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Abstract：
UNASSIGNED: Psychosocial distress is a chronic burden for cancer survivors, which impacts both their quality of life and their oncologic prognosis. Although the national cancer prevention and control program in Ethiopia has made efforts in cancer prevention, control, and management by implementing the national cancer control plan 2016-2020, there was no enough evidence about psychosocial distress among adult cancer patients. So, it is critical to understand the magnitude of psychosocial distress and the factors that contribute to it.
UNASSIGNED: The purpose of this study was to assess the prevalence of psychosocial distress and associated factors among adult cancer patients at oncology units in the Amhara regional state, Ethiopia. 2022.
UNASSIGNED: A multicenter institution-based cross-sectional study was conducted among a sample of 605 adult cancer patients from 30 April to 22 June 2022. A systematic random sampling technique was employed to select the study units. In addition, data were collected through interviewers administered questionnaires by using the validated and pretested tools. Distress was assessed using the Questionnaire on Stress in Cancer Patients Revised 10. Both bivariable and multivariable logistic regression was used to describe the association between dependent and independent variables. Independent variable with p < 0.25 in the bivariable logistic regression analyses were entered into multivariable logistic regression model. Variables with p < 0.05 in the multivariable logistic regression analyses were considered as statistically significant associated factors of psychosocial distress.
UNASSIGNED: A total of 593 adult cancer patients took part in this study with mean age of 46.86 ± 14.5 years. The overall prevalence of psychosocial distress was 63.74%. Variables such as being female [AOR = 1.98, 95% confidence interval (CI): 1.24-3.17], patients who lives in rural areas (AOR = 2.3, 95% CI: 1.49-3.54), community-based health insurance utilization (AOR = 0.34, 95% CI: 0.23-0.51), patients on chemotherapy treatment (AOR = 2.72, 95% CI: 1.38-5.39), patients with comorbidity (AOR = 3.2, 95% CI: 1.67-6.10), and symptom burdens such as severe fatigue (AOR = 1.65, 95% CI:1.09-2.39) and severe nausea (AOR = 2.07, 95% CI: 1.43-3.00) were statistically associated with psychosocial distress.
UNASSIGNED: In general, the findings of this study showed a relatively high magnitude in which around two-thirds of patients experienced psychosocial distress. It is better to establish and enforce the integration and coordination of psychosocial oncology service programs at national level with parallel guidelines and policies.
UNASSIGNED: The purpose of this study was to assess the prevalence of psychosocial distress and associated factors among adult cancer patients at oncology units in the Amhara regional state, Ethiopia. 2022.
UNASSIGNED: A multicenter institution-based cross-sectional study was conducted among a sample of 605 adult cancer patients from 30 April to 22 June 2022. A systematic random sampling technique was employed to select the study units. In addition, data were collected through interviewers administered questionnaires by using the validated and pretested tools. Distress was assessed using the Questionnaire on Stress in Cancer Patients Revised 10. Both bivariable and multivariable logistic regression was used to describe the association between dependent and independent variables. Independent variable with p < 0.25 in the bivariable logistic regression analyses were entered into multivariable logistic regression model. Variables with p < 0.05 in the multivariable logistic regression analyses were considered as statistically significant associated factors of psychosocial distress.
UNASSIGNED: A total of 593 adult cancer patients took part in this study with mean age of 46.86 ± 14.5 years. The overall prevalence of psychosocial distress was 63.74%. Variables such as being female [AOR = 1.98, 95% confidence interval (CI): 1.24-3.17], patients who lives in rural areas (AOR = 2.3, 95% CI: 1.49-3.54), community-based health insurance utilization (AOR = 0.34, 95% CI: 0.23-0.51), patients on chemotherapy treatment (AOR = 2.72, 95% CI: 1.38-5.39), patients with comorbidity (AOR = 3.2, 95% CI: 1.67-6.10), and symptom burdens such as severe fatigue (AOR = 1.65, 95% CI:1.09-2.39) and severe nausea (AOR = 2.07, 95% CI: 1.43-3.00) were statistically associated with psychosocial distress.
