新型冠状病毒疫情期间不同治疗阶段肿瘤患者心理相关状态及原因研究

黄泽涵; 杜以恒; 宋雅婷; 姚磺; 杨盛力; 胡建莉

doi:10.16766/j.cnki.issn.1674-4152.002056

新型冠状病毒疫情期间不同治疗阶段肿瘤患者心理相关状态及原因研究

doi: 10.16766/j.cnki.issn.1674-4152.002056

1.
华中科技大学同济医学院护理学院，湖北武汉 430000
2.
华中科技大学同济医学院第一临床学院，湖北武汉 430000
3.
湖北省疾病预防控制中心，湖北武汉 430000
4.
华中科技大学同济医学院附属梨园医院急诊科，湖北武汉 430000
5.
华中科技大学同济医学院附属协和医院肿瘤中心，湖北武汉 430000

基金项目:

国家级高等学校大学生创新创业训练计划项目 202010487059

湖北省高等学校大学生创新创业训练计划项目 S202010487036

详细信息

通讯作者:
胡建莉，E-mail：jl5199@126.com

中图分类号: R730 R473.73
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出版历程
- 收稿日期: 2020-07-17
- 网络出版日期: 2022-02-16

Psychological correlation status and causes of tumour patients at different stages of treatment during the COVID-19 epidemic

1.
School of Nursing, Tongji Medical College of HUST, Wuhan, Hubei 430000, China

摘要

摘要: 目的探讨新型冠状病毒疫情期间早期诊断、治疗期间、后期康复、定期复查4个阶段肿瘤患者心理状态及相关原因。方法采用自行设计新型冠状病毒肺炎期间不同治疗阶段肿瘤患者的心理卫生调查问卷，通过互联网进行问卷发放，严格筛选填写规范的问卷进行整理、统计分析。结果不同阶段肿瘤患者在疫情中共性的问题是较多患者睡眠被不同程度的影响。早期诊断阶段患者在“担心疫情会影响手术”(72.22%)方面比其他阶段患者受影响更大；治疗期间患者因为病情处于较重状态，所以受疫情影响最大，“在疫情后，肿瘤对心理困扰的因素”(84.13%)、“是否会感到病情严重了”(75.93%)等方面受影响程度比其他阶段患者更大；后期康复阶段患者在“是否会感到病情严重了”(68.52%)方面影响程度较大；定期复查阶段患者受疫情影响的项目较少，但在“会推迟复查”(61.31%)方面受到影响。结论新冠疫情下，不同阶段肿瘤患者会在不同方面受到不同程度的影响，应针对不同阶段患者特点采取针对的干预方式。
- 新冠疫情 /
- 不同治疗阶段肿瘤患者 /
- 心理状态及原因
Abstract: Objective To investigate the psychological state and related causes of tumour patients in different treatment stages during the COVID-19 epidemic. Methods The mental health questionnaire of tumor patients in different stages of the COVID-19 epidemic was designed by self-designed questionnaire, and the questionnaire was distributed through the Internet. Meanwhile, a strict questionnaire was selected for sorting out and statistical analysis. Results The common problem of cancer patients at different stages of treatment during the epidemic was that the sleep quality of many patients was affected to different degrees. Patients in the early diagnosis stage were more affected than patients in other stages in "worrying that the epidemic situation will affect the operation" (72.22%). During the treatment period, patients were most affected by the epidemic situation because of their serious condition, "after the epidemic situation, the factors of tumor's psychological distress (84.13%)" and "whether they will feel serious (75.93%)" were more affected than patients in other stages. In the later stage of rehabilitation, patients had a greater impact on "whether they will feel serious" (68.52%). At the stage of regular review, patients were less affected by the epidemic, but were affected in the aspect of "delaying review" (61.31%). Conclusion During the COVID-19 epidemic, tumour patients at different stages of treatment will be affected to different degrees in different aspects (P < 0.05). Relevant interventions should be implemented according to the characteristics of patients at different stages.
- COVID-19 epidemic /
- Different stage tumour patients /
- Psychological state

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表 1 不同阶段肿瘤患者一般资料[例(%)]

