新型冠状病毒肺炎疫期肿瘤患者的心理应激及防护对策

Psychological Stress and Protective Strategies in Cancer Patients during the Outbreak of Corona Virus Disease 2019

抗肿瘤治疗对机体免疫功能的损害会导致肿瘤患者对新型冠状病毒(Severe Acute Respiratory Syndrome Coronavirus 2,SARS-CoV-2)具有更高的易感性,且预后极差。新型冠状病毒肺炎疫情期间,患者的日常生活节律和治疗计划被扰乱。疫情和病情让患者感受到极大的生命安全威胁,共同构成了叠加性压力,给患者带来的严重的心身危害。因此,应当建立以患者自助防护为中心的全方位多层级心理服务模式,以提高患者的应对能力,减轻心理应激反应。本文总结并分析了肿瘤患者在SARS-CoV-2疫情期间的心理应激反应特点和发生机制,并提出了以患者自助防护为中心的三级心理防护对策,以期为加强危机管理,完善疫情期间肿瘤患者心理应激干预及管理对策奠定基础。

Due to the damages to immune system induced by anti-cancer therapy, cancer patients have a higher susceptibility to Severe Acute Respiratory Syndrome Coronavirus 2(SARS-CoV-2) and a poor prognosis. During the outbreak of Corona Virus Disease 2019(COVID-19), the life rhythm and treatment plan of cancer patients were disturbed. COVID-19 and cancer together escalate pressure, which makes patients feel great threat and suffer severe psychosomatic distress. Therefore, in order to improve patient’s coping strategy and relieve mental stress, an all-round multilevel psychological service mode with self-help oriented protection should be established. Characteristics and mechanisms of psychological stress response of cancer patients during the outbreak of COVID-19 were summarized and analyzed. In order to lay a foundation for strengthening crisis management and improving strategies on intervention and management in psychological stress of cancer patients during the outbreak of the epidemic, the three-level self-helped psychological protection strategy was proposed.