Hahn Changtae, Joo Soo-Hyun, Chae Jeong-Ho, Lee Chang-Uk, Kim Tae-Suk
Department of Psychiatry, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Deajeon, Republic of Korea.
Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Psychiatry Investig. 2017 Nov;14(6):734-745. doi: 10.4306/pi.2017.14.6.734. Epub 2017 Nov 7.
Although the diagnosis and treatment of cancer is associated with psychosocial distress, routine distress screening is difficult in hospitalized oncology settings. We developed a consecutive screening program for psychosocial distress to promote psychiatric treatment of cancer patients and evaluated the feasibility of our program by Distress Thermometer (DT) and Hospital Anxiety and Depression Scale (HADS).
Among 777 cancer inpatients recruited from the Catholic Comprehensive Institute of Seoul St. Mary's Hospital, 499 agreed to complete primary distress screening through DT. We conducted secondary distress screening through HADS in 229 patients who had high scores of DT.
Of the 499 participants, 270 patients with low scores of DT were included in the distress education program. 229 patients with high scores of DT received secondary distress screening through HADS. Among 115 patients with low scores of HADS, 111 patients received distress management. Among 114 patients with high scores in the secondary distress screening, 38 patients received psychiatric consultation service whereas 76 patients refused psychiatric consultation.
Using consecutive screening for psychosocial distress appeared to be feasible in an inpatient oncology setting. Nevertheless, the low participation rate of psychiatric consultation service in cancer patients with high distress level should be improved.
尽管癌症的诊断和治疗与心理社会困扰相关，但在住院肿瘤患者中进行常规困扰筛查存在困难。我们制定了一项针对心理社会困扰的连续筛查计划，以促进癌症患者的精神科治疗，并通过苦恼温度计（DT）和医院焦虑抑郁量表（HADS）评估了该计划的可行性。
在从首尔圣母医院天主教综合研究所招募的777名癌症住院患者中，499名同意通过DT完成初步困扰筛查。我们对DT得分高的229名患者通过HADS进行了二次困扰筛查。
在499名参与者中，270名DT得分低的患者被纳入困扰教育计划。229名DT得分高的患者通过HADS接受了二次困扰筛查。在115名HADS得分低的患者中，111名患者接受了困扰管理。在二次困扰筛查中得分高的114名患者中，38名患者接受了精神科咨询服务，而76名患者拒绝了精神科咨询。
在住院肿瘤患者中，采用连续筛查心理社会困扰似乎是可行的。然而，高困扰水平的癌症患者精神科咨询服务的低参与率有待提高。
