Cassileth B R, Lusk E J, Strouse T B, Miller D S, Brown L L, Cross P A
Cancer. 1985 Jan 1;55(1):72-6. doi: 10.1002/1097-0142(19850101)55:1<72::aid-cncr2820550112>3.0.co;2-s.
A supportive family environment is thought to enhance the capacity of cancer patients to adapt to their illness and treatment. But families, like patients, vary in their ability to cope with the impact of a cancer diagnosis in a family member and in their ability to fulfill the patient's needs. Increased understanding of the interrelationships between the family's and patient's responses to illness is of fundamental importance to the care of the patient with cancer. A heterogeneous sample of 201 cancer patients and their relatives were studied to determine compatibility of psychological status and to isolate clinical and demographic variables associated with psychological distress. Self-report tests of anxiety, mood disturbance, and mental health were applied. Despite large individual variation, the psychological status of patients and their matched relatives was closely correlated. The patient's treatment status affected both patients and their next-of-kin. Psychological well-being worsened according to whether patients were receiving follow-up care, active treatment, or palliative therapy. These data suggest a mutuality of psychological response between patients and their families. Supportive intervention for the patient or relative who manifests distress, therefore, should benefit both. Because patients and relatives involved with palliative treatment are most in need of psychological assistance, particular attention should be paid to this group, as is attempted in hospice care.
人们认为，一个给予支持的家庭环境能够增强癌症患者适应疾病及治疗的能力。但是，与患者一样，各个家庭应对其家庭成员患癌所带来的影响的能力不同，满足患者需求的能力也不同。深入了解家庭与患者对疾病的反应之间的相互关系，对于癌症患者的护理至关重要。对201名癌症患者及其亲属组成的异质性样本进行了研究，以确定心理状态的相容性，并找出与心理困扰相关的临床和人口统计学变量。采用了焦虑、情绪障碍和心理健康的自我报告测试。尽管个体差异很大，但患者及其配对亲属的心理状态密切相关。患者的治疗状态对患者及其近亲都有影响。根据患者是接受随访护理、积极治疗还是姑息治疗，其心理健康状况会恶化。这些数据表明患者与其家人之间心理反应具有相互性。因此，对表现出困扰的患者或亲属进行支持性干预应该会对双方都有益。由于参与姑息治疗的患者和亲属最需要心理帮助，应该像临终关怀护理那样，特别关注这一群体。
