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癌症患者失志综合征的研究进展OA

Research progress of demoralization syndrome in cancer patients

中文摘要英文摘要

失志综合征是患者因长期疾病或压力导致的心理痛苦状态,无能感、无意义感、无助感、自尊水平下降是其主要的临床表现.失志综合征常见于癌症、疾病晚期或临终患者,可影响患者的饮食及睡眠,导致患者丧失生存信心,加重痛苦体验,并增加自杀风险.癌细胞的扩散与浸润及所导致的免疫力下降、社会功能减退及预后不佳与癌症患者失志综合征的发生有关.失志综合征易被医护人员忽视,对疾病的治疗及预后均产生不利影响.医护人员若能及时识别癌症患者的失志综合征并进行干预,对改善患者状况至关重要.本文综述失志综合征的概念、测评工具、研究现状、影响因素以及干预策略,旨在提高对癌症患者失志综合征的认知水平,为临床研究提供参考依据.

Demoralization syndrome is a state of distress in the heart of the patient caused by chronic illness or stress,with feelings of incompetence,meaninglessness,helplessness,and decreased levels of self-esteem as its main clinical manifestations.Demoralization syndrome is commonly seen in patients with cancer,advanced disease or hospice care,affecting the patient's diet and sleep,losing confidence in survival,increasing the patient's experience of suffering and raising the risk of suicide.The spread and infiltration of cancer cells and the resulting decreased immunity,reduced social functioning and poor prognosis are associated with the development of demoralization syndrome in cancer patients.Demoralization syndrome is easily overlooked by healthcare professionals and adversely affects both treatment and prognosis of the disease.It is crucial for medical staff to promptly identify the demoralization syndrome in cancer patients and intervene to improve their condition.This article reviews the concepts,assessment tools,current research status,influencing factors,and intervention strategies for the purpose of increasing awareness of the demoralization syndrome in cancer patients,with the aim of providing a reference basis for clinical research.

高英;胡倩倩;马文元;李玲;王智;秦一心;霍振菊;胡金红

山东省临沂市人民医院口腔科,山东 临沂 276000山东省临沂市人民医院肝胆外科,山东 临沂 276000山东省临沂市人民医院手术室,山东 临沂 276000山东省临沂市人民医院口腔科,山东 临沂 276000山东省临沂市人民医院口腔科,山东 临沂 276000山东第二医科大学护理学院,山东 潍坊 261053山东省临沂市人民医院产科,山东 临沂 276000山东省临沂市人民医院神经内科,山东 临沂 276000

医药卫生

失志综合征癌症综述影响因素干预措施

Demoralization syndromeCancerReviewInfluencing factorsIntervention measures

《中国医药科学》 2025 (16)

28-32,5

山东省中医药科技项目(Z-2023091)山东省医药卫生科技发展计划项目(202208011100).

10.20116/j.issn2095-0616.2025.16.05

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