ID | 62039 |
フルテキストURL | |
著者 |
Ise, Masato
Department of Orthopaedic Surgery, Okayama University Hospital
Katayama, Yoshimi
Department of Rehabilitation Medicine, Okayama University Hospital
Hamada, Masanori
Department of Rehabilitation Medicine, Okayama University Hospital
Kunisada, Toshiyuki
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
researchmap
Nakahara, Ryuichi
Department of Orthopaedic Surgery, Okayama University Hospital
Takihira, Shouta
Department of Orthopaedic Surgery, Okayama University Hospital
Sato, Kohei
Department of Orthopaedic Surgery, Okayama University Hospital
Akezaki, Yoshiteru
Division of Physical Therapy, Kochi Professional University of Rehabilitation
Senda, Masuo
Department of Rehabilitation Medicine, Okayama University Hospital
Kaken ID
publons
researchmap
Ozaki, Toshifumi
Department of Orthopaedic Surgery, Okayama University Hospital
Kaken ID
publons
researchmap
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抄録 | Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient's distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D >= 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain.
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キーワード | psychological distress
distress and impact thermometer
bone and soft tissue tumor
surgery
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発行日 | 2021-05-01
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出版物タイトル |
Healthcare
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巻 | 9巻
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号 | 5号
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出版者 | MDPI
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開始ページ | 566
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ISSN | 2227-9032
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2021 by the authors.
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論文のバージョン | publisher
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NAID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.3390/healthcare9050566
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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