Barg F K, Cooley M, Pasacreta J, Senay B, McCorkle R
Cancer Pract. 1994 Jul-Aug;2(4):288-96.
Among patients with cancer, psychosocial issues and problems are common, yet they often go unnoticed and thus untreated until they become severe and significantly interfere with the patient's comfort, quality of life, and potentially survival. Given the increasing complexity of cancer care, psychosocial support must assume a more prominent role in the care of individuals with cancer. Routine use of a screening tool for psychosocial assessment may help facilitate early identification and intervention for individuals who are at risk for psychosocial problems. Based on the prevalence of psychosocial problems described in the literature and the paucity of psychosocial screening instruments that can be applied practically in the clinical setting, the development of a new instrument to identify patients with cancer who have psychosocial problems in multiple domains and who thus are at risk for excessive psychosocial distress throughout the course of treatment is presented. This article provides background information, reviews the literature, including instruments that have been used to screen patients in the oncology setting for psychosocial problems, and presents a new instrument based on current deficiencies in this area. Pilot testing of the instrument demonstrates its feasibility for use in the clinical setting.
在癌症患者中，心理社会问题很常见，但往往未被注意到，因此得不到治疗，直到问题变得严重并严重影响患者的舒适度、生活质量，甚至可能影响生存。鉴于癌症护理日益复杂，心理社会支持必须在癌症患者的护理中发挥更突出的作用。常规使用心理社会评估筛查工具可能有助于促进对有心理社会问题风险的个体进行早期识别和干预。基于文献中描述的心理社会问题的患病率以及在临床环境中可实际应用的心理社会筛查工具的匮乏，本文介绍了一种新工具的开发，该工具用于识别在多个领域存在心理社会问题、因此在整个治疗过程中面临过度心理社会困扰风险的癌症患者。本文提供了背景信息，回顾了相关文献，包括用于在肿瘤学环境中筛查患者心理社会问题的工具，并基于该领域当前的不足提出了一种新工具。该工具的试点测试证明了其在临床环境中使用的可行性。
