Liang L P, Dunn S M, Gorman A, Stuart-Harris R
Medical Oncology Unit, Westmead Hospital, NSW, Australia.
Br J Cancer. 1990 Dec;62(6):1000-3. doi: 10.1038/bjc.1990.425.
Inconsistent findings on the efficacy of psychosocial interventions in cancer may be due to their lack of specificity. The aim of this study was to identify priorities of psychosocial need among cancer patients currently receiving treatment in Western Sydney (NSW) as a prelude to targeted intervention. A sample of 188 patients (129 female, median age 52 years, median time since diagnosis 12 months), with various solid tumours, completed a self-report ranking questionnaire listing eight major areas of psychosocial need based on a literature search of relevant studies. The resulting ranking of priorities was: family (1), dealing with emotional stress (2), getting information (3), money (4), work (5), social life (6), sex life (7), and dealing with hospital staff (8). These priorities were independent of demographic characteristics, including time since diagnosis, suggesting that support in the areas of major need may be just as important during follow-up as it is at diagnosis. Males reported less distress than females, and patients with cancer of the head/neck or breast reported most distress. To be maximally effective, psychosocial intervention for cancer patients should focus on the principal areas of family interaction, effective stress management, and access to information.
心理社会干预在癌症治疗中的效果存在不一致的研究结果，这可能是由于其缺乏针对性。本研究的目的是确定悉尼西部（新南威尔士州）目前正在接受治疗的癌症患者心理社会需求的优先事项，作为针对性干预的前奏。188名患有各种实体肿瘤的患者（129名女性，中位年龄52岁，自确诊以来的中位时间为12个月）完成了一份自我报告排名问卷，该问卷根据对相关研究的文献检索列出了心理社会需求的八个主要领域。得出的优先事项排名为：家庭（1）、应对情绪压力（2）、获取信息（3）、金钱（4）、工作（5）、社交生活（6）、性生活（7）以及与医院工作人员打交道（8）。这些优先事项与人口统计学特征无关，包括自确诊以来的时间，这表明在主要需求领域提供支持在随访期间可能与在确诊时同样重要。男性报告的痛苦程度低于女性，头颈部或乳腺癌患者报告的痛苦程度最高。为了达到最大效果，针对癌症患者的心理社会干预应侧重于家庭互动、有效压力管理和信息获取等主要领域。
