Clinical Research
Current status of postoperative psychological distress in patients with lung cancer and its influencing factors
Chen Xuejiao, He Xin
Published 2021-08-26
Cite as Chin J Mod Nurs, 2021, 27(24): 3318-3322. DOI: 10.3760/cma.j.cn115682-20210226-00881
Abstract
ObjectiveTo explore the current status of postoperative psychological distress in patients with lung cancer and analyze its influencing factors to provide a basis for clinical intervention.
MethodsUsing the convenient sampling method, patients with lung cancer who underwent surgery in Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College were selected as the research objects from July to November 2020.The general information questionnaire, Chinese Version of Psychological Distress Screening Tool for Cancer Patients and Connor-Davidson Resilience Scale were used to investigate them. χ 2 test, Fisher exact test and independent sample t test were used for single factor analysis, and binary Logistic regression analysis was used for multivariate analysis.
ResultsIn this study, a total of 96 questionnaires were distributed and 85 valid questionnaires were returned. The optimal critical value of cancer patients with or without psychological distress was 4, and the detection rate of psychological distress in lung cancer patients was 54.12% (46/85) .In the question list, the 3 items with the highest percentage of patients answering "yes" were worry (68.22%) , financial pressure (67.38%) and burden on my family due to taking care of me (64.39%) .The results of binary Logistic regression analysis showed that gender, age, family monthly income per capita, tumor staging and psychological resilience were the influencing factors of postoperative psychological distress in patients with lung cancer ( P<0.05) .
ConclusionsThe incidence of postoperative psychological distress in patients with lung cancer is relatively high. It is necessary to focus on lung cancer female patients with younger age, lower monthly family income, higher disease stage and poor mental resilience, and carry out targeted psychological counseling for them, so as to reduce the incidence of psychological distress of lung cancer patients.
Key words:
Lung neoplasms; Psychological distress; Psychological resilience; Influencing factors
Contributor Information
Chen Xuejiao
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, China
He Xin
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, China