检验医学与临床Issue(24)：3626-3628,3.DOI:10.3969/j.issn.1672-9455.2015.24.006
癌症患者心理痛苦分层管理模式的构建
Establishment of hierarchical management model of psychological distress in cancer patients
摘要
Abstract
Objective To explore the feasibility of hierarchical management model of psychological distress in cancer patients ,in order to establish the management model of psychological distress for them ,under the condition of limited medical resources .Methods A preliminary screening (first level) of the psychological distress situations for 1 000 cancer patients in the hospitals was carried out by using DMSM (Distress Management Screening Measure) . Furthermore ,for the patients with ≥4 scores in DMSM test ,SDS and SAS were used to assess their distress status (second level) .And for the patients with ≥4 scores in DMSM test and invalid intervention ,specialist psychological assessment diagnosis would be carried out by psychotherapists or spirit specialists (third level) .Hierarchical psycho‐logical distress intervention was carried out ,according to the scores of DMSM test .The patients with <4 scores re‐ceived psychological intervention such as education and feeling supports and so on from the related responsible nur‐ses .For the patients with ≥4 scores ,the responsible nurses ,psychological counseling staffs and the doctors in charge made SDS and SAS evaluation ,according to the patients′situation and other factors .For the patients with ≥4 scores in DMSM test and invalid intervention ,they would have professional psychological intervention by a psychologist ,and get drug intervention by mental health specialist ,if necessary .Results The psychological distress average value of patients on admission was (2 .15 ± 1 .23) scores ,with 83 cases of patients ≥4 scores (8 .3% ) .And the psychological distress average value of patients when discharged from hospital was (1 .12 ± 0 .53) scores ,with 31 cases of patients ≥4 scores (3 .1% ) .The difference of psychological distress average values when admitted to hospital and discharged from hospital were statistically significant (P<0 .05) .Conclusion Through the psychological distress e‐valuation and intervention of cancer patients ,the hierarchical management model of the psychological distress for cancer patients (screen‐diagnosis‐intervention) was primarily established ,which provided an effective ,continuous and feasible psychological distress management plan for clinical units .关键词
癌症患者/心理痛苦/心理痛苦管理筛查工具Key words
cancer patients/psychological distress/psychological distress management screening measure引用本文复制引用
唐玲,皮远萍,邓本敏,张照莉,陈月梅..癌症患者心理痛苦分层管理模式的构建[J].检验医学与临床,2015,(24):3626-3628,3.基金项目
重庆市卫生局科研课题资助项目（2012-2-497）。 （）
