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中国全科医学

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癌症患者人生目标调整能力及其对身心健康影响的研究进展

冉倬睿1，2，孙睿歆1，贾婧怡3，车照宇3，黎芮希3，何亚平4，5*，楚翘4*   

  1. 1.200025 上海市，上海交通大学医学院附属瑞金医院 2.200025 上海市，上海交通大学医学院医学技术学院医学检验技术系 3.200025 上海市，上海交通大学医学院 4.200025 上海市，上海交通大学医学院公共卫生学院 5.200025 上海市，上海交通大学中国医院发展研究院卫生技术评估研究所
  • 通讯作者: 楚翘，副研究员；E-mail：qiaochu@shsmu.edu.cn 何亚平，教授；E-mail：hypcyr@shsmu.edu.cn
  • 基金资助:
    国家自然科学基金青年科学基金项目（72004133）；国家自然科学基金面上项目（71874111）；美国中华医学基金会公开竞争项目（22-479）

Advances in Life Goal Adjustment Ability of Cancer Patients and Its Effect on Physical and Mental Health

RAN Zhuorui1，2，SUN Ruixin1，JIA Jingyi3，CHE Zhaoyu3，LI Ruixi3，HE Yaping4，5*，CHU Qiao4*   

  1. 1.Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine，Shanghai 200025，China 2.Department of Medical Laboratory Science，College of Health Science and Technology，Shanghai Jiao Tong University School of Medicine，Shanghai 200025，China 3.Shanghai Jiao Tong University School of Medicine，Shanghai 200025，China 4.School of Public Health，Shanghai Jiao Tong University School of Medicine，Shanghai 200025，China 5.Center for Health Technology Assessment，Shanghai Jiao Tong University China Hospital Development Institute，Shanghai Jiao Tong University，Shanghai 200025，China
  • Contact: CHU Qiao，Associate research fellow；E-mail：qiaochu@shsmu.edu.cn HE Yaping，Professor；E-mail：hypcyr@shsmu.edu.cn

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摘要： 罹患癌症是一件重大创伤事件，对个体人生目标的追求造成严重干扰，并导致多种情绪障碍。而合理地调整人生目标有利于患者重建人生方向，改善身心健康。本文通过文献综述的方式，梳理国内外有关癌症影响患者人生目标追求的研究现状，并归纳现有文献中有关癌症患者的目标调整行为及其对患者身心健康影响的研究进展。文献综述表明，确诊癌症对患者人生的目标追求造成的影响主要表现为对目标追求的自我效能感、目标追求能力及目标优先级设定的影响。而合理的目标调整行为有利于改善患者的身心健康，包括：促进积极情绪、缓解消极情绪、减轻躯体不适症状及提升生活质量。因此，未来针对癌症患者情绪健康的干预设计可立足于指导患者对人生目标进行重新规划和调整，以此提高患者的生活质量、促进情绪健康、改善疾病预后。

关键词: 肿瘤, 目标调整, 心理健康, 生活质量, 疾病预后, 综述

Abstract: Cancer is a major traumatic event that causes serious interference in the pursuit of individual's life goals and leads to a variety of emotional disorders. Rational adjustment of life goals is beneficial to rebuild life direction，improve physical and mental health of patients. This paper reviews the current research of domestic and international studies on cancer affecting patients' pursuit of life goals，and summarizes the advances in the existing literature on the goal-adjustment behaviors of cancer patients and the effects on their physical and mental health by literature review. Literature review shows that the impact of cancer diagnosis on patients' pursuit of life goals is mainly manifested in the impact on self-efficacy，goal pursuit ability and goal prioritization. Reasonable goal-adjustment behaviors can help improve patients' physical and mental health，which includes promoting positive emotions，alleviating negative emotions，reducing physical discomfort，and improving quality of life. Therefore，future psychosocial intervention design for the emotional health of cancer patients can be based on guiding patients to replan and regulate their goals，so as to improve patients' emotional health and disease prognosis.

Key words: Neoplasmsr, Goal adjustment, Psychological health, Quality of life, Disease prognosis, Review

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