Study Of Psychological Distress Degree And Relative Influencing Factors Of Cancer Patient Intervened With Cancer Care Quality

ObjectiveMalignant tumor is one of the major problems of public health worldwide. Human health was jeopardized greatly with effect on the body and psychological distress. Cancer related psychological distress had seriously adverse impact impact on quality of life, treatment compliance and degree of satisfaction. Psychological distress of cancer patient was often omitted by medical workers in china. Treatment of disease was always the major focus. The aim of this study is to improve the attention and capacity of medical workers, to build the thorough psychological distress screening and referral system, to make the psychotherapy to be important element of the tumor treatment, to improve quality of life for cancer patient.MethodsAccording to hospital course of cancer patient in Taian city, half a year period as time interval,3medical oncology departments of serious disease designated medical institution for cancer in Taian city was chosen.270patients suffering from8kinds of cancer accepted standard treatment was recruited. Inventory survey was employed in this study. Data was collected by distress mangement screening measure, satisfaction scale for cancer care and patients basic information form. The questionnaire data was analyzed descriptively by SPSS18.0for single factor analysis and multi-factor Logistic regression analysis.Results1Psychological distress average scores before therapy was4.50±1.988. Psychological distress average scores after therapy was3.00±1.514. There were significant statistical differences between pretherapy and post-treatment.2There were statistical differences in psychological distress between pretherapy and post-treatment for different types of diseases, different clinical hospital, mostly demographic characteristics and psychological distress relative factor problem list.33of the most commom questions before therapy were economy, worry and feeding by PL analysis.3of the most commom questions post therapy were fatigue, economy and worry by PL analysis.4Serious psychological distress accounted for66.30%before hospitalization, and34.07%after treatment.There were statistical differences between pretherapy and post-treatment.5In the PL analysis, there were some risk factors greatly affecting psychological distress containing work/education, sleep, bathing/wearing, mycteroxerosis/hyperemia, pain and limited physical activity before hospitalization. After treatment, the risk factors were economic problems, getting along with children/elderly, nausea and limited physical activity.6the results of the average total score of satisfaction on cancer care were C hospital>A hospital>B hospital. There were significant statistical differences between these institutions.Conclusions1Cacer patients had varying degrees of psychological distress. It played a significant impact on family, economy and society. It should be paid more attention to psychological problem. 2psychological distress should be as the conventional vital signs for cancer patients during hospitalization. Dynamic evaluation was performed to provide the evidence for the diagnosis and treatment of patients.3The health administrative departments of top and other levels should build the thorough psychological distress screening and referral system. To make it to be the necessary component in clinical application.4Medical institutions should evaluate the degree of satisfaction of cancer patient, understanding their medical demand, improving medical service quality and the quality of care, then to promote satisfaction of patients for medical institutions.