项目	类别	早期诊断患者(n =18)	治疗期间患者(n =378)	后期康复患者(n =54)	定期复查患者(n=199)	χ²值	P值
性别	男	10(55.56)	157(41.53)	27(50.00)	78(39.20)	3.452	0.327
性别	女	8(44.44)	221(58.47)	27(50.00)	121(60.80)
年龄	18岁以下	0(0)	4(1.06)	1(1.85)	0(0)	6.129	0.409
	18~60岁	13(72.22)	297(77.51)	36(66.67)	152(76.38)
	60岁以上	5(27.78)	81(21.43)	17(31.48)	47(23.62)
婚姻状况	未婚	4(22.23)	50(13.23)	7(10.97)	26(12.08)	1.245	0.742
婚姻状况	已婚	14(77.78)	328(86.77)	47(87.04)	173(86.93)
文化程度	小学及以下	3(16.67)	72(19.05)	9(16.67)	19(9.55)	8.922	0.444
	中学或专科	10(55.56)	184(48.68)	25(46.3)	111(55.78)
	大学及以上	5(27.78)	122(32.27)	20(37.04)	69(34.68)
家中或在医院	家中	7(38.89)	159(42.06)	37(68.52)	183(91.96)	139.671	< 0.001
家中或在医院	医院	11(61.11)	219(57.94)	17(31.48)	16(8.04)

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表 2 不同阶段肿瘤患者睡眠状况[例(%)]

项目	类别	早期诊断患者(n=18)	治疗期间患者(n=378)	后期康复患者(n=54)	定期复查患者(n=199)	χ²值	P值
入睡困难	无	7(38.89)	130(34.39)	18(33.33)	85(42.71)	4.230	0.238
入睡困难		不同程度影响	11(61.11)	248(65.61)	36(66.67)	114(57.29)
睡眠较大程度影响了生活	无	7(38.89)	141(37.30)	22(40.74)	96(48.24)	6.486	0.090
睡眠较大程度影响了生活		不同程度影响	11(61.11)	237(62.70)	32(59.26)	103(51.76)
对目前睡眠问题困扰程度	无	8(44.44)	148(39.15)	19(35.19)	95(47.74)	4.993	0.172
对目前睡眠问题困扰程度		不同程度影响	10(55.56)	230(60.85)	35(64.81)	104(52.26)

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表 3 疫情对不同阶段患者心理相关状态的影响[例%]

项目	类别	早期诊断患者(n =18)	治疗期间患者(n =378)	后期康复患者(n =54)	定期复查患者(n =199)	χ ²值	P值	各阶段患者被影响人数比例
疫情前，肿瘤对心理困扰的因素	无	5(27.78)	73(19.31)	10(18.52)	81(40.70)	32.716	< 0.001	③ > ② > ① > ④
疫情前，肿瘤对心理困扰的因素	不同程度影响	13(72.22)	305(80.69)	44(81.48)	118(59.30)
疫情后，肿瘤对心理困扰的因素	无	4 (22.22)	60(15.87)	10(18.52)	69(34.67)	27.247	< 0.001	② > ③ > ① > ④
疫情后，肿瘤对心理困扰的因素	不同程度影响	14(77.78)	318(84.13)	44(81.48)	130(65.33)
是否会感到病情严重了	无	7(38.89)	91(24.07)	17(31.48)	94(47.24)	32.901	< 0.001	② > ③ > ① > ④
是否会感到病情严重了	不同程度影响	11(61.11)	287(75.93)	37(68.52)	105(52.76)
面对封闭式医院管理感到紧张	无	6 (33.33)	134(35.45)	23(42.59)	114(57.29)	26.075	< 0.001	① > ② > ③ > ④
面对封闭式医院管理感到紧张	不同程度影响	12(66.67)	244(64.55)	31(57.41)	85 (42.71)
担心疫情会影响手术	无	5(27.78)	197(52.12)	31(57.41)	150(75.38)	36.782	< 0.001	① > ② > ③ > ④
担心疫情会影响手术	不同程度影响	13(72.22)	181(47.88)	23(42.59)	49 (24.62)
会推迟复查	无	12(66.67)	154(40.74)	20(37.04)	77(38.69)	5.661	0.129
会推迟复查	不同程度影响	6 (33.33)	224(59.26)	34(62.96)	122(61.31)
会推迟放疗、化疗等治疗	无	13(72.22)	155(41.01)	33(61.11)	152(76.38)	69.386	< 0.001	② > ③ > ① > ④
会推迟放疗、化疗等治疗	不同程度影响	5(27.78)	223(58.99)	21(38.89)	47(23.62)
疫情期间获取药物较难	无	11(61.11)	169(44.71)	29(53.70)	128(64.32)	20.812	< 0.001	② > ③ > ① > ④
疫情期间获取药物较难	不同程度影响	7(38.89)	209(55.29)	25(46.30)	71(35.68)
注: 各阶段患者被影响人数比例中, ①代表早期诊断患者②代表治疗期间患者，③代表后期康复患者，④代表定期康复患者，根据对不同阶段患者"不同程度影响"项的占比来排序。

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