新冠肺炎疫情期间恶性肿瘤患者心理痛苦影响因素分析(1)
摘要：目的 調查新冠肺炎疫情期间恶性肿瘤患者痛苦发生情况，并分析其影响因素，为肿瘤患者在突发公共卫生事件下疾病治疗时个性化心理干预提供理论依据。方法 于2020年1月25日～4月15日采用随机抽样法选取本市三家综合医院肿瘤科收治的306例肿瘤患者为研究对象，自行设计调查问卷调查新型肺炎疫情对患者诊疗的影响，采用心理痛苦温度计(DT)评估患者心理痛苦的发生情况。结果 306例患者心理痛苦得分为(4.03±0.15)分，其中有显著心理痛苦的患者176例，占57.52%;引起患者心理痛苦排名前10位的因素分别为担忧(38.56%)、睡眠(31.37%)、经济问题(23.53%)、进食(22.88%)、恶心(20.26%)、疼痛(20.26%)、紧张(18.95%)、忧郁(18.30%)、疲乏(16.99%)及身体活动受限(14.38%);Logistic回归分析显示，疫情对治疗影响、疫情导致治疗延期、疫情期间病情加重及疼痛加重是恶性肿瘤患者心理痛苦的主要影响因素。结论 新冠肺炎疫情期间半数以上肿瘤患者存在明显的心理痛苦，疫情导致患者病情及疼痛加重是其主要影响因素。
关键词：恶性肿瘤;心理痛苦;公共卫生事件;心理干预
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.23.039
文章编号：1006-1959(2020)23-0133-04
Abstract：Objective Investigate the impact of novel coronavirus pneumonia on cancer patients' psychological status and analyze the influencing factors during the epidemic period. The purpose of the study was to provide theoretical basis for personalized psychological intervention for cancer patients during public health emergencies.Methods From January 25th to April 15th， 2020， a random sampling method was used to select 306 tumor patients admitted to the oncology department of three general hospitals in this city as the research objects. A questionnaire was designed to investigate the impact of COVID-19 epidemic on the diagnosis and treatment of patients. The pain thermometer (DT) assesses the occurrence of psychological distress in patients.Results The psychological distress score of 306 patients was (4.03±0.15)， of which 176 patients had significant psychological distress， accounting for 57.52%; the top 10 factors that caused the psychological distress of patients were worry (38.56%) and sleep (31.37%)， financial problems (23.53%)， eating (22.88%)， nausea (20.26%)， pain (20.26%)， nervousness (18.95%)， depression (18.30%)， fatigue (16.99%)， and physical activity limitation (14.38%); Logistic regression analysis shows that the impact of the epidemic on treatment， the delay in treatment caused by the epidemic， the aggravation of the disease and the aggravation of pain during the epidemic are the main factors affecting the psychological distress of patients with malignant tumors.Conclusion During COVID-19 epidemic， more than half of the tumor patients had obvious psychological pain， and the worsening of the patient's condition and pain caused by the epidemic was the main influencing factor., 百拇医药(罗晓红 易亭伍 宿向东)
关键词：恶性肿瘤;心理痛苦;公共卫生事件;心理干预
中图分类号：R473.73 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.23.039
文章编号：1006-1959(2020)23-0133-04
Abstract：Objective Investigate the impact of novel coronavirus pneumonia on cancer patients' psychological status and analyze the influencing factors during the epidemic period. The purpose of the study was to provide theoretical basis for personalized psychological intervention for cancer patients during public health emergencies.Methods From January 25th to April 15th， 2020， a random sampling method was used to select 306 tumor patients admitted to the oncology department of three general hospitals in this city as the research objects. A questionnaire was designed to investigate the impact of COVID-19 epidemic on the diagnosis and treatment of patients. The pain thermometer (DT) assesses the occurrence of psychological distress in patients.Results The psychological distress score of 306 patients was (4.03±0.15)， of which 176 patients had significant psychological distress， accounting for 57.52%; the top 10 factors that caused the psychological distress of patients were worry (38.56%) and sleep (31.37%)， financial problems (23.53%)， eating (22.88%)， nausea (20.26%)， pain (20.26%)， nervousness (18.95%)， depression (18.30%)， fatigue (16.99%)， and physical activity limitation (14.38%); Logistic regression analysis shows that the impact of the epidemic on treatment， the delay in treatment caused by the epidemic， the aggravation of the disease and the aggravation of pain during the epidemic are the main factors affecting the psychological distress of patients with malignant tumors.Conclusion During COVID-19 epidemic， more than half of the tumor patients had obvious psychological pain， and the worsening of the patient's condition and pain caused by the epidemic was the main influencing factor., 百拇医药(罗晓红 易亭伍 宿向东)