University of Michigan Rogel Cancer Center.
Moffitt Cancer Center.
J Natl Compr Canc Netw. 2019 Oct 1;17(10):1229-1249. doi: 10.6004/jnccn.2019.0048.
Distress is defined in the NCCN Guidelines for Distress Management as a multifactorial, unpleasant experience of a psychologic (ie, cognitive, behavioral, emotional), social, spiritual, and/or physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment. Early evaluation and screening for distress leads to early and timely management of psychologic distress, which in turn improves medical management. The panel for the Distress Management Guidelines recently added a new principles section including guidance on implementation of standards of psychosocial care for patients with cancer.
痛苦被 NCCN 指南中定义为一种多因素的、不愉快的心理体验(即认知、行为、情感)、社会、精神和/或身体上的体验,可能会干扰患者有效应对癌症、癌症的身体症状和治疗的能力。早期对痛苦进行评估和筛查会导致早期及时管理心理痛苦,从而改善医疗管理。痛苦管理指南小组最近增加了一个新的原则部分,包括为癌症患者实施社会心理护理标准的指导。