[an error occurred while processing this directive] | [an error occurred while processing this directive]
Assessment of anxiety and analysis risk factors in 646 patients receiving radiotherapy and their relatives
Sun Xiansong, Yang Zhiwei, Shen Jing, Miao Zheng, Zhang Yu, Yu Lang, Hu Ke, Qiu Jie, Zhang Fuquan
Department of Radiation Oncology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100730,China
AbstractObjective To evaluate the anxiety and explore relevant risk factors in patients receiving radiotherapy and their relatives,aiming to provide evidence for improving the quality of life. Methods Before radiotherapy,the self-rating anxiety scale (SAS) was utilized to evaluate the anxiety of patients and their relatives. The incidence rate of anxiety was analyzed under the influence from different risk factors. Results A total of 646 participants (463 patients and 183 relatives) were included in this study. The average SAS scores of all participants,patients and family relatives were 41.52±10.08,41.02±1 9.37 and 42.79±11.56,significantly higher than 37.23±12.58 for the healthy population in China (P=0.000.0.000,0.000).For patients aged 11-30,31-50 and 51-90 years,the incidence rate of anxiety was 26%(7/26),11.0%(20/182) and 19.1%(47/246),respectively (P=0.026).The incidence rate of anxiety for patients with and without tumor recurrence was 27%(13/48) and 15.4%(64/415)(P=0.040).Seventeen of 63 patients (27%) with metastases experienced anxiety,whereas 60 of 396 patients (15.2%) without metastases suffered from anxiety (P=0.020).The incidence rate of anxiety in patients with three or more chronic diseases was 26%(19/74),significantly higher compared with 15.0%(58/387) in those with less comorbidities (P=0.024).Multivariate binary logistic regression analysis demonstrated that three or more chronic diseases or serious diseases were high risk factors of anxiety (OR=1.92,95%CI:1.03-3.567). Conclusions Patients who receive radiotherapy and their relatives are prone to anxiety. Young age,tumor recurrence or metastasis and ≥ three comorbidities or severe diseases are the high risk factors of anxiety. It is necessary to evaluate the anxiety of patients and their family relatives before radiotherapy and deliver psychological counseling
Sun Xiansong,Yang Zhiwei,Shen Jing et al. Assessment of anxiety and analysis risk factors in 646 patients receiving radiotherapy and their relatives[J]. Chinese Journal of Radiation Oncology, 2018, 27(9): 822-824.
Sun Xiansong,Yang Zhiwei,Shen Jing et al. Assessment of anxiety and analysis risk factors in 646 patients receiving radiotherapy and their relatives[J]. Chinese Journal of Radiation Oncology, 2018, 27(9): 822-824.
[1] 汪向东.心理卫生评定量表手册[J].中国心理卫生杂志,1993(增刊):202. Wang XD.Mental health rating scale Handbook[J].Chin J Mental Health,1993(Suppl):202. [2] 李君,李映兰,谢咏湘.恶性肿瘤患者抑郁焦虑状态临床调查分析[J].中国医师杂志,2009,11(7):1003-1005.DOI:10.3760/cma.j.issn.1008-1372.2009.07.060. Li J,Li YL,Xie YX.Clinical investigation and analysis of depression and anxiety in patients with malignant tumor[J]. Chin J Phys,2009,11(7):1003-1005.DOI:10.3760/cma.jissn.1008-1372.2009.07.060. [3] Mullaney T,Olausson K,Sharp L,et al. The influence of a department`s psychosocial climate and treatment environment on cancer patients` anxiety during radiotherapy[J].Eur J Oncol Nurs,2016,20(2):113-118.DOI:10.1016/j.ejon.2015.06.009. [4] 柯纪定,刘海峰,严培灵,等.肿瘤患者家属焦虑和抑郁状态调查[J].中国公共卫生,2007,23(8):941-943.DOI:10.3321/ j.issn:1001-0580.2007.08.042. Ke JD,Liu HM,Yan PL,et al. Investigation of anxiety and depression in family members of cancer patients[J].China Public Health,2007,23(8):941-943.DOI:10.3321/ j.issnw 1001-0580.2007.08.042. [5] Jadoon NA,Munir W,Shahzad MA,et al. Assessment of depression and anxiety in adult cancer outpatients:a cross-sectional study[J].BMC Cancer,2010,10:594.DOI:10.1186/1471-2407-10-594. [6] Arino C,Stadelmaier N,Dupin C,et al. Thermoplastic mask in radiotherapy:asource of anxiety for the patient?[J].Cancer Radiother,2014,18(8):753-756.DOI:10.1016/j.canrad.2014.09.007. [7] Guo Z,Tang HY,Li H,et al. The benefits of psychosocial interventions for cancer patients undergoing radiotherapy[J].Health Quality Life Outcomes,2013,11(1):121.DOI:10.1186/1477-7525-11-121.
2018, Vol. 27 
