Evaluation of psychological pain for cancer patients and analysis of contributory factors_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HE Xin ,  LIU Yan , DONG Qizhen

Department of Thoracic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, P. R. China;

Corresponding?author：

LIU Yan, Email: 15201119199@139.com

Keywords：

Cancer patients; psychological pain; distress thermometer; contributory factors

DOI：

10.7507/1007-4848.202102049

Video：

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Objective To evaluate the degree of psychological pain for cancer patients undergoing surgical treatment and analyze the contributory factors to provide the theoretical basis for psychological intervention for cancer patients with surgical treatment.Methods The clinical data of 455 cancer patients who received surgeries in our hospital from November 2020 to January 2021 were retrospectively analyzed, including 225 males and 230 females aged 53.80±13.50 years. By applying the method of convenient sampling, a cross-sectional survey was carried out by gathering the general information of the patients and evaluating their mental condition with the distress thermometer. The contributory factors were discussed by logistic regression analysis.Results The score for the psychological pain of the patients was 4.11±2.49 points. The main factors contributing to the psychological pain were physical problems, emotional problems and family matters. The logistic regression analysis showed that the main factors related to the degree of psychological pain were cancer types (P=0.023), religious belief (P=0.046), number of niduses (P=0.016), respiratory status (P=0.004), medical expense (P=0.007), grief (P=0.001) and anxiety (P=0.040).Conclusion Nearly half of the patients have been subjected to apparent psychological pain, and emotion and physical problems are the main factors. It is crucial to pay attention to the patients’ mental problems, seek convenient tools for psychological evaluation, and take actions to deal with the psychological problems and physical symptoms.

Citation： HE Xin, LIU Yan, DONG Qizhen. Evaluation of psychological pain for cancer patients and analysis of contributory factors. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(5): 613-618. doi: 10.7507/1007-4848.202102049 Copy

1.	Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2.	Torre LA, Trabert B, DeSantis CE, et al. Ovarian cancer statistics, 2018. CA Cancer J Clin, 2018, 68(4): 284-296.
3.	楊鑫, 何虹, 郭婷, 等. 胃癌術后化療期患者心理痛苦度及其影響因素的縱向研究. 護理學雜志, 2019, 34(12): 79-82.
4.	Pisu M, Azuero A, Halilova KI, et al. Most impactful factors on the health-related quality of life of a geriatric population with cancer. Cancer, 2018, 124(3): 596-605.
5.	奇偉靜, 胡潔, 李來有. 2018. V1 版《NCCN 癌癥臨床指南: 心理痛苦的處理》解讀. 中國全科醫學, 2018, 21(15): 1765-1768.
6.	Riba MB, Donovan KA, Andersen B, et al. Distress management, version 3. 2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2019, 17(10): 1229-1249.
7.	張葉寧. 心理痛苦溫度計中文版在中國癌癥患者中應用的信度效度研究. 北京大學, 2010.
8.	Krebs J, Wasner S, Egloffstein S, et al. Resilience, fear of progression and psychosocial distress in patients with breast cancer and gynecological tumors seeking a second opinion. Psychother Psychosom Med Psychol, 2019, 69(7): 293-300.
9.	林航, 呂艷花, 沈樂園. 癌癥患者初次診斷心理痛苦現狀及影響因素分析. 護理實踐與研究, 2020, 17(9): 20-22.
10.	陳卓園園, 韓興平, 劉英, 等. 住院癌癥患者心理痛苦、生活質量現狀及相關性分析. 齊魯護理雜志, 2020, 26(17): 13-17.
11.	康小云, 楊群草, 王浩楠, 等. 胃癌術后患者心理痛苦狀況及影響因素分析. 廣西醫科大學學報, 2019, 36(10): 1677-1681.
12.	徐達, 閆曉巒, 劉佳明, 等. 單發與多發結直腸癌肝轉移患者肝切除術后預后分析. 中華肝膽外科雜志, 2020, 26(7): 503-507.
13.	李夢媛, 梅孟雪, 劉超, 等. 住院治療對惡性腫瘤患者心理痛苦的影響. 臨床醫藥文獻電子雜志, 2020, 7(84): 59-60.
14.	陳慧禪, 陳國姣. 胸部手術患者圍術期呼吸肌訓練對預后的影響. 國際護理學雜志, 2019, 38(5): 691-694.
15.	湯玉梅, 李芳芳, 王麗, 等. 呼吸功能鍛煉對老年腹部手術后肺部感染及免疫功能的影響. 中華醫院感染學雜志, 2017, 27(19): 4468-4471.
16.	王嬌英. CNP模式對慢性支氣管炎急性發作患者的影響. 實用中西醫結合臨床, 2020, 20(11): 137-138, 140.
17.	沈穎, 張靜, 卜慶云, 等. 乳腺癌患者心理痛苦水平及其影響因素的縱向研究. 中國護理管理, 2018, 18(5): 617-622.
18.	秦潔. 心理痛苦溫度計在癌癥患者中的應用進展. 當代護士, 2019, 26(5): 15-17.
19.	Calderón C, Jimenez-Fonseca P, Jara C, et al. Comparison of coping, psychological distress, and level of functioning in patients with gastric and colorectal cancer before adjuvant chemotherapy. J Pain Symptom Manage, 2018, 56(3): 399-405.
20.	陳潔, 陳錦妹, 趙曉慧, 等. 腫瘤放療患者心理痛苦評估及其影響因素分析. 中華放射腫瘤學雜志, 2019, 28(10): 758-761.
21.	孫蓉, 高華, 趙婧莎, 等. 癌癥患者疾病應對方式和疾病獲益感的關系: 中介變量和調節變量的作用. 臨床與病理雜志, 2019, 39(1): 134-141.
22.	江一鈴, 洪靜芳, 余永美. 農村晚期肺癌化療患者心理困擾與應對方式的調查研究. 重慶醫學, 2019, 48(3): 451-455.
23.	程緒平, 陳萍, 馮丹, 等. NCCN 指南 2018 心理痛苦管理第二版對我國癌癥患者心理痛苦管理實踐的啟示. 中華肺部疾病雜志(電子版), 2019, 12(4): 536-538.

