瘤患者的抑郁和痛苦查:描述性的分析
Chelsey R Ali1, Alexander M Litvintchouk1, Patrick Moeller1
1College of Population Health, Thomas Jefferson University, Philadelphia, PA.
概括
癌症患者经常经历痛苦 (42.5%) 和抑郁 (5.6%). 应急查可能会在瘤学环境中比抑郁查更多地识别心理社会需求.
科学领域:
- 在瘤学瘤学.
- 心理社会瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在癌症患者中,心理困扰和抑郁是常见的.
- 有效的选工具对于识别和解决这些需求至关重要.
- 国家综合癌症网络 (NCCN) 应急温度计和患者健康问卷 (PHQ-2/9) 是常用的.
研究的目的:
- 描述接受抑郁症和痛苦查的癌症患者的特征.
- 评估与抑郁症和痛苦查结果相关的因素.
- 为了比较抑郁症和痛苦查工具在瘤学环境中的实用性.
主要方法:
- 悉尼金梅尔癌症中心成年癌症患者的回顾性电子病历审查 (2021年1月 - 2022年6月).
- 使用PHQ-2/9进行抑郁查和NCCN应急温度计进行应急查.
- 描述性统计和二元物流回归分析了人口统计,临床因素和查结果.
主要成果:
- 1954名患者进行了查;5.6%的查结果为抑郁症阳性,42.5%为痛苦.
- 老年人 (>65) 和男性不太可能对痛苦和/或抑郁症呈阳性查.
- 非洲裔美国患者显著更有可能对痛苦和抑郁症呈阳性查 (OR:2.58).
结论:
- 在癌症患者中,苦难查发现了比抑郁症查更高的社会心理问题比例.
- 年龄,性别和种族与抑郁症和痛苦查结果有显著的关联.
- 需要有效的查策略,以满足不同癌症患者群体的心理社会需求.
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