医疗专业人员对癌症患者心理障碍的态度、知识和临床实践：一项观察性研究。
Attitudes, Knowledge and Clinical Practice of Health Professionals towards Psychological Disorders in Cancer Patients: An Observational Study.
作者信息
Carriero Maria Chiara, Leo Antonio, Lezzi Alessia, Lupo Roberto, Conte Luana, Fanizzi Annarita, Massafra Raffaella, Vitale Elsa, Carriero Antonio
机构信息
Independent Researcher, 20100 Milano, Italy.
"Santa Chiara" Institute, Via Campania, 1, 73100 Lecce, Italy.
出版信息
Diseases. 2024 Jul 1;12(7):141. doi: 10.3390/diseases12070141.
BACKGROUND
The suffering associated with a cancer diagnosis can find different channels to express itself: sleep disorders, psychiatric disorders, sexuality. These are not always analyzed by health professionals, but they have an impact on the patient's quality of life and on the outcome of the disease.
METHODS
An observational study was conducted in order to investigate attitudes, knowledge and clinical practice towards psychological symptoms in cancer patients.
RESULTS
A total of 132 clinicians from all Italian regions responded. In total, 99.2% (n = 131) considered the figure of the psychologist useful in the oncology field and recommended him/her in clinical practice (n = 115; 87.7%), especially in the terminal phase of the illness (58.6%; n = 99). Despite the importance given to the figure of the psychologist, psychiatric disorders are not diagnosed. Only 20.0% (n = 26) identified depressive disorder as accurate and only 33.9% (n = 43) identified demoralization syndrome as accurate.
CONCLUSIONS
Results prove the need for training on psychological disorders in oncology and the emotional repercussions of cancer illness.
背景
癌症诊断带来的痛苦可以通过不同途径表现出来：睡眠障碍、精神疾病、性功能问题。这些并非总能得到医疗专业人员的分析，但它们会影响患者的生活质量和疾病的转归。
方法
开展一项观察性研究，以调查对癌症患者心理症状的态度、知识和临床实践情况。
结果
来自意大利所有地区的132名临床医生做出了回应。总体而言，99.2%（n = 131）认为心理医生在肿瘤学领域有用，并在临床实践中推荐心理医生（n = 115；87.7%），尤其是在疾病终末期（58.6%；n = 99）。尽管重视心理医生这一角色，但精神疾病并未得到诊断。只有20.0%（n = 26）准确识别出抑郁症，只有33.9%（n = 43）准确识别出士气低落综合征。
结论
结果证明有必要开展关于肿瘤学心理障碍及癌症疾病情感影响方面的培训。
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