NCCN临床实践指南_心理痛苦的处理(2019.V3)英文版

Version 3 2019 05 06 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN NCCN Clinical Practice Guidelines in Oncology NCCN Guidelines Distress Management Version 3 2019 May 6 2019 Continue NCCN org NCCN Guidelines Version 3 2019 Distress Management Version 3 2019 05 06 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN NCCN Guidelines Index Table of Contents Discussion Michelle B Riba MD MS Chair University of Michigan Rogel Cancer Center Kristine A Donovan PhD MBA Vice Chair Moffitt Cancer Center Barbara Andersen PhD The Ohio State University Comprehensive Cancer Center James Cancer Hospital and Solove Research Institute IIana Braun MD Dana Farber Brigham and Women s Cancer Center William S Breitbart MD Memorial Sloan Kettering Cancer Center Benjamin W Brewer PsyD University of Colorado Cancer Center Luke O Buchmann MD Huntsman Cancer Institute at the University of Utah Matthew M Clark PhD Mayo Clinic Cancer Center Molly Collins MD Fox Chase Cancer Center Cheyenne Corbett PhD Duke Cancer Institute Stewart Fleishman MD Consultant Sofia Garcia PhD Robert H Lurie Comprehensive Cancer Center of Northwestern University Donna B Greenberg MD Massachusetts General Hospital Cancer Center Rev George F Handzo MA MDiv Consultant Laura Hoofring MSN APRN The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Chao Hui Huang PhD University of Alabama at Birmingham Comprehensive Cancer Center Robin Lally PhD MS RN Fred Type of problem Eighth bullet revised Functional Changes regarding body image and sexuality sexual health Ninth bullet revised End of life Grief bereavement and coping with loss Bullets added Depressive symptoms Suicidal ideation Anxiety ie fears nervousness worry Social work and counseling interventions Mild psychosocial problems Strengthen coping strategies added Severe moderate psychosocial problems Last bullet revised Consider referral for chaplaincy counseling care DIS 26 Chaplaincy Care The Chaplaincy Care treatment algorithms were extensively revised DIS 29 Institutional Evaluation of Standards of Care Interventions Second bullet revised Distress Thermometer 0 10 and Problem List screening tool in clinics and inpatient setting Patient Outcomes Revised to Reduced distress satisfaction CQI survey of impact Printed by Maria Chen on 5 6 2019 11 29 20 PM For personal use only Not approved for distribution Copyright 2019 National Comprehensive Cancer Network Inc All Rights Reserved NCCN Guidelines Version 3 2019 Distress Management Version 3 2019 05 06 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN Note All recommendations are category 2A unless otherwise indicated Clinical Trials NCCN believes that the best management of any patient with cancer is in a clinical trial Participation in clinical trials is especially encouraged NCCN Guidelines Index Table of Contents Discussion The term distress was chosen because it Is more acceptable and less stigmatizing than psychiatric psychosocial or emotional Sounds normal and less embarrassing Can be defined and measured by self report DIS 1 DISTRESS Definition of Distress in Cancer DIS 2 Printed by Maria Chen on 5 6 2019 11 29 20 PM For personal use only Not approved for distribution Copyright 2019 National Comprehensive Cancer Network Inc All Rights Reserved NCCN Guidelines Version 3 2019 Distress Management Version 3 2019 05 06 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN Note All recommendations are category 2A unless otherwise indicated Clinical Trials NCCN believes that the best management of any patient with cancer is in a clinical trial Participation in clinical trials is especially encouraged NCCN Guidelines Index Table of Contents Discussion Distress is a multifactorial unpleasant experience of a psychological ie cognitive behavioral emotional social spiritual and or physical nature that may interfere with the ability to cope effectively with cancer its physical symptoms and its treatment Distress extends along a continuum ranging from common normal feelings of vulnerability sadness and fears to problems that can become disabling such as depression anxiety panic social isolation and existential and spiritual crisis DIS 2 DEFINITION OF DISTRESS IN CANCER Standards of Care for Distress Management DIS 3 Printed by Maria Chen on 5 6 2019 11 29 20 PM For personal use only Not approved for distribution Copyright 2019 National Comprehensive Cancer Network Inc All Rights Reserved NCCN Guidelines Version