Objective A modified Distress Thermometer(DT)was applied to explore the status of psychological distress in patients with malignant tumors and to analyze the related factors influencing psychological distress.Methods ...Objective A modified Distress Thermometer(DT)was applied to explore the status of psychological distress in patients with malignant tumors and to analyze the related factors influencing psychological distress.Methods The modified DT was used to screen for psychological distress in 140 patients with malignant tumors in the Cancer Center of the First Hospital of Jilin University.Aχ2 test was used to analyze the effects of age and gender on psychological distress;risk factors associated with significant psychological distress(DT≥4)were further analyzed by Stepwise Logistics Regression.Spearman’s Correlation Analysis was used to determine the correlations among the items in the problems list(economic problems,fatigue,eating,pain,nausea,constipation,decreased memory/inattention,anxiety,tension,sleep).Results The results of the modified DT screening showed that the rate of significant psychological distress was 33.57%in patients with malignant tumors,and females and elderly patients were more likely to suffer significant psychological distress(P=0.048;P=0.002).A dry/congestive nose,depression,having to work/go to school,bathing/dressing,and nausea were significant factors or situations associated with psychological distress in patients with malignant tumors,and physical and emotional problems often appeared together in the problems list.Conclusion The modified DT reflected the degree of each symptom(to a certain extent),and could accurately and concretely identify the major cause(s)of the patients’psychological distress,so that the clinical medical care workers could target the problems and improve the patients’quality of life.展开更多
Objective This study used the Distress Assessment and Response Tool(DART)to screen,evaluate,and explore physical symptoms,psychological problems,and social support in patients with cancer pain,with an aim to provide d...Objective This study used the Distress Assessment and Response Tool(DART)to screen,evaluate,and explore physical symptoms,psychological problems,and social support in patients with cancer pain,with an aim to provide data for the comprehensive care of these patients to improve their quality of life.Methods The DART was used to survey 497 patients with cancer pain who were admitted to the Cancer Center of the First Hospital of Jilin University from June 2014 to March 2017.All patients were diagnosed with malignant tumors by clinical,radiological and/or cytological examinations,and were experiencing tumor-related pain.This study recorded the patient’s somatic symptoms,psychological problems and social support in detail.After the data were collected,the SPSS 21.0 software was used to perform the statistical analysis,with the significance level set at P<0.05.Results In total,82.7%of patients were experiencing mild pain(NRS≤3);of these,29.7%and 15.8%reported depression and anxiety,respectively.In addition,17.3%of patients were experiencing moderate or severe pain(NRS≥4);of these,53.5%and 40.7%reported depression and anxiety,respectively.There was a statistically significant difference in the incidence of anxiety and depression between the two groups.Conclusion Patients with cancer pain,particularly those with moderate-to-severe pain,showed a high incidence of distress.In addition,they were likely to report physical symptoms,were conscious of poor health conditions,and were prone to have anxiety and depression.In terms of social support,patients with moderate-to-severe cancer pain should receive substantial support,as they experience work-related and economic concerns and report difficulties in family life and social activities.展开更多
文摘Objective A modified Distress Thermometer(DT)was applied to explore the status of psychological distress in patients with malignant tumors and to analyze the related factors influencing psychological distress.Methods The modified DT was used to screen for psychological distress in 140 patients with malignant tumors in the Cancer Center of the First Hospital of Jilin University.Aχ2 test was used to analyze the effects of age and gender on psychological distress;risk factors associated with significant psychological distress(DT≥4)were further analyzed by Stepwise Logistics Regression.Spearman’s Correlation Analysis was used to determine the correlations among the items in the problems list(economic problems,fatigue,eating,pain,nausea,constipation,decreased memory/inattention,anxiety,tension,sleep).Results The results of the modified DT screening showed that the rate of significant psychological distress was 33.57%in patients with malignant tumors,and females and elderly patients were more likely to suffer significant psychological distress(P=0.048;P=0.002).A dry/congestive nose,depression,having to work/go to school,bathing/dressing,and nausea were significant factors or situations associated with psychological distress in patients with malignant tumors,and physical and emotional problems often appeared together in the problems list.Conclusion The modified DT reflected the degree of each symptom(to a certain extent),and could accurately and concretely identify the major cause(s)of the patients’psychological distress,so that the clinical medical care workers could target the problems and improve the patients’quality of life.
文摘Objective This study used the Distress Assessment and Response Tool(DART)to screen,evaluate,and explore physical symptoms,psychological problems,and social support in patients with cancer pain,with an aim to provide data for the comprehensive care of these patients to improve their quality of life.Methods The DART was used to survey 497 patients with cancer pain who were admitted to the Cancer Center of the First Hospital of Jilin University from June 2014 to March 2017.All patients were diagnosed with malignant tumors by clinical,radiological and/or cytological examinations,and were experiencing tumor-related pain.This study recorded the patient’s somatic symptoms,psychological problems and social support in detail.After the data were collected,the SPSS 21.0 software was used to perform the statistical analysis,with the significance level set at P<0.05.Results In total,82.7%of patients were experiencing mild pain(NRS≤3);of these,29.7%and 15.8%reported depression and anxiety,respectively.In addition,17.3%of patients were experiencing moderate or severe pain(NRS≥4);of these,53.5%and 40.7%reported depression and anxiety,respectively.There was a statistically significant difference in the incidence of anxiety and depression between the two groups.Conclusion Patients with cancer pain,particularly those with moderate-to-severe pain,showed a high incidence of distress.In addition,they were likely to report physical symptoms,were conscious of poor health conditions,and were prone to have anxiety and depression.In terms of social support,patients with moderate-to-severe cancer pain should receive substantial support,as they experience work-related and economic concerns and report difficulties in family life and social activities.
