Objective To evaluate and analyse psychosocial distress in admitled cancer patients using Distress Thermometer (DT). Methods The 155 cancer inpatients were enrolled in this study by using DT cards. The data were input to EXCEL and analyzed with PASW Statistics18. Results The DT were 3.75±2.20 in all cancer patients. The percentage of patient score ≥4 was 50.32% and ≥5 was 35.48% . The DT score was significantly different among diseases(F=3.813,P=0.000) with highest in pancreatic carcinoma (5.60±0.89) and lowest in thyroid carcinoma (0.60±0.89). The DT score was not significantly correlated with gender (r=-0.135, P=0.094), positively correlated with age (r=0.201, P=0.012), negatively correlated with educational qualification and informed state (r =-0.220, -0.341,P =0.006, 0.000, respectively). Among the related problems, the percentage of physical problems (mainly fatigue, eating and pain) was highest (81.6%), emotional problems (mainly worry, depression and nervousness) was 60.6% and practical problems (mainly financial) was 29%. Conclusion DT is a brief and rapid screening tool for psychosocial distress in cancer patients. The distress among diseases is significantly different which may be correlated with the severity of diseases and therapies etc. The age, educational and informed state are significantly correlated with distress. Physical and emotional problems are of mainly related problems. Resolving the related problems is propitious for palliation of the psychosocial distress in cancer patients.% 目的应用美国国立综合癌症网(National Comprehensive Cancer Network,NCCN)推荐的心理痛苦温度计(distress thermometer,DT)对入院癌症患者的心理痛苦及其相关问题进行评估和分析.方法应用 DT 卡片对155例入院癌症患者进行调查,数据建立 EXCEL 数据库,以 PASW Statistics18统计软件进行统计分析.结果癌症患者入院时 DT 平均为3.75±2.20,≥4分者为78例,占50.32%,≥5分者55例,占35.48%.各种癌症 DT 之间比较具有统计学差异(F 为3.813,P=0.000),其中最高为胰腺癌(5.60±0.89),最低为甲状腺癌(0.60±0.89). DT 值与性别无相关性(r=-0.135,P=0.094)；与年龄呈正相关(r=0.201,P=0.012)；与学历和知情情况呈负相关(r 分别为-0.220、-0.341,P 分别为0.006和0.000).在痛苦相关问题中,有身体问题者最多占81.6%,主要为乏力、进食和疼痛；有情绪问题者占60.6%,主要为担忧、抑郁和紧张；有实际问题者占29%,主要为经济问题.结论 NCCN 推荐的心理痛苦温度计是一种简便、快速评价癌症患者心理痛苦的工具.不同癌症患者的心理痛苦有显著性差异,可能与疾病的严重程度和治疗等多种因素有关.与年龄、受教育程度和知情情况等因素呈显著正相关.躯体病痛和情绪问题是主要的相关问题,因此,有利于相关问题的解决,如减轻病痛、心理治疗等,从而减轻癌症患者的心理痛苦.
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