PDF(Pubmed)
Abstract：
In the Netherlands, one out of two people will be confronted with the diagnosis of cancer sometime in their life. Against this increased number of patients, a large proportion luckily can be cured. Today, a rather high proportion of people receive treatment to control cancer growth or stabilize the disease, sometimes, for the rest of their lives. If such long-standing treatment is administered for more than 10-20 years, the stage of cancer is presently often not referred to as \"palliative\" anymore, but much more often as \"chronic.\" It could be argued that regardless of the cancer disease stage you are in and whether you are or can be cured, your cancer diagnosis nevertheless has become part of your life, including the experience of chronicity. Discussions surrounding the chronicity of cancer in the context of cancer are still ongoing. This is especially the case because \"experiencing chronicity\" is dependent on the type of cancer and is less applicable in cancers where the prognosis is often less than one year, such as is more frequently the case with lung or pancreatic cancer. In all situations, experiencing chronicity nevertheless brings along uncertainty, either with or without chronic stress. Combatting stress by choosing the right wording, maintaining an optimistic stance along with physical activity and/or psychosocial education seems important to optimize well-being and to stabilize tumor growth or remove the tumor. In conclusion, chronicity in the context of treating and caring for cancer seems a somewhat gray area. However, regardless in how we, as medical professionals, speak about cancer with long-standing disease trajectories (that sometimes even can be cured), it first of all seems important to approach, take care, and treat patients well. This can facilitate discussions with patients about their disease and disease experiences. Moreover, it can stimulate patients themselves to take responsibility for their own health, which can be of added value to the entire disease trajectory.
摘要：
在荷兰,每两个人中就有一个在他们生命中的某个时候会被诊断为癌症。面对越来越多的病人，幸运的是，很大一部分可以治愈。今天,相当高比例的人接受治疗以控制癌症生长或稳定疾病，有时,他们的余生。如果这种长期治疗超过10-20年，癌症的阶段目前通常不再被称为“姑息性”，但更常见的是“慢性”。“可以说，无论您处于癌症疾病阶段，是否可以治愈，然而，你的癌症诊断已经成为你生活的一部分，包括长期的经验。围绕癌症慢性的讨论仍在进行中。尤其是这种情况，因为“经历慢性”取决于癌症的类型，并且在预后通常小于一年的癌症中不太适用。例如更常见的是肺癌或胰腺癌。在所有情况下,然而，经历慢性病会带来不确定性，有或没有慢性压力。通过选择正确的措辞来对抗压力，在身体活动和/或心理社会教育的同时，保持乐观的立场对于优化健康，稳定肿瘤生长或切除肿瘤似乎很重要。总之,在治疗和护理癌症的背景下，慢性似乎是一个有点灰色的区域。然而,不管我们如何,作为医疗专业人士，谈论具有长期疾病轨迹的癌症（有时甚至可以治愈），首先，接近似乎很重要，保重,好好对待病人。这可以促进与患者讨论他们的疾病和疾病经历。此外，它可以刺激患者自己对自己的健康负责，这对整个疾病轨迹具有附加价值。