UNASSIGNED: In general, the findings of this study showed a relatively high magnitude in which around two-thirds of patients experienced psychosocial distress. It is better to establish and enforce the integration and coordination of psychosocial oncology service programs at national level with parallel guidelines and policies.
摘要：
■社会心理困扰是癌症幸存者的慢性负担，这会影响他们的生活质量和肿瘤预后。尽管埃塞俄比亚的国家癌症预防和控制计划在癌症预防方面做出了努力，control,通过实施2016-2020年国家癌症控制计划，没有足够的证据表明成年癌症患者的社会心理困扰。所以,了解心理社会痛苦的严重程度和造成这种痛苦的因素至关重要。
■本研究的目的是评估阿姆哈拉州肿瘤科成年癌症患者的心理社会困扰和相关因素的患病率，埃塞俄比亚。2022年。
从2022年4月30日至6月22日，对605名成年癌症患者进行了一项基于多中心机构的横断面研究。采用系统随机抽样技术选择研究单位。此外,数据是通过使用经过验证和预测试的工具进行问卷调查的访谈员收集的.使用修订10的癌症患者压力问卷评估痛苦。使用双变量和多变量逻辑回归来描述因变量和自变量之间的关联。将双变量logistic回归分析中p<0.25的自变量输入多变量logistic回归模型。多变量逻辑回归分析中p<0.05的变量被认为是社会心理困扰的统计学显著相关因素。
■共有593名成年癌症患者参加了这项研究，平均年龄为46.86±14.5岁。心理社会困扰的总体患病率为63.74％。变量如女性[AOR=1.98，95%置信区间(CI)：1.24-3.17]，居住在农村地区的患者（AOR=2.3，95%CI：1.49-3.54），社区医疗保险利用率(AOR=0.34，95%CI：0.23-0.51)，化疗患者（AOR=2.72，95%CI：1.38-5.39），合并症患者（AOR=3.2，95%CI：1.67-6.10），严重疲劳（AOR=1.65，95％CI：1.09-2.39）和严重恶心（AOR=2.07，95％CI：1.43-3.00）等症状负担与社会心理困扰有统计学关联。
■一般来说，这项研究的结果显示，大约三分之二的患者经历了心理社会痛苦的程度相对较高。最好在国家层面建立和实施社会心理肿瘤学服务计划的整合和协调，并制定平行的指导方针和政策。
■本研究的目的是评估阿姆哈拉州肿瘤科成年癌症患者的心理社会困扰和相关因素的患病率，埃塞俄比亚。2022年。
从2022年4月30日至6月22日，对605名成年癌症患者进行了一项基于多中心机构的横断面研究。采用系统随机抽样技术选择研究单位。此外,数据是通过使用经过验证和预测试的工具进行问卷调查的访谈员收集的.使用修订10的癌症患者压力问卷评估痛苦。使用双变量和多变量逻辑回归来描述因变量和自变量之间的关联。将双变量logistic回归分析中p<0.25的自变量输入多变量logistic回归模型。多变量逻辑回归分析中p<0.05的变量被认为是社会心理困扰的统计学显著相关因素。
■共有593名成年癌症患者参加了这项研究，平均年龄为46.86±14.5岁。心理社会困扰的总体患病率为63.74％。变量如女性[AOR=1.98，95%置信区间(CI)：1.24-3.17]，居住在农村地区的患者（AOR=2.3，95%CI：1.49-3.54），社区医疗保险利用率(AOR=0.34，95%CI：0.23-0.51)，化疗患者（AOR=2.72，95%CI：1.38-5.39），合并症患者（AOR=3.2，95%CI：1.67-6.10），严重疲劳（AOR=1.65，95％CI：1.09-2.39）和严重恶心（AOR=2.07，95％CI：1.43-3.00）等症状负担与社会心理困扰有统计学关联。
■一般来说，这项研究的结果显示，大约三分之二的患者经历了心理社会痛苦的程度相对较高。最好在国家层面建立和实施社会心理肿瘤学服务计划的整合和协调，并制定平行的指导方针和政策。
