Kao Chia-Chan, Lin Yu-Hua
PhD, RN, Associate Professor, Department of Nursing, I-Shou University, Taiwan, ROC.
RN, Professor, Department of Nursing, I-Shou University, Taiwan, ROC.
Hu Li Za Zhi. 2016 Oct;63(5):27-32. doi: 10.6224/JN.63.5.27.
At least half of patients with cancer experience emotional distress (e.g., posttraumatic stress symptoms). Most of the studies on the emotional distress of Taiwanese cancer patients have focused on issues of depression rather than on posttraumatic stress disorder. The scope of the present article covers the definitions of cancer-related posttraumatic stress disorder (CR-PTSD) and cancer-related posttraumatic stress symptoms (CR-PTSS), identifies the differences and similarities between professional interview and self-administered measurement tools and their applications; analyzes the prevalence of CR-PTSD and CR-PTSS; identifies the possible contributing sociodemographic (younger age, female, low education, low socio-economic status), clinical (advanced stage, undergoing chemotherapy, just completed the therapy), and psychosocial (negative psychological traits, poor social support, and insufficient coping strategies) of CR-PTSD and CR-PTSS; and aggregates the effects of cognitive and psychosocial interventions on CR-PTSD and CR-PTSS. Furthermore, recommendations for clinical practice and research are discussed. This article is expected to provide practicing nurses with a basic concept of caring for emotional distress and to inspire researchers to conduct further study of issues related to CR-PTSD and CR-PTSS.
至少一半的癌症患者经历过情绪困扰（如创伤后应激症状）。大多数关于台湾癌症患者情绪困扰的研究都集中在抑郁问题上，而非创伤后应激障碍。本文的内容范围涵盖癌症相关创伤后应激障碍（CR-PTSD）和癌症相关创伤后应激症状（CR-PTSS）的定义，明确专业访谈和自我管理测量工具之间的异同及其应用；分析CR-PTSD和CR-PTSS的患病率；确定CR-PTSD和CR-PTSS可能的社会人口学（年龄较小、女性、低教育程度、低社会经济地位）、临床（晚期、正在接受化疗、刚完成治疗）以及心理社会（消极心理特质、社会支持差、应对策略不足）影响因素；汇总认知和心理社会干预对CR-PTSD和CR-PTSS的效果。此外，还讨论了对临床实践和研究的建议。本文旨在为执业护士提供护理情绪困扰的基本概念，并激励研究人员对与CR-PTSD和CR-PTSS相关的问题进行进一步研究。
