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目的:探讨黄石市30年3819例肺癌患者心理变化特点,为相关决策提供理论依据。方法:收集1985-2014年30年间我院收治的新发肺癌患者3819例,以2000年为界,分为前15年(1985年-1999年)组828例和后15年(2000-2014年)组2991例,观察患者心理特点,比较对肿瘤放化疗的接受度及完成率。结果:后15年病例数是前15年的3.61倍,前15年很多癌症病人拒绝治疗以及许多病人家属选择隐瞒患者病情不送医院治疗,而后15年大多数癌症患者知晓病情并愿意积极住院接受治疗;患者对自己病情的知晓度明显提高,最近的一次病情问卷调查显示约91.96%患者知道自己罹患癌症;后15年患者接受化疗的意愿明显高于前15年,差异有统计学意义(P<0.05),并且能顺利完成全程治疗的病人也明显多于后者,差异有统计学意义(P<0.05);后15年患者接受放疗的意愿略高于前15年,但完成率明显高于于后者,差异有统计学意义(P<0.05)。结论:随着肿瘤治疗水平的提高和时代的进步,患者对病情的知晓度和对放化疗的依从性普遍提高,这有利于肺癌患者的综合治疗的开展从而改善肺癌患者的疗效。
Objective: To investigate the characteristics of 3819 lung cancer patients in Huangshi City over the past 30 years and provide theoretical basis for the related decision-making. Methods: A total of 3819 new-onset lung cancer patients admitted to our hospital from 1985 to 2014 were collected. The year 2000 was divided into 828 cases in the first 15 years (1985-1999) and 15 years in the latter 15 years (2000-2014 ) Group 2991 cases, observed the psychological characteristics of patients, compared with radiotherapy and chemotherapy of tumor acceptance and completion rate. Results: The number of cases after 15 years was 3.61 times that of the previous 15 years. Many cancer patients refuse treatment in the first 15 years and many family members choose not to conceal the patient’s condition from hospital treatment. Most of the cancer patients after 15 years are aware of the disease and are willing to accept hospitalization actively Treatment; patients awareness of their condition was significantly improved, the recent survey of a disease showed that about 91.96% of patients know they have cancer; 15 years after chemotherapy was significantly more willing to accept the previous 15 years, the difference was statistically significant (P <0.05), and the number of patients who could successfully complete the full course of treatment was also significantly higher than the latter (P <0.05); after 15 years, the intention of receiving radiotherapy was slightly higher than the previous 15 years, but the completion rate was significantly higher In the latter, the difference was statistically significant (P <0.05). Conclusion: With the improvement of tumor treatment and the progress of the times, the patients’ awareness of the disease and the compliance with radiotherapy and chemotherapy are generally improved, which is beneficial to the comprehensive treatment of patients with lung cancer so as to improve the efficacy of lung cancer patients.