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晚期癌症患者的心理症状

Psychological Symptoms in Advanced Cancer.

作者信息

Bail Jennifer R, Traeger Lara, Pirl William F, Bakitas Marie A

出版信息

Semin Oncol Nurs. 2018 Aug;34(3):241-251. doi: 10.1016/j.soncn.2018.06.005. Epub 2018 Aug 10.

Abstract

OBJECTIVES

To discuss psychological symptoms among patients with advanced cancer, assessment of psychological symptoms, and evidence-based strategies to manage psychological symptoms.

DATA SOURCES

Current cancer-care guidelines and journal articles.

CONCLUSION

Psychological symptoms are prevalent among patients with advanced cancer and may not be evident without appropriate screening. Distressed patients may not meet criteria for a full clinical psychiatric diagnosis, but may still benefit from interventions to improve quality of life.

IMPLICATIONS FOR NURSING PRACTICE

Nurses can improve the lives of patients by assessing for psychological symptoms; providing appropriate referrals, treatment, and/or follow-up; and recommending integrative methods for psychological symptom self-management.

摘要

目的

探讨晚期癌症患者的心理症状、心理症状评估以及基于证据的心理症状管理策略。

数据来源

当前癌症护理指南和期刊文章。

结论

心理症状在晚期癌症患者中普遍存在,若无适当筛查可能不明显。痛苦的患者可能不符合全面临床精神科诊断标准,但仍可能从改善生活质量的干预措施中获益。

对护理实践的启示

护士可通过评估心理症状、提供适当的转诊、治疗和/或随访,以及推荐心理症状自我管理的综合方法来改善患者生活。

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