Affective reactions in oncologic patient

Abstract

The patients with cancer should be considered as patients, who are located under the ascendancy of strong stress. The diagnosis of malignant process is combined with the especially strong emotional experiences, which destroy the most important stereotypes of behaviour, manufactured in the course of the life. The study of the reaction of patients on the conducted therapy, the determination of a change in mental status was the purpose of our work. In the department of conservative rehabilitation with the day hospital of oncology policlinics they passed the treatment of 55 patients (13 of the department of mammology, 27 - urology even 15- gastrology). The average level of anxiety, determined according to the scale HAM- A, composed 23,7+/-2,l (from that moderated to that expressed). The average level of depression, determined according to the scale HAM- D, composed 31,6+/-3, 2. Treatment with the use of different psychotropic preparations and psychotherapeutic sessions was implicated. The shown complex treatment makes it possible to improve psychological state in 47 (85,4%) of patients, who pass treatment (8 patients (61,5%) with breast cancer, 26 (96,3%) urological cancer patients, and 13 people (86,7%) with stomach cancer). In these patients the decrease of complaints establishes, patients become calmer, psychological reactions more adequate, mental tension is reduced, appears confidence in the conducted treatment. The average level of anxiety HAM- A, composed 12,4-/-1,8 . The average level of depression HAM- D, composed ll,3+/-2, 2. Naturally, any treatment with the use of different preparations and any psychotherapeutic session cannot completely free patient from the thoughts and reactions; however, they can and must limit the intensity of emotion, contribute to the development of the psychotherapeutic program of protection, which would lead to the social adaptation of cancer patient.