Distress and its Correlation with Potential Factors among Patients with Cancer in Vietnam

Dung D. Le, H. T. Phan
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Abstract

A cancer diagnosis and treatment are stressful for patients. Evidence has shown that the prevalence of mental health problems among cancer patients is very high globally. To our knowledge, there are no studies related to cancer diagnosis and treatment in Vietnam, where the rate of death caused by cancer is at the 50th in the world. This study investigates the prevalence of distress and its correlations with potential factors among Vietnamese cancer patients. This is a cross-sectional study using a self-report questionnaire for cancer patients focused on examining socio-demographic characteristics, satisfaction with current marital status, current job, life in general, cancer-related distress, diagnosis, cancer stage, acceptance of illness, treatment methods, and perceived social support. The prevalence of distress among cancer patients was very high (91.7%). There were significantly higher distress scores in patients living in rural areas and not receiving chemotherapy and radiotherapy. Patients with higher satisfaction with their current employment status or satisfaction with life were less likely to have psychological distress. The patients’ belief in treatment methods and cancer also reduced the risk of experiencing distress. Rural Vietnamese cancer patients impacted by social determinants of health along with cancer-related factors might be experiencing higher psychological distress.
越南癌症患者的焦虑及其与潜在因素的相关性
癌症的诊断和治疗对患者来说压力很大。有证据表明,在全球范围内,癌症患者中心理健康问题的患病率非常高。据我们所知,越南没有关于癌症诊断和治疗的研究,越南的癌症死亡率在世界上排名第50位。本研究旨在探讨越南癌症患者的痛苦程度及其与潜在因素的关系。这是一项针对癌症患者的横断面研究,采用自我报告问卷,重点考察社会人口学特征、对当前婚姻状况、当前工作、总体生活、癌症相关痛苦、诊断、癌症分期、疾病接受度、治疗方法和感知社会支持的满意度。癌症患者的焦虑患病率非常高(91.7%)。生活在农村地区且未接受化疗和放疗的患者的痛苦评分明显较高。对当前就业状况或生活满意度较高的患者出现心理困扰的可能性较小。患者对治疗方法和癌症的信念也降低了经历痛苦的风险。受社会健康决定因素和癌症相关因素影响的越南农村癌症患者可能会经历更高的心理困扰。
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