Dabrowski Michele, Boucher Kenneth, Ward John H, Lovell Margaret M, Sandre Angela, Bloch Janet, Carlquist Lynne, Porter Monica, Norman Larry, Buys Saundra S
University Hospital Behavioral Health Department, Huntsman Cancer Hospital Patient, Family Support Services, 2000 Circle of Hope, Salt Lake city, UT 84112, USA.
J Natl Compr Canc Netw. 2007 Jan;5(1):104-11. doi: 10.6004/jnccn.2007.0011.
A study was conducted to describe our group's experience using the NCCN Distress Thermometer in an outpatient breast cancer clinic. The NCCN Distress Thermometer was administered to patients attending the breast cancer clinic at Huntsman Cancer Institute during a 4-month period. Effects of disease, treatment, and demographic variables on distress level were analyzed. Patients reporting high distress were contacted by a social worker to determine the cause of the distress. Two hundred and eighty-six (286) subjects completed 403 questionnaires, with 96 patients (34%) reporting high levels of distress (5 or greater on a 10-point scale). No relationship was seen between high distress and stage of disease, type of current treatment, time since diagnosis, age, or other demographic factors. Underlying mental health disorders were associated with a higher level of distress. The Distress Thermometer was a useful method to screen, triage, and prioritize patient interventions. In our experience, the tool promoted communication between the patient and the health care team, which enhanced treating psychosocial and physical symptoms. Methods to optimize the use of this screen are proposed.
开展了一项研究，以描述我们团队在门诊乳腺癌诊所使用美国国立综合癌症网络（NCCN）苦恼温度计的经验。在4个月的时间里，对就诊于亨茨曼癌症研究所乳腺癌诊所的患者使用了NCCN苦恼温度计。分析了疾病、治疗和人口统计学变量对苦恼程度的影响。由一名社会工作者联系报告有高度苦恼的患者，以确定苦恼的原因。286名受试者完成了403份问卷，其中96名患者（34%）报告有高度苦恼（在10分制量表上得分为5分或更高）。未发现高度苦恼与疾病分期、当前治疗类型、确诊后的时间、年龄或其他人口统计学因素之间存在关联。潜在的心理健康障碍与更高水平的苦恼相关。苦恼温度计是一种用于筛查、分诊和确定患者干预优先级的有用方法。根据我们的经验，该工具促进了患者与医疗团队之间的沟通，从而有助于治疗心理社会症状和身体症状。本文提出了优化该筛查工具使用的方法。
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