摘要
目的探讨心理痛苦温度计(distress thermometer,DT)在肾癌患者中的应用效果。方法选取2019年9月至2021年8月南京医科大学第一附属医院收治的80例初诊肾癌患者为研究对象,采用DT评估患者的心理痛苦状况,比较不同临床特征患者的DT评分,采用Pearson相关分析和多元线性回归分析探讨肾癌患者DT评分与临床特征的相关性。结果80例肾癌患者的DT评分为(3.66±1.23)分,显著心理痛苦(DT评分≥4分)的发生率为41.25%(33/80)。小学及初中文化程度、家庭平均月收入<2000元、肿瘤临床分期Ⅲ~Ⅳ期患者的DT评分分别显著高于高中及以上文化程度、家庭平均月收入>4000元、肿瘤临床分期Ⅰ~Ⅱ期患者(均P<0.05)。Pearson相关分析结果表明,DT评分与医学对应模式问卷(medical coping mode questionnaire,MCMQ)面对维度、Herth希望量表(Herth hope index,HHI)、世界卫生组织生存质量测定量表简表(World Health Organization quality of life-brief form questionnaire,WHOQOL-BREF)评分均呈负相关(均P<0.05),与MCMQ屈服、回避维度评分均呈正相关(均P<0.05)。多元线性回归分析结果表明,家庭平均月收入、MCMQ回避维度评分、HHI评分、WHOQOL-BREF评分均是肾癌患者DT评分的独立影响因素(均P<0.05)。结论肾癌患者的心理痛苦状况不容乐观,与经济状况、医学应对方式、希望水平、生存质量均有相关性,可通过DT进行常规筛查,及时给予患者个体化的心理干预。
Objective To analyze the effect of distress thermometer(DT)in patients with renal carcinoma.Method Eighty patients with newly diagnosed renal carcinoma treated in the First Affiliated Hospital with Nanjing Medical University from September 2019 to August 2021 were enrolled for the research.DT was performed to evaluate the psychological distress of patients,and the DT scores of patients with different clinical characteristics were compared,and the correlation between DT scores and clinical characteristics of all patients were explored by Pearson correlation analysis and multiple linear regressions.Result The DT score of patients with renal carcinoma was(3.66±1.23)points,and the incidence of significant psychological distress(DT score≥4 points)was 41.25%(33/80).The DT scores of patients with primary school and junior middle school education,family average monthly income<2000 yuan,clinical stage of tumor stageⅢ~Ⅳwere significantly higher than that of patients with high school and above education,family average monthly income>4000 yuan and clinical stage of tumor stageⅠ~Ⅱ(all P<0.05).Pearson correlation analysis showed that the DT score of all patients was significantly negatively correlated with the scores of face dimension of medical coping mode questionnaire(MCMQ),Herth hope index(HHI)and World Health Organization quality of life-brief form questionnaire(WHOQOL-BREF)scale(all P<0.05),and it was positively correlated with the scores of yield dimension and avoidance dimension of MCMQ(all P<0.05).Multiple linear regression analysis showed that the family average monthly income,scores of avoidance dimension of MCMQ,HHI and WHOQOL-BREF were the independent influencing factors of DT score(all P<0.05).Conclusion The psychological distress of patients with renal carcinoma is not optimistic,which is related to economic status,medical coping style,hope level and quality of life.DT can be used for routine screening of psychological distress,and then individualized psychological intervention can be given in time.
作者
戴亚利
尹悦
Dai Yali;Yin Yue(Department of Oncology,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)
出处
《肿瘤综合治疗电子杂志》
2022年第2期109-112,共4页
Journal of Multidisciplinary Cancer Management(Electronic Version)
关键词
心理痛苦温度计
肾癌
医学应对方式
希望水平
生存质量
影响因素
Distress thermometer
Renal carcinoma
Medical coping style
Hope level
Quality of life
Influence factor
