住院治疗对癌症患者心理痛苦的影响及其相关因素分析  

Influence of hospitalization treatment on psychosocial distress in cancer patients,and correlative factors analysis

作　　者：胡君莉[1] 徐志香[1] 程苗苗[1] 卢芳[1] 

机构地区：[1]济南军区总医院肿瘤科,山东济南250031

出　　处：《实用医药杂志》2013年第9期814-817,共4页Practical Journal of Medicine & Pharmacy

摘　　要：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),观察癌症患者住院治疗对其心理痛苦及其相关问题的作用。方法应用DT卡片对155例癌症患者进行入出院相关问题调查,建立数据库,以PASW Statistics18统计软件进行统计分析。结果癌症患者入院和出院时DT平均分别为3.75±2.20和2.59±1.67,两者比较,差异具有显著的统计学意义(t=11.11,P=0.000)。入院有情绪问题者94例,出院降至55例,具有显著性差异(z=-5.166,P=0.000),其中DT≥4者差异无统计学意义(z=-1.279,P=0.201);而DT≥5和DT<4者出入院差异具有统计学意义(z分别为2.000和4.840,P分别为0.046和0.000)。入院有身体问题者80例,出院降至70例,差异无统计学意义(z=-1.508,P=0.132),其中DT≥4和5者差异具有统计学意义(z分别为-2.236和-2.714,P分别为0.025和0.007),DT<4者差异无统计学意义(z=0.000,P=1.000)。治疗不良反应与出院身体问题有显著相关性(r=0.311,P=0.000),与情绪问题相关性无统计学意义。疗效与出院DT、身体问题和情绪问题相关性均无统计学意义。结论住院有效治疗可明显降低癌症患者的心理痛苦,心理治疗有助于降低情绪问题相关性心理痛苦,尤其是高度心理痛苦者,可能需要专业心理治疗。癌症治疗的不良反应可能增加患者的身体问题及相关性心理痛苦。Objective To observe the influence of hospitali zation therapy on psychosocial distress and correlative factors analysis in cancer patients using distress thermometer （DT）. Methods The 155 cancer patients were observed by using DT cards. The data were input to EXCEL and analyzed with PASW Statisticsl8. Results The DT at discharge（disch） （2.59±1.67） significantly lower than that at admission（adm） （3.75±2.20）. The number of patients with emotional problems significantly reduced from adm to disch （z=5.166, P=0.000）. The differences of emotional problems in patients with score 〈4 and I〉5 were significant （z =2.000, 4.840, P=0.046, 0.000, respectively）, and ≥4 was not significant （z=-1.279, P=-0.201）. The number of patients with physical problems had no significant reduction from adm to disch（z=1.508, P=0.132）. The differences of physical problems in patients with score≥4 and ≥5 were significant （z=-2.236, -2.714, P=-0.025, 0.007, respectively）, and 〈4 was not significant （z= 0.000, P=1.000）. There was significant correlation between the adverse reaction of therapy and physical problems at disch （r=0.311, P=0.000）. There was no significant correlation between the adverse reaction and emotional problems. Conclusion Effective hospitalization treatment may significantly palliate the psychosocial distress in cancer patients. Psychotherapy may relieve the psychosocial distress related to emotional problems, and even the patients with high DT score may need professional psychotherapy. The reverse reaction in the treatment for cancer should increase the psychosocial distress, not only physical problems.

关 键 词：心理痛苦 癌症患者 心理痛苦温度计 心理治疗 

分 类 号：R395.5[哲学宗教—心理学]