评估接受人工关节置换术治疗的骨转移患者的心理社会困扰
ASSESSING PSYCHOSOCIAL DISTRESS IN BONE METASTASES TREATED WITH ENDOPROSTHESIS.
作者信息
Santiago Lucas, Anzuatégui Pedro Reggiani, Ribeiro José Paulo Agner, Filon Maurício Carrilho, Mello Glauco José Pauka, Rigolino Ana Valéria Brunetti
机构信息
Universidade Positivo, Faculdade de Medicina, Curitiba, PR, Brazil.
Hospital Erasto Gaertner, Orthopedic Oncology Service, Curitiba, PR, Brazil.
出版信息
Acta Ortop Bras. 2019 Sep-Oct;27(5):257-260. doi: 10.1590/1413-785220192705220293.
OBJECTIVE
To compare preoperative and early postoperative levels of psychosocial distress in patients undergoing bone metastasis treatment with endoprosthesis, evaluating its impact on quality of life.
METHODS
Thirteen patients undergoing endoprosthetic treatment of bone metastasis were assessed at two time points: preoperatively and 30 days postoperatively. The tool used was the Distress Thermometer, a questionnaire for psychosocial screening developed by the National Comprehensive Cancer Network. Distress is considered moderate or severe if the patient scores 4 or higher.
RESULTS
The most frequent problems in the preoperative period were "bathing and dressing". At 30 days, "fatigue" and "nervousness" prevailed. There was a significant improvement in distress when preoperative and 30-day assessments were compared.
CONCLUSION
The surgical treatment of bone metastasis with endoprosthesis results in an early improvement of psychosocial distress as measured by the Distress Thermometer.
目的
比较接受骨转移瘤人工关节置换治疗患者术前及术后早期的心理社会困扰水平，评估其对生活质量的影响。
方法
对13例行骨转移瘤人工关节置换治疗的患者在两个时间点进行评估：术前和术后30天。使用的工具是苦恼温度计，这是由美国国立综合癌症网络开发的一种心理社会筛查问卷。如果患者得分4分或更高，则认为苦恼程度为中度或重度。
结果
术前最常见的问题是“洗澡和穿衣”。术后30天时，“疲劳”和“紧张”最为突出。比较术前和术后30天的评估结果，苦恼程度有显著改善。
结论
采用人工关节置换术治疗骨转移瘤可使苦恼温度计测量的心理社会困扰状况得到早期改善。
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