Mohamed Sherif A A, AbdelHafeez Azza, Kamel Ehab, Rashad Alaa
Department of Chest Diseases and Tuberculosis, Faculty of Medicine, Assiut University, Assiut.
Department of Medical Physiology, Faculty of Medicine, Assiut University, Assiut.
Multidiscip Respir Med. 2021 Apr 22;16(1):750. doi: 10.4081/mrm.2021.750. eCollection 2021 Jan 15.
The National Comprehensive Cancer Network (NCCN) has adopted the distress thermometer (DT) as one of the best-known distress-screening instruments. We have adopted a modified version of the NCCN distress thermometer. We questioned if this modified DT (m-DT) could be utilized for measuring the prevalence of psychological distress among COVID-19 patients.
The prospective study included 2 phases; modification of the original DT and its associated problem list (PL), and evaluation of this m-DT in measuring the prevalence of psychological distress among COVID-19 patients. Egyptian adult subjects with suspected or confirmed cases of COVID-19 at 2 University Hospitals were enrolled. Binary logistic regression tests were carried out to explore the association between the m-DT cut-off scores of 4 and the clinical variables.
One hundred sixty-nine (60.4%) patients experienced significant distress (m-DT cut off score ≥4). Logistic regression showed that occupation, presence of special habits, length of quarantine time, worry, cough, shortness of breath, and fever, were independent factors associated with significant distress in COVID-19 patients.
With the modified distress thermometer (m-DT), 60% of Egyptian COVID-19 patients experienced significant distress. This distress was significantly related to age, marital status, occupation, presence or absence of special habits, and length of the quarantine time. With m-DT, the current study had identified worry, being a health-care worker, shortness of breath, fever, length of quarantine time, presence of special habits, and cough as independent factors associated with significant distress in COVID-19 patients. Further studies are warranted.
美国国立综合癌症网络（NCCN）已采用苦恼温度计（DT）作为最知名的苦恼筛查工具之一。我们采用了NCCN苦恼温度计的修改版。我们质疑这种修改后的DT（m-DT）是否可用于测量COVID-19患者心理苦恼的患病率。
前瞻性研究包括两个阶段；对原始DT及其相关问题列表（PL）进行修改，以及评估这种m-DT在测量COVID-19患者心理苦恼患病率方面的效果。招募了两所大学医院中疑似或确诊COVID-19的埃及成年受试者。进行二元逻辑回归测试以探索m-DT临界值4与临床变量之间的关联。
169名（60.4%）患者经历了显著苦恼（m-DT临界值≥4）。逻辑回归显示，职业、是否有特殊习惯、隔离时间长短、担忧、咳嗽、呼吸急促和发烧，是与COVID-19患者显著苦恼相关的独立因素。
使用修改后的苦恼温度计（m-DT），60%的埃及COVID-19患者经历了显著苦恼。这种苦恼与年龄、婚姻状况、职业、是否有特殊习惯以及隔离时间长短显著相关。通过m-DT，本研究确定担忧、身为医护人员、呼吸急促、发烧、隔离时间长短、有特殊习惯和咳嗽是与COVID-19患者显著苦恼相关的独立因素。有必要进行进一步研究。
