背景:晚期癌症患者经常遭受严重的心理困扰,焦虑,和抑郁症,会深刻影响他们的生活质量。这项研究旨在评估这些心理因素在晚期癌症患者中的患病率和严重程度。此外,它试图确定相关的社会心理,实用,情感,身体问题及其与心理因素的联系。此外,本研究提供干预措施和策略,以帮助减轻这些患者的心理负担.
方法:在沙特阿拉伯的一家三级医院进行了一项涉及180名晚期癌症患者的横断面调查。使用窘迫温度计(DT)和医院焦虑和抑郁量表(HADS)对参与者进行评估。数据分析包括描述性统计,分类变量的卡方检验,和多元回归来探索与痛苦相关的因素,焦虑,和抑郁症。
结果:困扰的患病率,焦虑,抑郁症患者占40.6%,46.1%,52.2%,分别。经历过“排尿变化”的患者发生痛苦的风险是DT中的2.86倍。经历悲伤(DT项目)和疲劳(DT项目)的患者发生焦虑的风险分别为3.91和2.29倍,分别。实际问题,如儿童保育和治疗决定,情绪问题,和身体问题,如外观,洗澡/穿衣,和饮食困难,与痛苦显著相关。患者的人口统计学和心理因素之间没有显着关联。
结论:研究结果强调了社会心理的复杂相互作用,实用,情感,以及接受姑息治疗的晚期癌症患者面临的身体问题。这些患者表现出很高的痛苦,焦虑,和抑郁症。通过有针对性的心理和社会干预措施解决这些多方面的问题,可以大大提高这一弱势群体的整体护理和生活质量。本研究提倡常规心理筛查和量身定制的干预措施,以减轻该组的心理负担。
BACKGROUND: Patients with advanced cancer often suffer from significant psychological distress, anxiety, and depression, which can profoundly influence their quality of life. This study aimed to evaluate the prevalence and severity of these psychological factors in advanced cancer patients. Additionally, it sought to identify related psychosocial, practical, emotional, and physical problems and their association with the psychological factors. Furthermore, this study provides interventions and strategies to help mitigate the psychological burden experienced by these patients.
METHODS: A cross-sectional survey involving 180 patients with advanced cancer was conducted at a tertiary hospital in Saudi Arabia. Participants were assessed using the Distress Thermometer (DT) and the Hospital Anxiety and Depression Scale (HADS). Data analysis included descriptive statistics, chi-square tests for categorical variables, and multivariate regression to explore the factors associated with distress, anxiety, and depression.
RESULTS: The prevalence of distress, anxiety, and depression among patients was 40.6%, 46.1%, and 52.2%, respectively. Patients who experienced \'changes in urination\' which is an item in DT had a 2.86 times higher risk of developing distress. Patients experiencing sadness (item in DT) and fatigue (item in DT) were at a 3.91 and 2.29 times higher risk of developing anxiety, respectively. Practical problems, such as childcare and treatment decisions, emotional problems, and physical problems, such as appearance, bathing/dressing, and eating difficulties, were significantly associated with distress. There was no significant association between patients\' demographics and psychological factors.
CONCLUSIONS: The findings underscore the complex interplay of psychosocial, practical, emotional, and physical problems faced by advanced cancer patients receiving palliative care. These patients exhibit a high percentage of distress, anxiety, and depression. Addressing these multifaceted problems through targeted psychological and social interventions can significantly enhance the overall care and quality of life for this vulnerable population. This study advocates routine psychological screenings and tailored interventions to mitigate the psychological burden in this group.