Department of Psychiatry, UC San Diego, La Jolla, California.
Psychiatry and Psychosocial Services, Department of Patient and Family Support Services, UC San Diego Moores Cancer Center, La Jolla, California.
J Palliat Med. 2019 Dec;22(12):1574-1577. doi: 10.1089/jpm.2018.0256. Epub 2019 Sep 30.
The Patient Dignity Question (PDQ) is a single question, which directly asks the patient, "What should I know about you as to help me take the best care of you that I can?" Research has demonstrated that the PDQ enhances quality health care within an inpatient palliative care setting; however, no research to date has examined the PDQ in an outpatient setting, particularly a psycho-oncology setting. The PDQ was administered as part of routine clinical care in an outpatient psycho-oncology clinic to enhance patient-centered care. Individuals diagnosed with cancer ( = 66) were referred for individual psychotherapy primarily for anxiety and/or depression. After gathering a thorough patient history during the initial psychology consult, patients were asked the PDQ as it was worded without further prompting. Patient responses were then qualitatively analyzed to measure the most common themes. The themes expressed by patients in response to the PDQ included (59.7%), which referenced individual characteristics and core personality traits, (21.7%) described how patients' lives have been impacted since receiving a cancer diagnosis, and (18.4%) in which patients described what goals they wanted to achieve in their lives (both general and specific to psychotherapy). Data from this small pilot study show promise that this brief assessment tool can be readily added to a psychological intake assessment and patients appreciated being asked about their personhood. Incorporating the PDQ into standard psychological care allows patients to be "seen" and helps us to acknowledge the in the patient.
患者尊严问题（PDQ）是一个直接询问患者的问题，“为了帮助我尽我所能地照顾好您，我应该了解您哪些方面？”研究表明，PDQ 可以提高住院姑息治疗环境中的医疗质量；但是，迄今为止，尚无研究在门诊环境中（尤其是在心理肿瘤学环境中）检查 PDQ。PDQ 作为门诊心理肿瘤学诊所常规临床护理的一部分，用于增强以患者为中心的护理。被诊断患有癌症的个体（ = 66）主要因焦虑和/或抑郁而被转介进行个体心理治疗。在初始心理咨询过程中收集了全面的患者病史后，无需进一步提示，就会向患者提出 PDQ。然后对患者的回答进行定性分析，以衡量最常见的主题。患者对 PDQ 的回应中表达的主题包括（59.7%），这涉及个人特征和核心人格特质，（21.7%）描述了自收到癌症诊断以来患者的生活受到了怎样的影响，以及（18.4%），其中患者描述了他们在生活中想要实现的目标（包括一般目标和针对心理治疗的特定目标）。这项小型试点研究的数据表明，这种简短的评估工具可以很容易地添加到心理摄入评估中，并且患者很欣赏被问及他们的人格。将 PDQ 纳入标准心理护理中，可以使患者“被看到”，并帮助我们承认患者的独特性。
