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肿瘤学家对癌症患者精神健康困扰的治疗反应。

Oncologists' Treatment Responses to Mental Health Distress in Their Cancer Patients.

机构信息

1 Ben-Gurion University of the Negev, Beer-Sheva, Israel.

2 Smith College, Northampton, Massachusetts, USA.

出版信息

Qual Health Res. 2018 Sep;28(11):1735-1745. doi: 10.1177/1049732318786479. Epub 2018 Jul 4.

Abstract

The objectives of this study were to identify how oncologists respond to mental health distress in their patients, what specific strategies they use in treating this distress, and what barriers they report responding to their patients' emotional distress. Twenty-three oncologists at two cancer centers were interviewed. The grounded theory method of data collection and analysis was used. Oncologists varied in their response to patients' emotional distress. Strategies used in responding to patients' distress included creating supportive relationships and prescribing medications, while barriers included patient reluctance, a lack of protocol on how to respond to patients, limited psychosocial resources, and a lack of time. Developing and adopting clear guidelines to addressing mental health distress among cancer patients is critical in assuring quality care for the whole patient and reduce the risk for poor quality of life and potential disease-related morbidity and mortality.

摘要

本研究旨在确定肿瘤学家如何应对患者的心理健康困扰,他们在治疗这种困扰时使用哪些具体策略,以及他们在应对患者的情绪困扰时报告的障碍有哪些。在两家癌症中心采访了 23 名肿瘤学家。使用了数据收集和分析的扎根理论方法。肿瘤学家对患者情绪困扰的反应各不相同。应对患者痛苦的策略包括建立支持性关系和开处方药物,而障碍包括患者的不情愿、缺乏应对患者的规范、有限的社会心理资源以及缺乏时间。制定和采用明确的指导方针来解决癌症患者的心理健康困扰对于确保为患者提供全面的高质量护理以及降低生活质量下降和潜在疾病相关发病率和死亡率的风险至关重要。

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