Department of Surgery, Gangnam Severance Hospital, Pancreatobiliary Cancer Clinic, Yonsei University College of Medicine, Seoul, 06273, South Korea.
Department of Surgery and Cancer Research Institute, Seoul National University Hospital, Seoul, Republic of Korea.
Sci Rep. 2024 Jul 23;14(1):16866. doi: 10.1038/s41598-024-68041-2.
This study aimed to investigate distress levels, using the distress thermometer (DT), and the factors associated with distress in postoperative patients with pancreatobiliary cancer. This study retrospectively investigated 155 patients who underwent surgery for pancreatobiliary cancer between December 1, 2019 and September 30, 2021. The DT and problem list were used to measure distress. Descriptive statistics, t-test, and multivariate logistic regression analysis were used to analyze the data. Of the 155 patients, 16.8% (n = 26) and 83.2% (n = 129) were in the mild-distress and moderate-to-severe distress groups, respectively. The average DT score was 6.21; that for the mild-distress and moderate-to-severe distress groups was 2.46 and 6.97, respectively. More patients in the moderate-to-severe distress group reported having problems of "sadness" (χ = 4.538, P < 0.05), "indigestion" (χ = 10.128, P < 0.001), "eating" (χ = 6.147, P < 0.013), and "getting around" (χ = 4.275, P < 0.039) than in the mild-distress group. In addition, occupation status (odds ratio [OR] = 0.342, 95% confidence interval [CI] = 0.133-0.879, P = 0.026) and indigestion (OR = 5.897, 95% CI = 1.647-21.111, P = 0.006) were independent risk factors for the presence of severe distress. Patients with pancreatobiliary cancer demonstrated elevated levels of psychological distress. Healthcare providers should therefore be vigilant when evaluating patients for distress and providing appropriate referrals, particularly those who are unemployed or have indigestion.
本研究旨在调查 155 名接受胰胆管癌手术的患者的痛苦水平，使用痛苦温度计（DT）和与术后患者痛苦相关的因素。本研究回顾性调查了 19 年 12 月 1 日至 21 年 9 月 30 日期间接受胰胆管癌手术的 155 名患者。使用 DT 和问题清单来衡量痛苦。使用描述性统计、t 检验和多变量逻辑回归分析来分析数据。在 155 名患者中，16.8%（n=26）和 83.2%（n=129）分别处于轻度痛苦和中重度痛苦组。DT 的平均得分为 6.21；轻度痛苦和中重度痛苦组的得分分别为 2.46 和 6.97。更多中度至重度痛苦组的患者报告有“悲伤”（χ²=4.538，P<0.05）、“消化不良”（χ²=10.128，P<0.001）、“进食”（χ²=6.147，P<0.013）和“走动”（χ²=4.275，P<0.039）等问题。此外，职业状况（比值比[OR]=0.342，95%置信区间[CI]=0.133-0.879，P=0.026）和消化不良（OR=5.897，95% CI=1.647-21.111，P=0.006）是严重痛苦存在的独立危险因素。胰胆管癌患者表现出较高水平的心理困扰。因此，医疗保健提供者在评估患者的痛苦并提供适当的转介时应保持警惕，特别是那些失业或消化不良的患者。
