Influential factors of psychological state and their correlation with nutritional risk in patients undergoing thoracic tumor radiotherapy
10.3760/cma.j.issn.1008-6706.2022.04.014
- VernacularTitle:胸部肿瘤放疗患者心理状态影响因素及与营养风险的相关性评估
- Author:
Xiaoying SHEN
1
;
Xi YANG
;
Yuyan GU
;
Fang NIU
;
Lanying QIU
;
Shuping XIE
Author Information
1. 中国科学院大学附属肿瘤医院 浙江省肿瘤医院胸部放疗科，杭州 310022
- Keywords:
Thoracic neoplasms;
Radiotherapy;
Stress;
Psychological;
Anxiety;
Depression;
Nutrition assessment;
Risk Assessment;
Factor analysis
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(4):538-543
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prevalence of anxiety and depression in patients undergoing thoracic tumor radiotherapy, preliminarily evaluate the nutritional risk of patients, and analyze the possible influential factors of anxiety and depression and their correlation with nutritional risk, providing a theoretical basis for further formulating a personalized psychological nursing plan for patients undergoing thoracic tumor radiotherapy.Methods:A total of 121 patients who underwent thoracic tumor radiotherapy between April 2019 and March 2020 in Cancer Hospital of The University of Chinese Academy of Sciences were selected for this study. We evaluated patients' psychological statuses using the Hospital Anxiety and Depression Scale and patients' nutritional risk using the Nutrition Risk Screening. We performed univariate analysis, unconditional logistic regression analysis, and contingency analysis to analyze the factors that affected the psychological status of patients undergoing thoracic tumor radiotherapy and correlate patients' psychological status with nutritional risk.Results:Among 121 patients, 99 (81.8%) patients undergoing thoracic tumor radiotherapy would develop or had developed anxiety, and 42 (34.7%) patients were at the boundary of depression or had depression. Correlation analysis revealed that nutritional risk was correlated with the prevalence of anxiety and depression. Logistic regression analysis showed that surgery, first radiotherapy, and nutritional risk were the factors that affected the prevalence of anxiety. Marital status, location of tumors, surgery, first radiotherapy, and nutritional risk affected the prevalence of depression.Conclusion:Patients undergoing thoracic tumor radiotherapy have serious psychological problems. Nutritional risk is positively correlated with the prevalence of anxiety and depression. Surgery and first radiotherapy are the factors that affect the prevalence of anxiety and depression.
