初治肺癌患者术前心理痛苦现状及影响因素的回归分析

Regression analysis of the current status of preoperative psychological distress and the factors influencing it in patients with primary lung cancer

目的了解初治肺癌患者术前心理痛苦现状及影响因素。方法应用一般情况调查表、心理痛苦温度计(DT)及问题列表、医院焦虑抑郁量表对665例初治肺癌患者进行问卷调查,统计患者心理痛苦发生率,并对患者心理痛苦的影响因素进行单因素和logistic回归分析。结果以DT≥3分作为心理痛苦阈值,初治肺癌患者心理痛苦发生率为47.37%。logistic回归分析显示:女性(OR=0.438)、有家庭健康问题(OR=2.063)、恐惧(OR=2.417)、紧张(OR=3.304)、悲伤(OR=4.550)、担忧(OR=3.084)、对日常活动丧失兴趣(OR=4.072)及疲乏(OR=4.264)是发生心理痛苦的危险因素(P<0.05)。结论初治肺癌患者术前心理痛苦发生率偏高,应尽早干预。

Objective To understand the status of preoperative psychological distress and the factors influencing it in patients with primary lung cancer.Methods A questionnaire survey was conducted on 665 primary lung cancer patients using the General Conditions Questionnaire,the Psychological Distress Thermometer(DT)and the questionnaire list,the Hospital Anxiety and Depression Inventory.The incidence of patients′psychological pain was analyzed,and the influencing factors of patients′psychological pain were analyzed by univariate analysis and binary logistic stepwise regression.Results The incidence of psychological distress among primary lung cancer patients was 47.37%,using DT score greater than or equal to 3 as the cut-off point.Stepwise logistic regression analysis showed that women(OR=0.438),patients with family health problems(OR=2.063),fear(OR=2.417),stress(OR=3.304),sadness(OR=4.550),worry(OR=3.084),loss of interest in daily activities(OR=4.072)and fatigue(OR=4.264)were the risk factors for psychological distress(P<0.05).Conclusion The incidence of preoperative psychological distress in patients with primary lung cancer is high and should be intervened early.