The study of cancer patients' distress

Ūla Lunevičiūtė, Egidija Masteikienė
2014 Acta medica Lituanica  
Background. Distress of cancer patients is often left unnoticed and it in duces various problems: it is harder for patients to adjust to the illness, the quality of life is poorer, it causes much distress for the team of oncologists. 1 year before in the VU Institute of Oncology the Distress Thermometer was started to be used for all patients in the hospital. Purpose. To explore distress prevalence and features of cancer patients' in the hospital. Participants and methods. There were 488
more » ... pants. The Distress Thermometer (DT) was used to evaluate distress of the participants. DT consists of a Likert type scale from 0 to 10 that assesses the strength of expe rienced distress, and a problem list that includes practical, family, emotional, spiritual and physical problem groups. Results. The mean score of distress of all participants was 3.47 (SD = 2.47). 82% of participants pointed from 0 to 5 scores, 18% of participants indicated from 6 to 10 scores. There was a statistically significant corellation between the distress score and the number of problems (r = 0.43, p < 0.01). The mean number of problems was 1.95 (SD = 2.60). The most frequent problems were anxiety (31.6%), fears (20.5%), fatigue (16.8%), nervousness (15.2%), etc. The mean score of women distress (4.07) was significantly higher that that of men (2.68) (p < 0.001). The younger the participants, the higher the distress was (r = -0.13, p < 0.01). The patients of surgical treatment pointed higher distress (M = 3.98) than the patients of therapeutic treatment (M = 2.51) (p < 0.01). Conclusions. 1/5 of patients experience high distress. Women experi ence higher distress and problems than men. Patients in surgical treatment experience higher distress and emotional problems than patients in thera peutic treatment. DT is a very optimal method to assess the distress of can cer patients but the results need to be cautiously evaluated.
doi:10.6001/actamedica.v21i2.2941 fatcat:skll2turwveives6juskv67pm4