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首页> 中文期刊> 《肿瘤营养学杂志(英文)》 >Application of a Modified Distress Thermometer to Screen for Psychological Distress in 140 Patients with Malignancies,and an Analysis of Related Factors

Application of a Modified Distress Thermometer to Screen for Psychological Distress in 140 Patients with Malignancies,and an Analysis of Related Factors

         
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摘要

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.

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