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Analysis of distress and related factors in patients with breast cancer at early stage of treatment |
SU Yali1 WANG Pilin1 LIU Jun′e2 HAN Jing2 QU Gengbao1 QIU Binbin1 |
1.Department of Breast Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China;
2.School of Nursing, Capital Medical University, Beijing 100069, China |
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Abstract Objective To investigate the psychological distress levels of breast cancer patients in their early treatment and explore the related factors. Methods Descriptive research design was used. 122 patients with breast cancer within 3 months collected by convenient sampling method were from Department of Breast Surgery, Beijing Tiantan Hospital, Capital Medical University, during their treatment from April to December in 2016. General questionnaire and psychological pain management screening tools were used for questionnaire survey. Results 63.9% of participants reported moderate or severe distress with scores ≥ 4. Worrying about recurrence (68.9%), fatigue (63.1%) and daily life being disrupted (62.3%) were the first three related problems. Distress level of participants were significantly affected by diagnostic methods. The distress scores and incidences of severe distress among participants were diagnosed during operation are significantly higher than cases identified by needle biopsy, received neoadjuvant chemotherapy or exairesis. Conclusion Early treatment of breast cancer patients with higher stress levels, diagnostic methods of significant impact on them.
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[1] Siegel RL,Miller KD,Fedewa SA. Colorectal cancer statistics,2017 [J]. CA Cancer J Clin,2017,67(1):7-30.
[2] 赫捷,陈万青. 2012中国肿瘤登记年报[M].北京:军事医学科研出版社,2012.
[3] Fan L,Strasser-Weippl K,Li JJ,et al. Breast cancer in China [J]. Lancet Oncol,2014,15(7):e279-e289.
[4] 石晓君,张晓佳,王富生,等. 1991-2010年中国女性乳腺癌的死亡分布特征[J].中华疾病控制杂志,2012,16,(9):743-747.
[5] 郑莹,吴春晓,张敏璐.乳腺癌在中国的流行状况和疾病特征[J].中国癌症杂志,2013(8):561-569.
[6] 赵璐,张彦,李曼.乳腺癌根治术后568例患者生存分析[J].中华临床医师杂志,2013,7(22):9927-9930.
[7] 李红丽,赵海平,马莉.乳腺癌根治术术后化疗期患者情绪状况与生命质量的关系研究[J].中国医药导报,2013, 10(3):145-149.
[8] 李艳敏.乳腺癌患者围手术期护理及其影响因素研究[D]. 蚌埠:蚌埠医学院,2012.
[9] Engstrom PF,Arnoletti JP,Benson Iii AB,et al. Distress management. Clinical practice guidelines. [J]. J Natl Compr Canc Netw,2003,1(3):344-374.
[10] Quintard B,Constant A,Lakdja F,et al. Factors predicting sexual functioning in patients 3 months after surgical procedures for breast cancer:the role of the sense of coherence [J]. Eur J Oncol Nurs,2014,18(1):41-45.
[11] 陈静,刘均娥,苏娅丽,等.住院乳腺癌患者心理痛苦及其相关因素调查[J].护理管理杂志,2012,12(3):158-161.
[12] 刘雅,张欣文,李静,等.乳腺癌辅助化疗患者400例心理痛苦评估研究[J].中国妇幼健康研究,2016,27(5):581-583.
[13] 唐丽丽,张叶宁,张海伟,等.心理痛苦温度计的信度和效度研究及在中国癌症患者中的应用[C].中国癌症康复与姑息医学大会,2010.
[14] 陈燕,姬栋岩,葛世杰.近期化疗对乳腺癌患者心理痛苦和生活质量的影响[J].中国妇幼健康研究,2016,27(2):484-485.
[15] 李飞,杨扬,李文,等.乳腺癌患者化疗后的心理痛苦与其生活质量之间的关系分析[J].临床肿瘤学杂志,2016, 21(9): 814-817.
[16] Dabrowski M,Boucher K,Ward JH. Clinical experience with the NC-CN distress thermometer in breast cancer patients [J]. J Natl Compr Canc Netw,2007,5(1):104-111.
[17] 陈双琴.乳腺癌患者对疾病接纳过程的研究[D].北京:首都医科大学,2016.
[18] 肖灿华,王惠珍,王晓艳.乳腺癌术后患者的情绪及社会支持、应对方式对其的影响[J].南方护理学报,2005, 12(5):80-82.
[19] 苗露丹,赫英娟.心理护理干预对乳腺癌患者生活质量的影响研究[J].中国医药导报,2013,10(26):143-145.
[20] 曾和英,何建群,施勇.舒适护理对化疗期乳腺癌患者负性情绪和生命质量的干预效果研究[J].中国医药导报,2013,10(33):129-134. |
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