重症及病情恶化肿瘤患者情绪恶化引发“踢猫效应”的研究报告

Emotional deterioration of advanced cancer patients leading to "kick thecat effect": An research report of 50 cases

目的:探讨重症及恶性肿瘤病人病情恶化时其情绪是否传染于直接相关人群并由此波及周围人群。方法:对50例住院患者和家属分别同时进行SAS焦虑自评量表评定。根据评分标准将患者和家属分别分成焦虑组和无焦虑组,并观察各焦虑组有无不良情绪发泄的发生以及不良情绪发泄的发生率。采用统计学软件16.0数据包分析比较患者和家属焦虑发生率有无差异以及患者和家属在焦虑状态下其不良情绪发泄率有无差异。结果:25例患者发生焦虑18例(72%),其中不良情绪发泄的有16例,占焦虑患者88.89%;25例家属发生焦虑16例(64%);其中不良情绪发泄的有13例,占焦虑家属81.25%。患者与家属焦虑发生率比较差异无统计学意义(P>0.05);焦虑患者与焦虑家属不良情绪发泄率比较差异无统计学意义(P>0.05)。结论:重症或病情恶化的肿瘤患者由焦虑产生的不良情绪常通过发泄方式来缓解内心的苦闷和压力,造成焦虑和不良情绪具有传染性,影响到其家属并由此波及周围相关人群,而被传染人群采用同样的方式将不良情绪发泄出来,形成一个不良情绪传染的链式过程即不良情绪发泄的"踢猫效应"。随着传递链的延长有可能会导致"多米诺骨牌效应"和/或"蝴蝶效应"的发生,引发较重社区人群不良情绪的蔓延和社会问题。因此,重症及病情恶化肿瘤患者的心理疏导,应在疾病发生早期就应做好,而其家属也是心理疏导的重要对象。

Objective：To explore the emotion of advanced cancer patients whether to infect the immediate family and thus spread to the surrounding crowd. Methods：50 case of hospitalized cancer patients and their families were respectively investigated at the same time , and divided into anxious group and non-anxious group according to their scores using self-rating anxiety scale （SAS）,and to observe the occurrence on negative emotion of every anxious group ,as well as the incidence of negative emotion. 16.0 SPSS analysis the differences on the incidence of anxiety of the patients and their family, as well as the difference on the venting rate of negative emotion in the anxiety state. Results：72% occurred the anxiety and 88.89% vented the negative emotion in the 25 case patients.64% occurred the anxiety and 81.25% vented the negative emotion in the 25 family members of the patient. There are no statistically significant differences on the incidence of anxiety among the patient and their family;There are no statistically significant differences on the venting rate of negative emotion among the anxious patient and their anxious family. Conclusions：The negative emotion of advanced cancer patients infected their family and the surrounding crowd through the abreaction to ease depression, and made the anxiety and negative emotion have infection, resulted in the infected crowd vented their negative emotion using the same way, to form a chain of infection on negative emotion that the phenomenon of ＂kick the cat effect＂on the abreaction of the negative emotion. With the extension of the chain of transmission, it may lead to the occurrence of the domino effect and butterfly effect, triggering the spread of negative emotion and social problems among community groups. Thus, the psychological counseling of advanced neoplasm patients should be done in the early disease, and their families are also an important object of psychological counseling.