前功能水平的速度较慢，并且比非造口患者有更多的心理困扰。
Temporal patterns of distress among two groups of nonterminally ill, surgically treated cancer patients (n= 40) and their spouses (n= 40) during the immediate pre‐and postdischarge period were studied. Data about problems encountered and standardized measures of distress (State Anxiety Index, Brief Symptom Index, and Vulnerability Index) were obtained before hospital discharge and at 10, 30, 60, 90, and 180 days postdischarge. The intensity of distress experienced by patients and spouses was remarkably similar, although the temporal pattern of occurrence was significantly different. Prior to discharge, spouse anxiety was significantly higher than that of the patients and above the norm for hospitalized persons. Spouses were least distressed after 10 days at home, but thereafter experienced a rise in vulnerability culminating in observable clinical depression at 90 and 180 days. Peak distress for the patients occurred 10 days after discharge as a function of physical symptoms that were unexpected or more severe than anticipated. Patients with ostomies (n= 20) were slower to return to pre‐illness functional levels and had somewhat more psychological distress than nonostomy patients.