摘要：目的：研究急性白血病患者的病情告知与病人明显的心理反应的发生率及对化疗的依从性的关系。方法：112例急性白血病患者中的66例，在得到病人家属的同意后，告知其病情、治疗方法和治疗过程中可能出现的副作用，46例未告知其病情，对比两组病人在化疗过程的心理反应和对化疗的依从性。结果：被告知病情的病人组(A组)初期出现明显的心理反应为80.3%，后期为31.8%，对照组(B组)分别为37.0%和76.1%；A组中依从性好的占69.7%，部分依从占15.15%，不依从占15.15%；B组则分别占30.4%、37.0%、32.6%，P<0.05，两组间的差别有统计学意义。结论：对急性白血病患者，通过告知其病情，加强心理护理，可以减少病人的心理反应，提高病人对化疗的依从性。

     关键词：急性白血病；心理反应；化疗的依从性

    The Relationship between the Knowing of Conditions in the Patients Suffered from Acute Leukemia and Their Acceptance to Chemotherapy

    YANG Yan-jiao,CHEN Jiang-sheng

    (The Second Affiliated Hospital,Shantou University of Medical College, Guangdong Shantou 515041,China)

    Abstract： Objective:To explore the relationship between the knowing of conditions in patients suffered from acute leukemia and their acceptance to chemotherapy. Method: Among the number of 112 patients with acute leukemia, 66 patients(A group) were told the condition 、therapeutic method、side effect with the permission of their families; while the other 46(B group) were not told the condition, to contrast their psychological reaction and their acceptance to chemotherapy in two groups.Result: In the A group,the occurrence of obvious psychological reaction is 80.3% in initial stage,31.8% in later stage.The B group is respectively 37.0% and 76.1%.The complete acceptance of chemotherapy in group A is 69.7%,the part acceptance is 15.15%,disobedience is 15.15%. The B group is 30.4% ,37.0% 32.6% ,P<0.05,The differences between the two groups have statistical significance. Conclusion: The knowing of conditions in patients suffered from acute leukemia and reinforcing the psychological care can reduce the patient’s psychological reaction and enhance their acceptance of chemotherapy. ......