对一组新诊断癌症患者的情绪困扰进行评估:对 67 人的研究

Dang Thi Huong, Vu Do Thao, Nguyen Trong Hoa, La Van Truong
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摘要

目的:评估新诊断癌症患者的痛苦:横断面前瞻性研究:2023 年 8 月至 10 月,对 108 军区中心医院疼痛管理和姑息治疗部的 67 名新确诊患者进行研究。患者的痛苦程度由痛苦温度计(DT)和NCCN 2022年2月越南语版问题清单(PL)进行评估:新确诊癌症患者的平均痛苦评分为(4.42 ± 2.237)分,3%的患者表示没有痛苦,44.8%的患者有轻度痛苦,52.2%的患者有中度至重度痛苦(≥ 4 分)。参与者常见的痛苦来源包括身体不适(94.0%),73.1%的人表示有睡眠问题,71.6%的人表示有疲劳感。情绪方面的问题也很普遍(91.0%),49.3%的人感到悲伤,47.8%的人感到焦虑。此外,自我照顾方面的担忧(53.7%)和财务方面的担忧(43.3%)也是造成困扰的主要原因,占参与者担忧问题总数的 76.1%。据统计,新确诊癌症患者的中度和重度困扰率与年龄(60 岁以下患者较多)、性别(女性较多)、教育程度(中学或以下教育程度者较多)、收入(低于平均收入者较多)、医疗保险福利(保障不全面的患者较多)有显著关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
EVALUATION OF EMOTIONAL DISTRESS IN A COHORT OF NEWLY DIAGNOSED CANCER PATIENTS: A STUDY OF 67 INDIVIDUAS
Purpose: To evaluate distress in newly diagnosed cancer patients. Subjects and Methods: Cross-sectional prospective study of 67 newly diagnosed patients at the Department of Pain management and Palliative Care, 108 Military Central Hospital, from August to October 2023. The patient's level of distress was assessed by the Distress Thermometer - DT and the Problem List (PL) of NCCN February 2022, Vietnamese version. Results: The average distress score among newly diagnosed cancer patients was 4.42 ± 2.237, with 3% reporting no distress, 44.8% experiencing mild distress, and 52.2% reporting moderate to severe distress (≥ 4 points). Common sources of distress among the participants included physical discomfort (94.0%), with 73.1% reporting sleep problems and 71.6% experiencing fatigue. Emotional challenges were prevalent as well (91.0%), with 49.3% reporting feelings of sadness and 47.8% experiencing anxiety. Additionally, concerns regarding self-care (53.7%) and financial worries (43.3%) were notable contributors to distress, accounting for 76.1% of the participants' concerns overall. The rate of moderate and severe distress in newly diagnosed cancer patients were statistically significantly related to age (more prevalent in patients  under 60), gender (higher in females) education level (more in those with secondary school education or less), income (higher in those with below-average incomes), health insurance benefits (higher in patients with less comprehensive coverage).
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