新冠疫情期间癌症康复者心理症状水平及其影响因素

The psychological symptoms of cancer survivors and influencing factors during the COVID-19 outbreak

目的调查新冠疫情期间癌症康复者的心理症状水平及其影响因素。方法采用描述性研究设计,采用方便抽样的方法于2020年2—3月在徐州市癌友俱乐部选取130名癌症康复者,应用患者一般资料调查表和症状自评量表(SCL-90)进行调查分析。结果新冠疫情期间癌症康复者SCL-90得分为(172.05±23.30)分,疫情期间癌症康复者SCL-90总分、躯体化、人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性得分均显著高于常态下癌症康复者,差异有统计学意义(P<0.05)。单因素分析发现不同文化水平、病程、肿瘤种类、TNM分期、工作状态的患者SCL-90得分差异有统计学意义(P<0.05)。多元线性回归分析显示,病程、肿瘤种类、TNM分期、工作状态纳入SCL-90的回归方程,F=10.11,P=0.00,校正R^(2)=0.48;病程长、结直肠癌、TNM分期为Ⅰ期、退休或病退的康复者心理症状较轻。结论新冠疫情期间癌症康复者心理症状水平较高,且与其病程、肿瘤种类、TNM分期、工作状态密切相关,需要开展有针对性的干预与支持。

Objective To investigate the psychological symptoms of cancer survivors during the Coronavirus Disease 2019(COVID-19)outbreak and its influencing factors.Methods A descriptive research design and a convenient sampling method were used.One hundred and thirty cancer survivors were selected from the social cancer club of Xuzhou from February to March 2020.The patients'general information questionnaire and the Symptom Checklist-90(SCL-90)were used for data collection.Results The score of SCL-90 was(172.05±23.30)for cancer survivors during the COVID-19 outbreak.The total SCL-90 score and eight subscales'score(somatization,interpersonal relationship,depression,anxiety,hostility,terror,paranoia and psychotic)of cancer survivors during the COVID-19 outbreak were significantly higher than those under normal condition(P<0.05).Univariate analysis showed that there were significant differences in SCL-90 scores among patients with different educational level,duration of disease,tumor type,TNM stage and working status(P<0.05).Multiple regression analysis showed that the duration of disease,tumor type,TNM stage and working status were fitted into the regression equation of SCL-90(F=10.11,P=0.00,adjusted R^(2)=0.48).The cancer survivors with long duration of disease,colonrectal cancer,and TNM stage I,and retired survivors had less psychological symptoms.Conclusions During the COVID-19 outbreak,cancer survivors show high levels of psychological symptoms,which is associated with their working status,duration of disease,tumor type and TNM stage,which indicates that specific intervention and support are required.