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陈 林, 郑儒君, 余春华等.肺癌疼痛患者心理痛苦影响因素的研究.四川大学学报(医学版),2014,45(3):471-475
肺癌疼痛患者心理痛苦影响因素的研究
Impact Factors of Distress in Patients with Lung Cancer-associated Pain
  
中文关键词:  肺癌 疼痛患者 心理痛苦
英文关键词:Lung cancer Pain Distress
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中文摘要:
      目的 研究肺癌疼痛患者心理痛苦的影响因素。 方法 采用横断面调查研究方法,对2011年7~12月期间住院治疗的肺癌疼痛患者进行问卷调查。调查问卷包括3部分:一般资料调查问卷、简明疼痛问卷(BPI)、综合医院焦虑抑郁量表(HADS)。了解肺癌患者的心理、疼痛状态,分析影响心理痛苦总评分的影响因素。 结果 此次调查总共发放问卷200例,实际回收有效问卷172例,患者平均疼痛得分为(3.67±1.27)分。焦虑阳性症状患者占29.0%,抑郁阳性症状患者占29.0%,总体心理痛苦阳性症状患者占68.6%。Spearman相关分析显示疼痛强度分别与抑郁、焦虑、总体心理痛苦正相关(P<0.05)。多元线性回归分析得出性别(β=0.152,P=0.024),年龄(β=-0.150,P=0.023),婚姻状况(β=-0.239,P=0.000)对心理痛苦评分有影响;性别(β=0.154,P=0.013),年龄(β=-0.165,P=0.007),临床病理分期(β=0.155,P=0.011)对焦虑评分有影响;婚姻状况(β=-0.133,P=0.047)对抑郁评分的有影响。 结论 患者性别、年龄、婚姻状态是心理痛苦相关的独立影响因素。
英文摘要:
      Objective To study the impact factors of psychological distress in patients with lung cancer-associated pain. Methods The cross-sectional study was applied to lung cancer pain patients received treatments in Cancer Center of West China Hospital of Sichuan University in Chengdu from July 2011 to December 2011 by distributed questionnaires. The general information of the patients, Brief Pain Inventory (BPI) and the Hospital Anxiety and Depression Scale (HADS) were included in the questionnaire to evaluate the states of distress, pain and the factors related to the total distress score. Results Totally 172 effective questionnaires were obtained in 200 delivered questionnaires. The average pain score of the patients was 3.67±1.27. The Spearman correlation analysis showed that depression score, anxiety score, distress score were positively correlated with the pain intensity (P<0.05). Patients with positive anxiety symptom was 29.0%, the depression was 29.0%, and distress was 68.6%. Mutiple linear regression analysis showed that gender (β=0.152, P=0.024), age (β=-0.150, P=0.023), marital status (β=-0.239, P=0.000) could affect the total score of distress; gender (β=0.154,P=0.013), age (β=-0.165, P=0.007), the clinical pathological stage (β=0.155, P=0.011) could affect the anxiety score; marital status (β=-0.133, P=0.047) could affect the depression score. Conclusion The genders, age, marital status of the patients are related to the psychological distress of lung-cancer-pain patients.
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