“癌症”的诊断对患者及其亲属的影响调查

目的：研究“癌症”诊断对居澳华裔患者及其亲属 的影响。方法：采用定性研究策略,对象在悉尼3所主要教学医院和1个华裔肿瘤病人支持机构随机选择、并不断补充直至没有新信息出现为止,完成了4个聚焦小组和26个个别电话会谈,共调查了36位癌症患者和12位亲属。结果：结果发现“癌症”诊断对患者及其亲属的情绪、日常生活、事业、家庭与社会关系、患者的自身形象及亲属的心身健康均造成负面影响。大部分人的心理调节存在一些问题。结论：提示肿瘤医学应注重将生物－心理－社会医学模式切实应用于临床,各专业机构各社区应帮助该人群进行有效的心理调节。

Investigation on Influences of Cancer Diagnosis on Patients and their Relatives.

Objective To study the impacts on Austrian-Chinese patients and their relatives when the diagnosis is "cancer".Methods A qualitative data collection strategy was selected. Patients were recruited from three major teaching hospitals in Sydney and from a Chinese cancer support organization. Sampling was discontinued when informational redundancy was achieved. Four focus groups and 26 individual telephone interviews were conducted with a total of 36 cancer patients and 12 relatives.Results When the diagnosis was "cancer", there were negative impacts on the patients and their relatives' emotion, daily activity, careers, family and community interaction. There were also negative impacts on the patients' body image and the relatives' psychological and physical health. Most people had problems on psychological adjustment.Conclusion Bio-psycho-social medical model should be used in daily work of oncology. Related professional organizations and the community should help these people to have psychological adjustment effectively in order to improve their health status.