将焦虑温度计纳入门诊肿瘤手术患者的术前生命体征中：一项可行性研究。
Incorporating the Distress Thermometer into preoperative vital signs in patients undergoing ambulatory oncology surgery: a pilot feasibility study.
机构信息
Department of Nursing, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Hunter-Bellevue School of Nursing, City University of New York, New York, NY, USA.
出版信息
J Psychosoc Oncol. 2024;42(5):733-738. doi: 10.1080/07347332.2024.2351038. Epub 2024 May 17.
BACKGROUND
Despite the extensive literature supporting distress screening at relevant transitions of care, the implementation of distress screening remains limited in ambulatory surgery settings. Our multidisciplinary team completed a pilot study to assess the feasibility and acceptability of including a standardized psychosocial assessment, the Distress Thermometer (DT), with the collection of admission vital signs by Patient Care Technicians (PCTs) in patients undergoing oncology surgery.
METHODS
We assessed feasibility by the response rate and acceptability through discussions with the PCTs.
RESULTS
Of the 189 men who underwent radical prostatectomy at our center, 71 were approached with the DT scale, and all patients who were approached completed the DT with no missing data. The staff reported no issues with data collection. A total of 21/71 (30%; 95% CI 19%, 42%) reported a clinically relevant distress DT ≥ 4.
CONCLUSION
Our results demonstrated that incorporating the DT into vital sign collection was feasible, acceptable, and provided a valuable assessment.
背景
尽管有大量文献支持在相关的医疗护理过渡期进行痛苦筛查，但在门诊手术环境中，痛苦筛查的实施仍然有限。我们的多学科团队完成了一项试点研究，评估了在接受癌症手术的患者中，由患者护理技术员（PCT）收集入院生命体征时，纳入标准化社会心理评估（即痛苦温度计（DT））的可行性和可接受性。
方法
我们通过与 PCT 的讨论来评估可行性和可接受性。
结果
在我们中心接受根治性前列腺切除术的 189 名男性中，有 71 名患者接受了 DT 量表评估，所有接受评估的患者均完成了 DT，没有缺失数据。工作人员报告说数据收集没有问题。共有 21/71（30%；95%CI 19%，42%）名患者报告了有临床意义的痛苦 DT≥4。
结论
我们的研究结果表明，将 DT 纳入生命体征收集是可行的、可接受的，并提供了有价值的评估。
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