Dropkin M J
Semin Oncol Nurs. 1989 Aug;5(3):213-9. doi: 10.1016/0749-2081(89)90095-8.
The relationship between coping effectiveness and degree of postoperative disfigurement and dysfunction has been described. Current nationwide mandates for more cost-effective health care warrant continued efforts to describe this patient population in relation to coping patterns. Those patients who do not cope adequately should be considered for more intensive intervention while still in the therapeutic environment of the hospital. More creative and innovative solutions are needed to facilitate effectiveness of intervention and predictability of outcomes within an appropriate time frame and in a fiscally responsible manner. In the interim, inability to cope with disfigurement and dysfunction at discharge can predispose the patient to infection or noncompliance with follow-up care, pathological obsession with or denial of the defect, depression, and social isolation.
应对效果与术后毁容程度和功能障碍之间的关系已被描述。当前全国范围内对更具成本效益的医疗保健的要求，使得有必要继续努力描述这一患者群体的应对模式。对于那些应对不足的患者，在其仍处于医院治疗环境时，应考虑给予更强化的干预。需要更具创造性和创新性的解决方案，以便在适当的时间框架内以财政上负责任的方式促进干预的有效性和结果的可预测性。在此期间，出院时无法应对毁容和功能障碍可能使患者易发生感染或不遵守后续护理、对缺陷产生病态痴迷或否认、抑郁以及社交孤立。
