老年肺癌患者心理痛苦现状调查及影响因素分析

Investigation on psychological distress status of elderly patients with lung cancerand analysis of its influencing factors

目的:探讨老年肺癌患者心理痛苦程度,并分析其影响因素。方法:选择经病理组织学确诊为肺癌的60例老年患者作为研究对象,使用一般问题资料问卷和心理痛苦温度计作为调查工具,调查老年肺癌患者心理痛苦程度。结果:共回收有效问卷57份,老年肺癌患者心理痛苦得分(4.88±2.04)分,心理痛苦评分≥4分的患者42例,显著心理痛苦检出率(DT≥4分)为73.7%,采用多元逐步回归分析得出性别、费用报销途径、家庭收入、肿瘤分期、疼痛,这些因素对老年肺癌患者心理痛苦有影响。结论:日常临床工作中心理痛苦问题在老年肺癌患者非常常见。运用心理痛苦温度计,及时了解患者心理痛苦的程度和影响因素,给予个体化心理干预措施,可改善老年肺癌患者预后,提高生活质量。

Objective:To explore the degree of psychological distress in elderly patients with lung cancer and analyze its influencing factors.Methods:60 elderly patients with lung cancer diagnosed by histopathology were selected as the research objects.General question questionnaire and distress thermometer(DT)were used as survey tools.Results:A total of 57 valid questionnaires were collected.The psychological distress score of elderly patients with lung cancer was(4.88±2.04).There were 42 patients with psychological distress score≥4.The detection rate of significant psychological distress(DT≥4)was 73.7%.Multiple stepwise regression analysis showed that gender,expense reimbursement way,family income,tumor stage and pain had influence on psychological distress of elderly patients with lung cancer.Conclusion:Psychological distress in daily clinical work is very common in elderly patients with lung cancer.Appropriate use of DT can help us to understand the degree and influencing factors of psychological distress in time,and to provide individualized psychological intervention measures,which can improve the prognosis of elderly lung cancer patients and improve the quality of life.