住院癌症病人之情緒篩檢

Screening for Emotional Distress Among Inpatients With Cancer

王興豪(Sing-Hao Wang) ； 洪宜翔(Yi-Hsiang Hung) ； 范聖育(Sheng-Yu Fan)

《臨床心理學刊》 13卷1/2期 (2019/12) Pp. 25-38

https://doi.org/10.6550/ACP.201912_13(1_2).0003

摘要

目的：癌症病人會因為疾病或是治療而有情緒困擾。本研究欲探索：（1）困擾溫度計（Distress Thermometer, DT）的切分點；（2）住院癌症病人情緒困擾的比例；以及（3）情緒困擾的相關風險因子。方法：橫斷式研究，使用回溯性資料庫進行資料收集，共納入1,716位癌症病人。包括DT、簡式健康量表（Brief Symptom Rating Scale-5, BSRS-5）、人口學與疾病特性變項。以BSRS-5中度以上作為切分點，使用接收者操作特徵（receiver operating characteristic, ROC）曲線分析DT的最佳切分點；並使用邏輯式迴歸探索顯著的風險因子。結果：DT的最佳切分點為6分。DT與BSRS-5達情緒困擾的比例為29.89%與30.53%。有9.03%病人有自殺意念。顯著的風險因子有女性、自殺意念；頭頸部癌症與大腸直腸癌的風險較其他癌症低，與診斷無分期的病人風險較第四期低。結論：約三成的住院癌症病人有情緒困擾，需要進一步轉介與接受心理照護。

關鍵字

簡式健康量表 ； 癌症 ； 困擾溫度計 ； 情緒困擾 ； 篩檢

並列摘要

Objective: Patients with cancer have emotional distress because of cancer or cancer treatments. The aims of this study were to explore: (1) the cutoff point of Distress Thermometer (DT); (2) the prevalence of emotional distress among inpatients with cancer; and (3) the risk factors of emotional distress. Methods: A retrospective cross-sectional study was conducted (n = 1,716), and data collection from chart review included DT, Brief Symptom Rating Scale-5 (BSRS-5), and demographic and disease characteristics. The moderate and severe emotional distress was taken as the golden standard, and receiver operating characteristic (ROC) curve was used to identify the best cutoff point of DT. Logistic regression was used to identify the significant risk factors. Results: The cutoff of DT was 6. The prevalence of emotional distress were 29.89% and 30.53% in DT and BSRS-5 respectively, and 9.03% had suicidal ideation. The significant risk factors included female and suicidal ideation. In addition, patients with head and neck cancer and colorectal cancer had lower risk than those with other cancer, and patients with non-stage cancer had lower risk than those in stage IV. Conclusion: Around 30% of inpatients with cancer had emotional distress and they needed further referral and psychological care.

並列關鍵字

Brief Symptom Rating Scale-5 ； cancer ； Distress Thermometer ； emotional distress ； screening

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