Bellè Marta, Muzzatti Barbara, Tomas Maddalena, Gherlinzoni Filippo
Service of Hospital Psychology, Cà Foncello Hospital, Treviso - Italy.
Department of Medical and Biological Sciences, University of Udine, Treviso - Italy.
Tumori. 2016 Mar-Apr;102(2):178-83. doi: 10.5301/tj.5000440. Epub 2015 Oct 5.
The screening of psychological distress is a milestone in psycho-oncology. The National Comprehensive Cancer Network has established clinical guidelines for detecting and managing it and the Distress Thermometer (DT) was the recommended tool for the screening. Although its utility for oncologic patients has been reported frequently in the literature, less is known about hematologic patients. The present study involves a sample of onco-hematologic adult patients.
In the current study, we proposed the Distress Thermometer and the Problem List in a sample of hematologic inpatients at Ca' Foncello Hospital, Treviso, Italy. We evaluated 102 patients, 61% male and 39% female, median age 59 years (range 18-78). Enrolled patients had acute leukemia (31%), multiple myeloma (31%), or lymphoma (31%).
A total of 41.6% of the patients presented psychological distress, and the DT score was associated with neither sex nor diagnosis. The psychological distress was mild in 21.8%, moderate in 13.8%, and severe in 12.9% of the patients.
Our results were consistent with previous results regarding the validation process of DT in a large sample of Italian cancer patients.
心理困扰筛查是心理肿瘤学中的一个里程碑。美国国立综合癌症网络已制定了检测和管理心理困扰的临床指南，而苦恼温度计（DT）是推荐的筛查工具。尽管其在肿瘤患者中的效用在文献中已有频繁报道，但对于血液学患者的了解较少。本研究涉及一组成年血液肿瘤患者样本。
在本研究中，我们在意大利特雷维索的卡方切洛医院的血液学住院患者样本中使用了苦恼温度计和问题清单。我们评估了102名患者，其中61%为男性，39%为女性，中位年龄59岁（范围18 - 78岁）。入组患者患有急性白血病（31%）、多发性骨髓瘤（31%）或淋巴瘤（31%）。
共有41.6%的患者存在心理困扰，DT评分与性别和诊断均无关。21.8%的患者心理困扰为轻度，13.8%为中度，12.9%为重度。
我们的结果与之前在大量意大利癌症患者样本中对DT验证过程的结果一致。
