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如何干预肿瘤患者及其照顾者的健康管理?心理肿瘤学领域的叙述性综述

How to Intervene in the Health Management of the Oncological Patient and of Their Caregiver? A Narrative Review in the Psycho-Oncology Field.

作者信息

Turchi Gian Piero, Dalla Riva Marta Silvia, Orrù Luisa, Pinto Eleonora

机构信息

Department of Philosophy, Sociology, Pedagogy and Applied Psychology, University of Padua, 35131 Padua, Italy.

Unit of Surgical Oncology of the Esophagus and Digestive Tract, Veneto Institute of Oncology, 35128 Padua, Italy.

出版信息

Behav Sci (Basel). 2021 Jul 9;11(7):99. doi: 10.3390/bs11070099.

Abstract

Starting from statistical data derived from the oncological field, some articles have highlighted the importance of communication in the patient-caregiver dyad and have considered the various roles involved in a cancer diagnosis situation. Thus, the question of how to intervene in terms of "quality of life" from the time of diagnosis to the recovery or death of a cancer patient, beyond the sanitary and physical dimensions, has become relevant. Therefore, the present narrative review aims to offer an overview of the state of the art in terms of the psychological treatment modalities of cancer patients, from the diagnosis to the post-surgery period. A total of 67 articles were collected and analyzed, in relation to (1) psychological constructs employed in the oncological field, (2) intervention models and (3) quality of life and well-being measurement and evaluation tools. We described these articles, differentiating between those focusing on the role of (1) the patient, (2) the caregiver, (3) the patient-caregiver dyad and (4) healthcare professional roles. The oncological diagnosis and its repercussions in the lives of the patient and caregiver were explored and critical aspects that emerged from the literature were highlighted. In conclusion, the analysis allowed some considerations about the need to define research protocols and useful management strategies for increasing the overall health of patients with cancer diagnoses and the people who surround them.

摘要

从肿瘤学领域的统计数据出发,一些文章强调了患者与照顾者二元组中沟通的重要性,并考虑了癌症诊断情境中涉及的各种角色。因此,从诊断到癌症患者康复或死亡,如何在卫生和身体层面之外,从“生活质量”方面进行干预的问题变得至关重要。因此,本叙述性综述旨在概述癌症患者从诊断到术后阶段心理治疗方式的最新状况。总共收集并分析了67篇文章,涉及(1)肿瘤学领域所采用的心理结构,(2)干预模型,以及(3)生活质量和幸福感测量与评估工具。我们描述了这些文章,区分了那些关注(1)患者、(2)照顾者、(3)患者-照顾者二元组以及(4)医疗专业人员角色的文章。探讨了肿瘤学诊断及其对患者和照顾者生活的影响,并突出了文献中出现的关键方面。总之,该分析引发了一些关于需要定义研究方案和有用管理策略的思考,以提高癌症诊断患者及其周围人群的整体健康水平。

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