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首页> 外文期刊>Frontiers in Oncology >Screening for Psychological Distress in Adult Primary Brain Tumor Patients and Caregivers: Considerations for Cancer Care Coordination
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Screening for Psychological Distress in Adult Primary Brain Tumor Patients and Caregivers: Considerations for Cancer Care Coordination

机译：成人原发性脑肿瘤患者和护理人员的心理困扰筛查：癌症护理协调的考虑因素

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Introduction This study aimed to assess psychological distress (PD) as scored by the Distress Thermometer (DT) in adult primary brain tumor patients and caregivers (CGs) in a clinic setting and ascertain if any high-risk subgroups for PD exist. Material and methods From May 2012 to August 2013, n ?=?96 patients and n ?=?32 CG underwent DT screening at diagnosis, and a differing cohort of n ?=?12 patients and n ?=?14 CGs at first recurrence. Groups were described by diagnosis (high grade, low grade, and benign) and English versus non English speaking. Those with DT score?≥4 met caseness criteria for referral to psycho-oncology services. One-way ANOVA tests were conducted to test for between-group differences where appropriate. Results At diagnosis and first recurrence, 37.5 and 75.0% (respectively) of patients had DT scores above the cutoff for distress. At diagnosis, 78.1% of CGs met caseness criteria for distress. All CGs at recurrence met distress criterion. Patients with high-grade glioma had significantly higher scores than those with a benign tumor. For patients at diagnosis, non English speaking participants did not report significantly higher DT scores than English speaking participants. Discussion Psychological distress is particularly elevated in CGs and in patients with high-grade glioma at diagnosis. Effective PD screening, triage, and referral by skilled care coordinators are vital to enable timely needs assessment, psychological support, and effective intervention.
机译：引言这项研究旨在评估临床环境中成年原发性脑肿瘤患者和护理人员（CG）的心理测温仪（DT）评分，并确定是否存在PD的高风险亚组。材料和方法从2012年5月至2013年8月，n≥96例患者和n≥32例CG在诊断时接受了DT筛查，初次复发时n≥12例患者和n≥14例CGs不同。通过诊断（高年级，低年级和良性）以及英语与非英语口语对小组进行描述。 DT≥4的患者符合转诊至心理肿瘤服务的案例标准。进行了单向方差分析，以测试组间差异。结果在诊断和首次复发时，分别有37.5％和75.0％的患者DT得分高于困扰阈值。在诊断时，有78.1％的CG符合遇险案例标准。复发时所有CG均符合遇险标准。高级别神经胶质瘤患者的分数明显高于良性肿瘤患者。对于诊断时的患者，非英语参加者的DT得分没有比英语参加者高。讨论在诊断时，CGs和高级别神经胶质瘤患者的心理困扰尤其明显。由熟练的护理协调员进行有效的PD筛查，分流和转诊对于实现及时的需求评估，心理支持和有效干预至关重要。

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