CAJ | 학술논문

目的研究和探讨告知癌症患者病情的最优化安全策略,让患者充分知情,治疗上更积极配合.方法采用逆境商数量表(AQ)评分进行分组,并纳入已通过其他途径知情的非策略支持的肿瘤患者比对,结合焦虑自评量表(SAS)和抑郁自评量表(SDS)对不同组别患者在采用不同策略的情况下进行评测.结果采用一定策略的情况下,AQ高、低评分组各组患者SAS及SDS评分可以稳定恢复,差异有统计学意义(P＜0.01),在1d ～1周内均被顺利安全告知,并能积极配合治疗,无相关因素导致自残、自杀等恶性事件发生；而对照组未采用预定策略的知情患者SAS、SDS评分却不能理想恢复,尤其是告知后1d ～1周,SAS及SDS评分未见明显改善,与自身相比差异无统计学意义(P＞0.05),且治疗上不能积极配合,难以避免恶性事件发生.结论基于AQ评分,采用个体化的相关策略告知癌症患者病情是安全有效的,在尊重癌症患者知情权的同时,能获得患者治疗上的积极配合,使不利影响降到最低限度,更有利于疾病的治疗.
목적 연구화탐토고지암증환자병정적최우화안전책략,양환자충분지정,치료상경적겁배합.방법 채용역경상수량표(AQ)평분진행분조,병납입이통과기타도경지정적비책략지지적종류환자비대,결합초필자평량표(SAS)화억욱자평량표(SDS)대불동조별환자재채용불동책략적정황하진행평측.결과 채용일정책략적정황하,AQ고、저평분조각조환자SAS급SDS평분가이은정회복,차이유통계학의의(P＜0.01),재1d ～1주내균피순리안전고지,병능적겁배합치료,무상관인소도치자잔、자살등악성사건발생；이대조조미채용예정책략적지정환자SAS、SDS평분각불능이상회복,우기시고지후1d ～1주,SAS급SDS평분미견명현개선,여자신상비차이무통계학의의(P＞0.05),차치료상불능적겁배합,난이피면악성사건발생.결론 기우AQ평분,채용개체화적상관책략고지암증환자병정시안전유효적,재존중암증환자지정권적동시,능획득환자치료상적적겁배합,사불리영향강도최저한도,경유리우질병적치료.
Objective To study the optimized security strategy for informing cancer patients with the disease,and let patients be fully informed and even more actively cooperate with doctors while they are under treatment.Methods Grouped with adversity quotient (AQ) score,these cancer patients were in comparison with those who had been informed by other ways without support strategy,and different groups of patients were estimated in different strategies in accordance with self-rating anxiety scale (SAS) and self-rating depression scale (SDS).Results With certain strategies,high and low AQ score groups' SAS and SDS scores stably restored in 1 day to 1 week,and the differences had statistical significance(P ＜ 0.01 ).The patients were well-informed without any difficulty and actively cooperated with treatment.No related factors led to self-mutilation,suicide and other serious incidents.While the SAS and SDS scores of the control group who were not informed by the strategy were not satisfactorily recovered,and the patients could not actively cooperate with the doctors.Especially being notified after 1 d to 1 week,the SAS and SDS scores had no significant improvement,and the differences had no statistical significance compared with themselves ( P ＞ 0.05 ).It is difficult to avoid the occurrence of serious incidents.Conclusion Based on AQ score,it is safe and effective to inform cancer patients of their disease condition by individual strategies.It not only respects patients rights,but also gains the active cooperation of the patients,and is helpful for treatment with minimizing adverse effects.