School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China.
Department of Psychiatry and Psychology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Eur J Cancer Care (Engl). 2019 Jul;28(4):e13032. doi: 10.1111/ecc.13032. Epub 2019 Mar 11.
To evaluate the psychometric properties of a modified Chinese version of the Symptom Distress Scale (SDS), to explore symptom distress and its association with mood disturbance and factors that related to levels of symptom distress and mood disturbance.
A cross-sectional, correlation design was adopted. A convenience sample of 190 nasopharyngeal carcinoma (NPC) patients was recruited from a Cancer Center in Guangzhou, China, with 169 patients completing the study.
The psychometric properties of the modified SDS were satisfactory (Cronbach's α = 0.80) with test-retest reliability (correlation coefficient = 0.71). Education, marital status, disease stage and SDS scores were significant influencing factors of mood disturbance. The overall symptom distress level of NPC patients was higher than that of other cancer groups, with dry mouth being the most distressing symptom. Symptom distress level was influenced by age, marital status, disease stage, treatment modality and number of radiotherapy (RT) sessions.
More pain and symptom management care should be focused on patients who are older, single or divorced patients, those with late-stage disease, and those subjected to multimodality therapy. Symptom distress was the most significant influencing factor of NPC patients' mood status.
评价症状困扰量表（SDS）中文版的心理计量学特性，探讨症状困扰及其与情绪障碍的关系，并分析与症状困扰和情绪障碍水平相关的因素。
采用横断面相关性设计，便利选取广州某肿瘤中心的 190 例鼻咽癌（NPC）患者，其中 169 例完成研究。
改良 SDS 的心理计量学特性良好（Cronbach's α=0.80），重测信度（相关系数=0.71）可靠。教育程度、婚姻状况、疾病分期和 SDS 评分是情绪障碍的显著影响因素。NPC 患者的整体症状困扰水平高于其他癌症群体，口干是最困扰的症状。症状困扰水平受年龄、婚姻状况、疾病分期、治疗方式和放疗（RT）次数的影响。
应更加关注年龄较大、单身或离异、晚期疾病和接受多模态治疗的患者，为其提供更多的疼痛和症状管理护理。症状困扰是 NPC 患者情绪状态的最显著影响因素。
