Rhondali Wadih, Leprince Tanguy, Chirac Anne, Terra Jean-Louis, Filbet Marilène
Clinique La Chavannerie,Groupe Orpea,Chaponost,France.
Institut de Psychologie, Université Lyon 2,Bron,France.
Palliat Support Care. 2015 Aug;13(4):849-58. doi: 10.1017/S1478951514000741. Epub 2014 Jun 26.
Our study aimed at examining nurses' perceptions of depression in cancer patients and their role in its management.
We employed questionnaire-based semi-directed interviews. Participants were asked to classify 22 symptoms (related and specific to depression in cancer patients, related but not specific, and unrelated) as "very important," "important," "less important," or "not important" for the diagnosis of depression in cancer patients at two different timepoints (baseline and after a video education program). They were also asked to complete a questionnaire exploring their perceptions about depression and of their role in its systematic screening. We recruited nurses caring for cancer patients from four different departments (palliative care unit, hematology, medical oncology, and thoracic oncology) at an academic medical center.
We interviewed 18 nurses and found that they had a good general knowledge of depression in cancer patients, with the majority of them being able to distinguish specific and important symptoms from nonspecific symptoms. Some nurses considered depression as a second-line symptom, and most did not employ a screening tool in their daily practice. All considered that they had a role to play in the management of depression, even as they acknowledged lacking specific training for that task.
Our results suggest that limited resources—especially lack of training—affects nurses' ability to correctly manage depression in their cancer patients.
我们的研究旨在调查护士对癌症患者抑郁症的认知以及他们在抑郁症管理中的作用。
我们采用基于问卷的半定向访谈。要求参与者在两个不同时间点（基线和视频教育项目后）将22种症状（与癌症患者抑郁症相关且特定、相关但不特定以及不相关）分类为对癌症患者抑郁症诊断“非常重要”“重要”“不太重要”或“不重要”。他们还被要求完成一份问卷，以探究他们对抑郁症的认知以及他们在系统筛查中的作用。我们从一家学术医疗中心的四个不同科室（姑息治疗科、血液科、医学肿瘤科和胸外科肿瘤科）招募了照顾癌症患者的护士。
我们采访了18名护士，发现他们对癌症患者抑郁症有较好的一般了解，大多数人能够区分特定和重要症状与非特定症状。一些护士将抑郁症视为二线症状，大多数人在日常工作中未使用筛查工具。所有人都认为他们在抑郁症管理中可以发挥作用，尽管他们承认缺乏针对该任务的特定培训。
我们的结果表明，资源有限——尤其是缺乏培训——影响护士正确管理癌症患者抑郁症的能力。
