Objective: To discuss the application of distress thermometer (DT) on psychological pain in primary hospital patients with prostatic cancer (Pca) and prostatitis; and to analyze the present status and related factors of psychological pain in these patients. Methods: Questionnaire survey of DT and related problem lists were carried out in 168 patients with Pca and 226 patients with prostatitis. The data were input to EXCEL and analyzed with SPSS 18.0. The statistical description was used to analyze the graded of psychological pain. Square test and Logistic regression were used to analyze influence factors of significant psychological distress. Pearson correlation analysis was used to assess the correlation between psychological distress and related problems. Results: Psychological pain score of Pca patients and prostatitis patients were 3.42 ± 1.86 and 3.02 ± 1.75, respectively. Moderate to severe degree of pain accounted for 69.6% in Pca patients, compared to 49.1% in prostatitis patients. In Pca and prostatitis patients, marital status, age, educational backgrounds and income were associated. Physical and emotional problems were the top two items having the highest score. Psychological distress score was positively correlated with physical problems, emotional problems, practical problems and communication problems in both Pcar and prostatitis patients. Conclusion: The Distress Thermometer can be used to assess the severity and explore the causes of psychological distress in Pca patients and prostatitis patients. Our study could help detecting the degree and reason of psychological distress, and provide evidence for the possibility of future personalized intervention to treat medical mental problems in primary hospital.
References
[1]
Akizuki, N., Akechi, T., Nakanishi, T., et al. (2003) Development of a Brief Screening Interview for Adjustment Disorders and Major Depression in Patients with Cancer. Cancer, 97, 2605-2613. https://doi.org/10.1002/cncr.11358
[2]
Holland, J.C., Andersen, B., Breitbart, W.S., et al. (2010) NCCN Clinical Practice Guidelines in Oncology, Distress Management. Journal of the National Comprehensive Cancer Network, 8, 448-485. https://doi.org/10.6004/jnccn.2010.0034
[3]
Jacobsen, P.B. and Ransom, S. (2007) Implementation of NCCN Distress Management Guidelines by Member Institutions. Journal of the National Comprehensive Cancer Network, 5, 99-103. https://doi.org/10.6004/jnccn.2007.0010
[4]
Snowden, A., White, C.A., Christie, Z., et al. (2011) The Clinical Utility of the Distress Thermometer: A Review. British Journal of Nursing, 20, 220-227.
https://doi.org/10.12968/bjon.2011.20.4.220
[5]
Holland, J.C., Andersen, B., William, S., et al. (2013) Distress Management. Journal of the National Comprehensive Cancer Network, 11, 190-209.
https://doi.org/10.6004/jnccn.2013.0027
[6]
Goebel, S. and Mehdorn, H.M. (2011) Measurement of Psychological Distress in Patients with Intracranial Tumours: The NCCN Distress Thermometer. Journal of Neuro-Oncology, 104, 357-364. https://doi.org/10.1007/s11060-010-0501-5
[7]
Lynch, J., Goodhart, F., Saunders, Y., et al. (2011) Screening for Psychological Distress in Patients with Lung Cancer: Results of a Clinical Audit Evaluating the Use of the Patient Distress Thermometer. Support Care Cancer, 19, 193-202.
https://doi.org/10.1007/s00520-009-0799-8
[8]
Tang, L.L., Zhang, Y.N., Pang, Y., et al. (2011) Validation and Reliability of Distress Thermometer in Chinese Cancer Patients. Chinese Journal of Cancer Research, 23, 54-58. https://doi.org/10.1007/s11670-011-0054-y
[9]
Krieger, J.N., Riley, D.E., Cheah, P.Y., et al. (2003) Epidemiology of Prostatitis: New Evidence for a World-Wide Problem. World Journal of Urology, 2, 70-74.
[10]
Wu, L., Liang, C., Tang, Z., et al. (2006) Analysis of Psychological Stress in 1426 Chronic Prostatitis Patients. Chinese Journal of Urology, 27, 512-515.
[11]
Zhang, Y., Zhang, H., Song, L., et al. (2010) Application of the NCCN Distress Thermometer in Chinese Cancer Patients. Chinese Mental Health Journal, 24, 897-902.
[12]
Yan, L., Xu, Z., Li, X., et al. (2012) Study of Application of Distress Thermometer in Malignant Cancer Patients. Chinese Journal of Nursing, 27, 73-75.
[13]
Mertz, B.G., Bistrup, P.E., Johansen, C., et al. (2011) Psychological Distress among Women with Newly Diagnosed Breast Cancer. European Journal of Oncology Nursing, 16, 439-443. https://doi.org/10.1016/j.ejon.2011.10.001
[14]
Zabora, J., Brintzenhofeszoc, K., Curbow, B., et al. (2001) The Prevalence of Psychological Distress by Cancer Site. Psychooncology, 10, 19-28.
https://doi.org/10.1002/1099-1611(200101/02)10:1<19::AID-PON501>3.0.CO;2-6
[15]
Carlson, L.E., Angen, M., Cullum, J., et al. (2004) High Levels of Untreated Distress and Fatigue in Cancer Patients. British Journal of Cancer, 90, 2297-2304.
https://doi.org/10.1038/sj.bjc.6601887
[16]
Krok, J.L., Baker, T.A., McMillan, S.C., et al. (2013) Age Differences in the Presence of Pain and Psychological Distress in Younger and Older Cancer Patients. Journal Of Hospice & Palliative Nursing, 15, 107-113.
https://doi.org/10.1097/NJH.0b013e31826bfb63
[17]
Caron, J. and Liu, A. (2011) Factors Associated with Psychological Distress in the Canadian Population: A Comparison of Low-Income and Non Low-Income Sub-Groups. Community Mental Health Journal, 47, 318-330.
https://doi.org/10.1007/s10597-010-9306-4