国际肿瘤学杂志 ›› 2012, Vol. 39 ›› Issue (8): 709-712.

• 论著 • 上一篇    下一篇

基于AQ评分告知癌症患者病情的最优化安全策略的探讨

范俊求,范进满   

  1. 236000 安徽省阜阳市第五人民医院肿瘤内科(范俊求);安徽省马鞍山市十七冶医院病理科(范进满)
  • 出版日期:2012-09-22 发布日期:2012-09-24

Study of informing cancer patients of the disease with the optimized security strategy based on AQ score

 FAN  Jun-Qiu, FAN  Jin-Man   

  1. Department of Oncolgy, Fifth People′s Hospital of Fuyang City, Fuyang 236000, China
  • Online:2012-09-22 Published:2012-09-24

摘要: 目的 研究和探讨告知癌症患者病情的最优化安全策略,让患者充分知情,治疗上更积极配合。方法 采用逆境商数量表(AQ)评分进行分组,并纳入已通过其他途径知情的非策略支持的肿瘤患者比对,结合焦虑自评量表(SAS)和抑郁自评量表(SDS)对不同组别患者在采用不同策略的情况下进行评测。结果 采用一定策略的情况下,AQ高、低评分组各组患者SAS及SDS评分可以稳定恢复,差异有统计学意义(P<0.01),在1 d ~1周内均被顺利安全告知,并能积极配合治疗,无相关因素导致自残、自杀等恶性事件发生;而对照组未采用预定策略的知情患者SAS、SDS评分却不能理想恢复,尤其是告知后1 d ~1周,SAS及SDS评分未见明显改善,与自身相比差异无统计学意义(P>0.05),且治疗上不能积极配合,难以避免恶性事件发生。结论 基于AQ评分,采用个体化的相关策略告知癌症患者病情是安全有效的,在尊重癌症患者知情权的同时,能获得患者治疗上的积极配合,使不利影响降到最低限度,更有利于疾病的治疗。

关键词: AQ评分, 肿瘤, 安全管理

Abstract: Objective To study the optimized security strategy for informing cancer patients with the disease, and let patients be fully informed and even more actively cooperate with doctors while they are under treatment. Methods Grouped with adversity quotient(AQ) score, these cancer patients were in comparison with those who had been informed by other ways without support strategy,and different groups of patients were estimated in different strategies in accordance with selfrating anxiety scale (SAS) and selfrating depression scale (SDS) .Results With certain strategies, high and low AQ score groups′ SAS and SDS scores  stably restored in 1 day to 1 week,  and the differences had statistical significance(P<0.01). The patients were wellinformed without any difficulty and actively cooperated with treatment. No related factors led to selfmutilation, suicide and other serious incidents. While the SAS and SDS scores of the control group who were not informed by the strategy were not satisfactorily recovered, and the patients could not actively cooperate with the doctors. Especially being notified after 1 d to 1 week, the SAS and SDS scores had no significant improvement, and the differences had no statistical significance compared with themselves (P>0.05).It is difficult to avoid the occurrence of serious incidents Conclusion Based on AQ score, it is safe and effective to inform cancer patients of their disease condition by individual strategies. It not only respects patients rights, but also gains the active cooperation of the patients, and is helpful for treatment with minimizing adverse effects.  

Key words: AQ score, Neoplasms, Safety , management