Preoperative detection and evaluation of the need for psychological intervention in cancer and non-cancer patients referred to thoracic surgery / Detección y evaluación de la necesidad de atención psicológica preoperatoria en pacientes oncológicos y no oncológicos derivados a cirugía torácica
Cir. Esp. (Ed. impr.)
; 100(6): 359-366, jun. 2022. ilus, tab
Article
in En
| IBECS
| ID: ibc-207443
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
Objectives (a) to evaluate and compare the psychological treatment needs of patients with cancer and non-cancer, who are going to undergo scheduled thoracic surgery, and (b) evaluate and compare the diagnostic accuracy of the screening tests of psychological treatment needs for cancer and non-cancer patients. Method The need for psychological treatment was evaluated in a total of 169 patients prior to thoracic surgery, through a clinical interview. The screening tests used were the physician's judgment (yes/no), the Hospital Anxiety and Depression Scale (HADS) and, the single-item interview to assess depression Do you feel depressed? (DEPQ). Results The number of patients who needed psychological treatment in the total sample was 47 (27.81%), in non-cancer-patients 22 (30.99%) and in cancer patients 25 (25.51%). The participants with treatment needs were more often young women with primary education levels, with more fears and concerns regarding their disease. With respect to the screening tests, the HADS-T (cut-off point ≥13) obtained a sensitivity (SE) of 0.75 and Specificity (SP) of 0.81 in the total sample. In patients with cancer, the HADS total score (cut-off point ≥10) obtained an SE=0.84 and SP=0.80, and, in non-cancer patients, the HADS total score (cut-off point ≥13) showed an SE=0.59 and SP=0.84. The DEPQ and the physician's judgment did not achieve adequate levels of precision. Conclusions A high percentage of patients have psychological treatment needs before performing thoracic surgery, which are similar for cancer and non-cancer patients. Preoperative detection of patients who need psychological intervention is feasible with a simple screening test HADS, which achieves greater precision in cancer patients (AU)
Key words
Full text:
1
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Anxiety
/
Stress, Psychological
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Preoperative Care
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Thoracic Surgical Procedures
/
Surgical Clearance
Limits:
Adult
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Female
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Humans
/
Male
Language:
En
Journal:
Cir. Esp. (Ed. impr.)
Year:
2022
Document type:
Article