期刊论文

中文

中国全科医学

1007-9572

2013

16

4

450-452

10.3969/j.issn.1007-9572.2013.02.029

本校为第一机构

目的 评价医务人员和家属共同决策在癌症病情告知中对患者应对方式、心理痛苦产生的影响.方法 采用方便取样方法,使用医学应对问卷(MCMQ)及心理痛苦温度计(DT)对共商告知的137例患者和医生直接告知的159例癌症患者进行调查.结果 癌症病情告知后早期显著心理痛苦发生率为46.62%(138/296).共商告知策略组与直接告知策略组在面对方式得分[(17.3±1.7)分 vs.(16.9±0.8) 分]、回避方式得分[(17.5±2.8)分 vs.(17.0±1.2) 分]、显著心理痛苦程度得分[(2.9±1.5)分 vs.(3.7±1.4) 分]和显著心理痛苦发生率(39.4% vs.52.8%)间差异均有统计学意义(P＜0.05);面对(r=-0.321,P=0.000)、回避(r=-0.142,P=0.0...

Objective To explore the effects of shared decision -making by the doctors and family members on the coping style and psychological distress of cancer patients. Methods A total of 137 and 159 patients were enrolled into the shared decision - making group and direct disclosure group, respectively, using convenience sampling method. They were surveyed u- sing medical coping method questionnaire and distress thermometer. Results The total prevalence of significant distress was 46. 62% （138/269）. The patients in the shared decision - making group...