Vicinanza Flavia, Ippolito Edy, Sisto Antonella, Santo Bianca, Fiore Michele, Trodella Luca Eolo, Silipigni Sonia, Quintiliani Livia, Ramella Sara
Clinical Psychological Service, Campus Bio-Medico University Hospital Foundation, Italy.
Radiation Oncology, Campus Bio-Medico University Hospital Foundation, Italy.
Transl Oncol. 2022 Aug;22:101457. doi: 10.1016/j.tranon.2022.101457. Epub 2022 May 19.
In March 2020, the World Health Organization (WHO) characterized the outbreak of the coronavirus disease 2019 (COVID-19) as a pandemic. The aim of this study was to evaluate the psychological impact of the COVID-19 pandemic on cancer patients undergoing radiotherapy. Were enrolled 210 patients in treatment and in follow-up who had access to the Radiation Oncology Department of the Campus Bio-Medico University Hospital Foundation between April and May 2020. The sample was subjected to structured interview and validated questionnaires. 37 of patients showed significant levels of distress; depressive symptoms were reported by 22.4 of patients and 99% of sample had clinically significant anxiety symptoms. All patients anxiety worsened during the COVID-19 pandemic (). Patients on active treatment had higher levels of distress (3.5 vs 2.6; ) and anxiety (3.5 vs 2.6; ). Lung cancer patients appeared to be more afraid of COVID-19 than other patients (24.2 vs 22.2). This study highlights the presence of clinically significant anxiety in 99 of sample. This conclusion reflects the condition of emotional distress present during the pandemic which makes it necessary to treat patients in a multidisciplinary perspective that includes psychological support in the care plan.
2020年3月,世界卫生组织(WHO)将2019冠状病毒病(COVID-19)疫情定性为大流行。本研究的目的是评估COVID-19大流行对接受放疗的癌症患者的心理影响。2020年4月至5月期间,招募了210名正在接受治疗和随访且可进入罗马生物医学大学校医院基金会放射肿瘤学部门的患者。对样本进行了结构化访谈和经过验证的问卷调查。37%的患者表现出显著的痛苦水平;22.4%的患者报告有抑郁症状,99%的样本有临床上显著的焦虑症状。在COVID-19大流行期间,所有患者的焦虑情况都有所恶化()。正在接受积极治疗的患者有更高水平的痛苦(3.5对2.6;)和焦虑(3.5对2.6;)。肺癌患者似乎比其他患者更害怕COVID-19(24.2%对22.2%)。本研究强调99%的样本存在临床上显著的焦虑。这一结论反映了大流行期间存在的情绪困扰状况,这使得有必要从多学科角度治疗患者,在护理计划中纳入心理支持。