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首页> 外文期刊>British Journal of Cancer >Assessment of and intervention for psychosocial problems in routine oncology practice
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Assessment of and intervention for psychosocial problems in routine oncology practice

机译：常规肿瘤学实践中对社会心理问题的评估和干预

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An audit was carried out of 51 oncology patients referred to a clinical psychology service to identify the characteristics of patients selected for referral and to assess change following psychological intervention. A survey was conducted of an unselected sample of oncology patients representative of the workload of the oncology department from which the referrals came, to determine the prevalence of comparable psychosocial problems among patients who were not referred for help and to assess whether doctors were aware of the problems patients reported. Data were collected using the Hospital Anxiety and Depression (HAD) and Mental Adjustment to Cancer (MAC) scales and a problem checklist devised for this study. Referred patients were significantly more anxious and depressed (P < 0.001) and showed poorer adjustment on MAC scales than the surveyed sample, but 30% of the latter group warranted assessment for anxiety and 23% for depression. The number of psychosocial problems of their severity. Intervention was clinically significant mood disorder irrespective of the specific problems of their severity. Intervention was associated with a significant improvement in distress and problems for referred patients by the time of discharge. Psychosocial problems were often undetected by staff even in referred patients. The checklist is a feasible screening method for potentially remediable problems which are cumulatively a significant contributor to cancer patients' distress.
机译：对转诊给临床心理学服务部门的51例肿瘤患者进行了审核，以识别被选择转诊的患者的特征并评估心理干预后的变化。对未选定的肿瘤患者样本进行了调查，该样本代表了转诊来源的肿瘤科的工作量，以确定在没有被寻求帮助的患者中类似的社会心理问题的普遍性，并评估了医生是否意识到这一点。患者报告了问题。使用医院焦虑症和抑郁症（HAD）和癌症心理适应症（MAC）量表以及为此研究设计的问题清单收集数据。被转诊的患者比被调查的患者明显更焦虑和沮丧（P <0.001），并且在MAC量表上显示的调整能力较差，但后者组中有30％的人需要评估焦虑，而有23％的人需要评估抑郁。其严重程度的社会心理问题的数量。干预是临床上重要的情绪障碍，无论其严重性的具体问题如何。出院时，介入治疗可显着改善转诊患者的痛苦和问题。即使在转诊患者中，工作人员也常常没有发现社会心理问题。该清单是对可能补救的问题的可行筛查方法，这些问题累积起来是导致癌症患者痛苦的重要因素。

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