Department of Oral and Maxillofacial Surgery, (Head: Prof. Dr. Dr. F. W. Hölzle), RWTH Aachen University, Pauwelstr 30, 52054, Aachen, Germany.
Department of Hematology, Oncology, Hemostaseology and Stem Cell Transplantation, Section Psychooncology, Euregionales Comprehensive Cancer Center, RWTH Aachen University, Pauwelstr 30, 52054, Aachen, Germany.
J Craniomaxillofac Surg. 2018 Jul;46(7):1111-1116. doi: 10.1016/j.jcms.2018.04.022. Epub 2018 May 9.
In this study, we evaluate the association between distress, various demographic and medical variables, and the prevalence of psychosocial distress in preoperative patients with oral squamous cell carcinoma. A total of 100 consecutive patients were recruited into the study and asked to complete the Distress Thermometer (DT) form with the Problem List questionnaire prior to surgical intervention; the average distress score was 5.7 ± 2.7. The distress score was neither correlated with age (r = -0.025; p = 0.804) nor with tumor size (r = 0.028; p = 0.785). General worries, anxiety, sadness, depression, pain, exhaustion, sleeping disorders, or problems with nutrition resulted in significantly higher distress scores compared to patients without these complaints. Individuals with a DT score of 5 or higher (p = 0.006) were advised to seek out psychological support. There is a strong correlation between a high DT score and emotional disorders, as well as physical problems.
在这项研究中，我们评估了术前口腔鳞状细胞癌患者的痛苦、各种人口统计学和医学变量与心理社会痛苦发生率之间的关系。共招募了 100 名连续患者，要求他们在手术干预前完成痛苦温度计（DT）表格和问题清单问卷；平均痛苦评分 5.7±2.7。痛苦评分与年龄（r=-0.025；p=0.804）或肿瘤大小（r=0.028；p=0.785）均无相关性。与没有这些抱怨的患者相比，一般担忧、焦虑、悲伤、抑郁、疼痛、疲惫、睡眠障碍或营养问题导致的痛苦评分明显更高。DT 评分在 5 分或更高（p=0.006）的患者被建议寻求心理支持。高 DT 评分与情绪障碍和身体问题之间存在很强的相关性。
