Influence of Diagnostic Informing on Negative Emotions, Illness Perception, Self-Perceived Burden, and Posttraumatic Stress Disorder in Patients with Gastrointestinal Tumors.

Wei Xu,Jie Chen,Juan Tang

doi:10.1155/2021/2568195

Abstract

Objective To investigate the influence of diagnostic informing on negative emotions, illness perception (IP), self-perceived burden (SPB), and posttraumatic stress disorder (PTSD) in patients with gastrointestinal tumors. Methods A total of 261 patients with gastrointestinal tumors admitted to our hospital from January 2018 to December 2020 were selected. According to whether the patients were informed of the disease diagnosis, they were divided into the informing group (n = 125) and the concealment group (n = 136). The self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the brief illness perception questionnaire (BIPQ), the self-perceived burden scale (SPBS), and the PTSD checklist-civilian version (PCL-C) were used to investigate the two groups. Results The SAS and SDS scores of the informing group were lower than those of the concealment group (t = 7.853 and 6.444, P < 0.05). The total BIPQ score of the informing group was higher than that of the concealment group (t = −4.089, P < 0.05). The total SPBS score of the informing group was lower than that in the concealment group (t = 2.443, P < 0.05). The total PCL-C score of the informing group was lower than that of the concealment group (t = 2.173, P < 0.05). Conclusion Diagnosis informing can reduce the negative emotions, increase positive IP, and reduce the risk of SPB and PTSD in patients with gastrointestinal tumors.

Highlights

Gastrointestinal tumor is a tumor occurring in the stomach and intestine, mainly including gastrointestinal adenoma, fibroma, gastric cancer, and colorectal cancer
Surgery, chemotherapy, radiotherapy, and traditional Chinese medicine therapy are common clinical tumor treatments, which have a certain effect on patients with gastrointestinal tumors and can improve the prognosis of patients [3]
Whether it is necessary to inform patients of the truth of diagnosis is a difficult problem faced by medical staff and their families, and there is not enough clinical research evidence. erefore, this study aimed to investigate the effects of diagnostic notification on negative emotions, Illness perception (IP), Self-perceived burden (SPB), and Posttraumatic stress disorder (PTSD) in patients with gastrointestinal tumors

Summary

Introduction

Gastrointestinal tumor is a tumor occurring in the stomach and intestine, mainly including gastrointestinal adenoma, fibroma, gastric cancer, and colorectal cancer. It has the characteristics of rapid progress and high mortality rate and has become a frequent clinical disease [1]. Surgery, chemotherapy, radiotherapy, and traditional Chinese medicine therapy are common clinical tumor treatments, which have a certain effect on patients with gastrointestinal tumors and can improve the prognosis of patients [3]. Diagnosis informing is a strong psychological shock, which can cause a variety of emotional disorders and psychological problems, resulting in endocrine disorders and metabolic and immune dysfunction and affecting the disease progression, treatment, recovery, and outcome of patients [4].

Methods

Discussion

Conclusion