1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2. Torre LA, Trabert B, DeSantis CE, et al. Ovarian cancer statistics, 2018. CA Cancer J Clin, 2018, 68(4): 284-296.
3. 楊鑫, 何虹, 郭婷, 等. 胃癌術后化療期患者心理痛苦度及其影響因素的縱向研究. 護理學雜志, 2019, 34(12): 79-82.
4. Pisu M, Azuero A, Halilova KI, et al. Most impactful factors on the health-related quality of life of a geriatric population with cancer. Cancer, 2018, 124(3): 596-605.
5. 奇偉靜, 胡潔, 李來有. 2018. V1 版《NCCN 癌癥臨床指南: 心理痛苦的處理》解讀. 中國全科醫學, 2018, 21(15): 1765-1768.
6. Riba MB, Donovan KA, Andersen B, et al. Distress management, version 3. 2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw, 2019, 17(10): 1229-1249.
7. 張葉寧. 心理痛苦溫度計中文版在中國癌癥患者中應用的信度效度研究. 北京大學, 2010.
8. Krebs J, Wasner S, Egloffstein S, et al. Resilience, fear of progression and psychosocial distress in patients with breast cancer and gynecological tumors seeking a second opinion. Psychother Psychosom Med Psychol, 2019, 69(7): 293-300.
9. 林航, 呂艷花, 沈樂園. 癌癥患者初次診斷心理痛苦現狀及影響因素分析. 護理實踐與研究, 2020, 17(9): 20-22.
10. 陳卓園園, 韓興平, 劉英, 等. 住院癌癥患者心理痛苦、生活質量現狀及相關性分析. 齊魯護理雜志, 2020, 26(17): 13-17.
11. 康小云, 楊群草, 王浩楠, 等. 胃癌術后患者心理痛苦狀況及影響因素分析. 廣西醫科大學學報, 2019, 36(10): 1677-1681.
12. 徐達, 閆曉巒, 劉佳明, 等. 單發與多發結直腸癌肝轉移患者肝切除術后預后分析. 中華肝膽外科雜志, 2020, 26(7): 503-507.
13. 李夢媛, 梅孟雪, 劉超, 等. 住院治療對惡性腫瘤患者心理痛苦的影響. 臨床醫藥文獻電子雜志, 2020, 7(84): 59-60.
14. 陳慧禪, 陳國姣. 胸部手術患者圍術期呼吸肌訓練對預后的影響. 國際護理學雜志, 2019, 38(5): 691-694.
15. 湯玉梅, 李芳芳, 王麗, 等. 呼吸功能鍛煉對老年腹部手術后肺部感染及免疫功能的影響. 中華醫院感染學雜志, 2017, 27(19): 4468-4471.
16. 王嬌英. CNP模式對慢性支氣管炎急性發作患者的影響. 實用中西醫結合臨床, 2020, 20(11): 137-138, 140.
17. 沈穎, 張靜, 卜慶云, 等. 乳腺癌患者心理痛苦水平及其影響因素的縱向研究. 中國護理管理, 2018, 18(5): 617-622.
18. 秦潔. 心理痛苦溫度計在癌癥患者中的應用進展. 當代護士, 2019, 26(5): 15-17.
19. Calderón C, Jimenez-Fonseca P, Jara C, et al. Comparison of coping, psychological distress, and level of functioning in patients with gastric and colorectal cancer before adjuvant chemotherapy. J Pain Symptom Manage, 2018, 56(3): 399-405.
20. 陳潔, 陳錦妹, 趙曉慧, 等. 腫瘤放療患者心理痛苦評估及其影響因素分析. 中華放射腫瘤學雜志, 2019, 28(10): 758-761.
21. 孫蓉, 高華, 趙婧莎, 等. 癌癥患者疾病應對方式和疾病獲益感的關系: 中介變量和調節變量的作用. 臨床與病理雜志, 2019, 39(1): 134-141.
22. 江一鈴, 洪靜芳, 余永美. 農村晚期肺癌化療患者心理困擾與應對方式的調查研究. 重慶醫學, 2019, 48(3): 451-455.
23. 程緒平, 陳萍, 馮丹, 等. NCCN 指南 2018 心理痛苦管理第二版對我國癌癥患者心理痛苦管理實踐的啟示. 中華肺部疾病雜志(電子版), 2019, 12(4): 536-538.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Evaluation of psychological pain for cancer patients and analysis of contributory factors

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