在美國(guó),，臨床上那些被診斷罹患肺癌的腫瘤患者因過度關(guān)注于最后生存期限以及死亡等問題，通常情志上會(huì)出現(xiàn)焦慮癥或是抑郁癥,。近日,，密歇根州立大學(xué)護(hù)理學(xué)院--Rebecca H. Lehto助理教授在Clinical Journal of Oncology Nursing上發(fā)表的一則研究論文證實(shí)：護(hù)士在緩解這些擔(dān)憂方面發(fā)揮關(guān)鍵作用，可以使患者獲得更好的生活質(zhì)量,。
病患在接受醫(yī)生診斷時(shí)通常都會(huì)覺得孤獨(dú),，那些發(fā)病較早的患者一旦被確診為肺癌時(shí)，會(huì)過度集中于如治療是否成功會(huì),、癌癥是否會(huì)擴(kuò)散,、自己死亡的風(fēng)險(xiǎn)等一些問題。而照看病患的護(hù)理人員通常又不太愿意或者是刻意避免談?wù)撍劳龅让舾性掝},，這樣一來(lái)更加劇了患者的精神問題,。
該研究發(fā)現(xiàn)假如護(hù)士能非常愿意討論涉及生存率或是手術(shù)成功率等一些患者非常關(guān)注的話題的話，患者的心理適應(yīng)能力會(huì)有所提高,，可以減少患者因確診為腫瘤所帶來(lái)的心理沖擊,。
絕大多數(shù)情況下，護(hù)理人員都只會(huì)專注于疾病的治療或是病患的管理,。假如護(hù)士能討論涉及生存率或是手術(shù)成功率等話題的話,，患者得抑郁或是焦慮癥的幾率會(huì)減少，這樣一來(lái)就能夠更好地配合抗癌治療,。（生物谷Bioon.com）
doi:10.1188/12.CJON.E1-E8
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PMID:
The Challenge of Existential Issues in Acute Care: Nursing Considerations for the Patient With a New Diagnosis of Lung Cancer
Rebecca H. Lehto, PhD, RN, OCN1
A new diagnosis of lung cancer is a highly threatening experience that raises personally relevant existential issues and brings death-related thoughts and concerns to mind. Those issues can be very disturbing to patients, leading to distress and potentially to a lowered quality of life. The purpose of this article is to present to the practicing oncology nurse the types of existential and death-related concerns that patients with a new diagnosis of lung cancer may have. In addition, the article identifies practical strategies and resources for oncology nurses who can help patients accept and manage the normal but often distressing responses to a life-threatening diagnosis.
