Xu Wei, Tang Juan, Chen Jie
Nursing Department, Pingxiang Hospital of Southern Medical University, Pingxiang, Jiangxi 337000, China.
Department of Oncology, Pingxiang Hospital of Southern Medical University, Pingxiang, Jiangxi 337000, China.
Evid Based Complement Alternat Med. 2021 Oct 13;2021:2568195. doi: 10.1155/2021/2568195. eCollection 2021.
To investigate the influence of diagnostic informing on negative emotions, illness perception (IP), self-perceived burden (SPB), and posttraumatic stress disorder (PTSD) in patients with gastrointestinal tumors.
A total of 261 patients with gastrointestinal tumors admitted to our hospital from January 2018 to December 2020 were selected. According to whether the patients were informed of the disease diagnosis, they were divided into the informing group ( = 125) and the concealment group ( = 136). The self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the brief illness perception questionnaire (BIPQ), the self-perceived burden scale (SPBS), and the PTSD checklist-civilian version (PCL-C) were used to investigate the two groups.
The SAS and SDS scores of the informing group were lower than those of the concealment group ( = 7.853 and 6.444, < 0.05). The total BIPQ score of the informing group was higher than that of the concealment group ( = -4.089, < 0.05). The total SPBS score of the informing group was lower than that in the concealment group ( = 2.443, < 0.05). The total PCL-C score of the informing group was lower than that of the concealment group ( = 2.173, < 0.05).
Diagnosis informing can reduce the negative emotions, increase positive IP, and reduce the risk of SPB and PTSD in patients with gastrointestinal tumors.
探讨诊断告知对胃肠道肿瘤患者负性情绪、疾病认知(IP)、自我感知负担(SPB)及创伤后应激障碍(PTSD)的影响。
选取2018年1月至2020年12月我院收治的261例胃肠道肿瘤患者。根据患者是否被告知疾病诊断情况,将其分为告知组(n = 125)和隐瞒组(n = 136)。采用自评焦虑量表(SAS)、自评抑郁量表(SDS)、简易疾病认知问卷(BIPQ)、自我感知负担量表(SPBS)及创伤后应激障碍检查表平民版(PCL-C)对两组患者进行调查。
告知组的SAS和SDS评分低于隐瞒组(t = 7.853和6.444,P < 0.05)。告知组的BIPQ总分高于隐瞒组(t = -4.089,P < 0.05)。告知组的SPBS总分低于隐瞒组(t = 2.443,P < 0.05)。告知组的PCL-C总分低于隐瞒组(t = 2.173,P < 0.05)。
诊断告知可降低胃肠道肿瘤患者的负性情绪,增加积极的疾病认知,并降低自我感知负担和创伤后应激障碍的风险。