Rahn A N, Mose S, Zander-Heinz A, Budischewski K, Bormeth S B, Adamietz I A, Böttcher H D
Klinik für Strahlentherapie, Klinikum der Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany.
Anticancer Res. 1998 May-Jun;18(3C):2271-3.
The purpose of this study was the evaluation of the radiotherapy-induced psychological distress of patients and changes in psychological health during radiotherapy (RT).
53 breast cancer patients undergoing irradiation after breast conserving surgery participated in this study. In the beginning and at the end of radiotherapy they answered a questionnaire asking for coping strategies, psychological distress with regard to irradiation and influence of surroundings.
92% stated to be well informed about radiotherapy. Coping strategies in order of importance: Talking to physician (94%) or partner (84%), 81% try to distract themselves, 56% repress thoughts about radiotherapy. 40% were anxious about RT and expected side effects (54%). At the end of therapy anxiety was reduced: 77% were anxious only initially or never.
Patients are very interested in information about RT. Their experience of radiotherapy was more positive than initially expected. The relation to medical staff plays an important part in the reduction of irradiation-related psychological distress.
本研究旨在评估放疗引起的患者心理困扰以及放疗期间心理健康的变化。
53例保乳手术后接受放疗的乳腺癌患者参与了本研究。在放疗开始时和结束时，他们回答了一份关于应对策略、放疗相关心理困扰及周围环境影响的问卷。
92%的患者表示对放疗了解充分。按重要性排序的应对策略如下：与医生（94%）或伴侣（84%）交谈，81%的患者试图分散自己的注意力，56%的患者压抑对放疗的想法。40%的患者对放疗感到焦虑并预期有副作用（54%）。治疗结束时焦虑有所减轻：77%的患者仅在最初感到焦虑或从未感到焦虑。
患者对放疗信息非常感兴趣。他们的放疗体验比最初预期的更积极。与医护人员的关系在减轻放疗相关心理困扰方面起着重要作用。
