A Screening of Pre-chemotherapy Psychological Distress in Breast Cancer Patients and An Analysis of the Influencing Factors / 昆明医科大学学报

ABSTRACT

Objective To understand the degree of psychological distress of breast cancer patients beford chemotherapy, and to analyze the causes and influencing factors. Methods A cross-sectional study was conducted on 95 patients with prechemotherapy for breast cancer from September 2017 to December 2017 using a general data questionnaire and distress management screening measure. Results The score of psychological pain before chemotherapy of breast cancer was (4.92 ±2.23), among which 69 cases with significant psychological pain accounted for 72.63％ (DT score was greater than 4). The main causes of breast cancer patients' psychological distress ranking on the top 10 are surgical scar, recurrence worry, arm activities difficulty, daily life was disrupted, anxiety, memory loss, housekeeping difficulties, poor communication with her husband, fatigue, change the appearance. Single factor analysis showed that age, family harmony had an effect on psychological pain scores (P＜0.05).It is found that family harmony is the protective factor of paychological pain when age and family relationship are included in multifactor analysis (OR＞1, P＜0.05). Conclusion There is an obvious psychological distress in breast cancer patients before chemotherapy; The age, family harmony of the patient were independent factors related to psychological distress; body symptoms, emotions and family problems are the key issues to focus on before chemotherapy.