初诊肿瘤患者心理痛苦状况及舒缓疗护意愿调查

目的了解初诊肿瘤患者心理痛苦现状、影响因素及舒缓疗护需求,为针对性干预提供参考。方法对85例初诊肿瘤患者采用自行修订的舒缓疗护适应范围问卷进行调查。结果患者心理痛苦得分4.45±2.45,达显著心理痛苦者占61.18%;不同种类疾病者心理痛苦得分差异有统计学意义(P0.05);心理痛苦相关因素5个因子问题存在率5.88%~27.65%,排序前3的条目为无时间精力照顾孩子、疲乏、担忧及无时间精力做家务;对舒缓疗护有需求者为62.35%(53/85),女性及乳腺癌患者需求率高于男性及其他患者(均P0.01)。结论初诊肿瘤患者心理痛苦处于中度程度,影响因素较多,主要为实际问题及心身问题,对舒缓疗护有较高的需求。医护人员需了解不同个体的心理痛苦因素,采取针对性措施加以改善。

Survey on psychological distress and willingness for palliative care among newly diagnosed cancer patients

Objective To explore the status and influencing factors of psychological distress,and need for palliative care among newly diagnosed cancer patients,in order to provide reference for targeted intervention.Methods A total of 85 newly diagnosed cancer patients were investigated using self-revised palliative care application scope questionnaire.Results Score of psychological distress for the patients was 4.45±2.45,and 61.18％ of whom were in significant psychological distress.There was significant difference in the score of psychological distress for patients with different diagnosis of cancer (P＜0.05).There were 5 influencing factors of psychological distress,the prevalence of which were 5.88％ to 27.65％,the top three items were having no time and energy to take care of children,fatigue,worry and having no time and energy to do housework;62.35 ％ (53/85) patients needed palliative care,the need of palliative care for the patients with a female gender or a breast cancer diagnose were significantly higher than the male patients with other diagnosis (P＜0.01 for both).Conclusion The psychological distress of newly diagnosed cancer patients is in a medium level,and it is influenced by many factors,being mostly real problems and mind-body problems,and the patients have a high demand for palliative care.Medical staff should understand different psychological distress factors of individuals,and adopt targeted interventions to improve distress.