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医患关系在应对癌症方面的重要性。

The significance of the doctor-patient relationship in coping with cancer.

作者信息

Molleman E, Krabbendam P J, Annyas A A, Koops H S, Sleijfer D T, Vermey A

出版信息

Soc Sci Med. 1984;18(6):475-80. doi: 10.1016/0277-9536(84)90003-0.

DOI:10.1016/0277-9536(84)90003-0
PMID:6710187
Abstract

The uncertainty and anxiety experienced by cancer patients and their ways of coping with uncertainty and anxiety were studied on the basis of a questionnaire completed by 418 patients. The study shows that 28.2% of the patients had a low and 33.5% had a high uncertainty score, while 50% had a low and 9% had a high anxiety score. Four ways of coping with uncertainty and anxiety can be distinguished, of which the use of self-instruction means was most common. Expert help proved to be important for reduction of uncertainty. For reduction of anxiety the support of the home environment and of fellow-patients was also of importance. The implications of these findings for the doctor's performance and for the care of cancer patients are discussed.

摘要

基于418名患者填写的问卷,对癌症患者所经历的不确定性和焦虑及其应对不确定性和焦虑的方式进行了研究。研究表明,28.2%的患者不确定性得分较低,33.5%的患者得分较高,而50%的患者焦虑得分较低,9%的患者得分较高。可以区分出四种应对不确定性和焦虑的方式,其中使用自我指导方法最为常见。事实证明,专家帮助对于降低不确定性很重要。对于减轻焦虑而言,家庭环境和病友的支持也很重要。讨论了这些发现对医生工作表现和癌症患者护理的影响。

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