Evaluation of early postoperative psychological pain in patients with esophageal cancer and analysis on its influential factors
10.3760/cma.j.cn341190-20210420-00485
- VernacularTitle:食管癌患者术后早期心理痛苦评估及其影响因素分析
- Author:
Zhipan HONG
1
;
Ruonan FU
;
Wenqiang YAN
;
Ling CHANG
;
Xuezhi WANG
Author Information
1. 赤峰市医院肿瘤外科,赤峰 024000
- Keywords:
Esophageal neoplasms;
Postoperative period;
Stress,psychological;
Surveys and questionnaires;
Root cause analysis;
Psychotherapy,rational-emotive;
Rehabilit
- From:
Chinese Journal of Primary Medicine and Pharmacy
2022;29(8):1156-1162
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate early postoperative psychological pain in patients with esophageal cancer and analyze its influential factors, providing evidence for developing accurate psychological management plan during the perioperative period of esophageal cancer.Methods:A cross-sectional study was conducted on the demographic data, disease data, and psychological pain screening management tool (Distress Management Screening Measurement of patients with esophageal cancer who received treatment in Chifeng Municipal Hospital between January 2019 and January 2021 with a self-designed general data questionnaire.Results:The average score of the distress thermometer was 4.5 ± 0.8 points among the 106 patients with esophageal cancer in the early postoperative stage. DT score was < 4 points in 40 patients (37.7%) and it was ≥ 4 points in 66 patients (62.3%). Univariate analysis revealed that in the general data questionnaire, education level, hospital expense, smoking history, and operation methods were the influential factors of early postoperative esophageal cancer ( χ2 = 7.87, 9.56, 12.65, 7.03, all P < 0.05). In the list of psychological pain-related problems, fatigue, depression, pain, sleep, breathing, eating, and child care were the influential factors of early postoperative physiological pain in patients with esophageal cancer ( χ2 = 48.18, 64.19, 42.17, 27.14, 36.13, 35.01, 8.01, all P < 0.05). Multivariate regression analysis showed that in the general data questionnaire, education level, hospital expense, smoking history, and operation methods were the influential factors of early postoperative esophageal cancer ( χ2 = 14.71, 8.31, 13.56, 6.47, all P < 0.05). In the list of psychological pain-related problems, fatigue, depression, pain, breathing, and eating were the influential factors of early postoperative physiological pain in patients with esophageal cancer ( χ2 = 5.45, 3.91, 4.89, 3.96, 4.00, all P < 0.05). Conclusion:The incidence of early postoperative psychological pain is high in patients with esophageal cancer. The main influential factor of psychological factors are physical problems, while the influential factors emotional problems, education level, hospital expense, smoking history, and operation methods cannot be ignored.
