医护人员对癌症患者心理障碍的态度、知识和临床实践:观察研究

Diseases Pub Date : 2024-07-01 DOI:10.3390/diseases12070141
M. Carriero, Antonio Leo, A. Lezzi, R. Lupo, L. Conte, A. Fanizzi, R. Massafra, E. Vitale, Antonio Carriero
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引用次数: 0

摘要

背景:与癌症诊断相关的痛苦可以通过不同的渠道表现出来:睡眠障碍、精神障碍、性问题。医护人员并不总是对这些问题进行分析,但它们对患者的生活质量和疾病的预后都有影响。研究方法进行了一项观察性研究,以调查癌症患者对心理症状的态度、知识和临床实践。研究结果共有来自意大利各地区的 132 名临床医生参与了调查。其中,99.2%(n = 131)的人认为心理医生在肿瘤领域非常有用,并在临床实践中推荐心理医生(n = 115;87.7%),尤其是在疾病的晚期(58.6%;n = 99)。尽管心理学家的作用很重要,但精神障碍却没有得到诊断。只有 20.0%(n = 26)的人准确诊断出抑郁障碍,只有 33.9%(n = 43)的人准确诊断出士气低落综合征。结论结果证明,有必要就肿瘤学中的心理障碍和癌症疾病对情绪的影响开展培训。
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Attitudes, Knowledge and Clinical Practice of Health Professionals towards Psychological Disorders in Cancer Patients: An Observational Study
Background: The suffering associated with a cancer diagnosis can find different channels to express itself: sleep disorders, psychiatric disorders, sexuality. These are not always analyzed by health professionals, but they have an impact on the patient’s quality of life and on the outcome of the disease. Methods: An observational study was conducted in order to investigate attitudes, knowledge and clinical practice towards psychological symptoms in cancer patients. Results: A total of 132 clinicians from all Italian regions responded. In total, 99.2% (n = 131) considered the figure of the psychologist useful in the oncology field and recommended him/her in clinical practice (n = 115; 87.7%), especially in the terminal phase of the illness (58.6%; n = 99). Despite the importance given to the figure of the psychologist, psychiatric disorders are not diagnosed. Only 20.0% (n = 26) identified depressive disorder as accurate and only 33.9% (n = 43) identified demoralization syndrome as accurate. Conclusions: Results prove the need for training on psychological disorders in oncology and the emotional repercussions of cancer illness.
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