Tierney William M, McKinley Elizabeth D
Department of Medicine, Indiana University School of Medicine, Regenstrief Institute for Health Care, Roudebush VA Medical Center, Indianapolis 46202, USA.
Med Care. 2002 Jun;40(6 Suppl):III20-7.
The authors, both medical researchers, describe their personal experiences with cancer, its treatment, and its effects on their lives. They discuss the "eight Ds" that represent their concerns as they navigated this permanent disruption in their lives: diagnosis, dying, discomfort, disability, drug and other treatment effects, dependency, doubt, and death. They also discuss the beneficial effects that cancer has had on their lives and end with suggestions for clinicians and outcomes researchers who seek to assess and improve quality of life among persons with cancer.
两位作者均为医学研究人员,他们描述了自己患癌的个人经历、治疗过程及其对生活的影响。他们讨论了“八个D”,这代表了他们在应对生活中这一永久性干扰时所关注的问题:诊断、濒死、不适、残疾、药物及其他治疗效果、依赖、疑虑和死亡。他们还讨论了癌症对他们生活产生的有益影响,并最后为那些试图评估和改善癌症患者生活质量的临床医生和结果研究人员提供了建议。