Published online Sep 6, 2023. doi: 10.12998/wjcc.v11.i25.5870
Peer-review started: May 21, 2023
First decision: June 1, 2023
Revised: June 13, 2023
Accepted: August 9, 2023
Article in press: August 9, 2023
Published online: September 6, 2023
Processing time: 103 Days and 6.9 Hours
Young and middle-aged cancer patients in intensive care unit (ICU) often suffer from stress and pressure, causing huge physical and mental damage. Currently, there is few research on post-traumatic stress disorder (PTSD) among young and middle-aged cancer patients in ICU in China, and the psychological status of patients who have experienced both cancer development and ICU stay is still unclear.
To explore the risk factors for PTSD in young and middle-aged patients with cancer in ICU.
Using convenient sampling method, we enrolled 150 young and middle-aged patients with cancer who were admitted to the ICU of our center during the period from July to December 2020. The general data of the patients and PTSD-related indicators were collected. The Impact of Event Scale-Revised (IES-R) was used for assessing PTSD one month after the discharge from the ICU. Binary Logistic regression analysis was performed to assess the independent risk factors for PTSD in these patients.
Among these 150 patients, 32 (21.33%) were found to be with PTSD. Binary Logistic regression analysis revealed that factors significantly associated with PTSD among young and middle-aged patients with cancer in ICU included monthly income (OR = 0.24, P = 0.02), planned transfers (OR = 0.208, P = 0.019), and Acute Physiology and Chronic Health Evaluation (APACHE II) score (OR = 1.171, P = 0.003).
The low monthly income, unplanned transfers, and increased APACHE II score are the risk factors for PTSD in young and middle-aged patients with cancer in ICU.
Core Tip: In this study, we investigated and analyzed the incidence of post-traumatic stress disorder (PTSD) and related risk factors in young and middle-aged cancer patients in intensive care unit. We found that young and middle-aged cancer patients are prone to suffer from more serious psychological pain and often bear greater psychological burdens, which cause additional damage to patients' physical and mental health. Therefore, understanding the occurrence and influencing factors for PTSD is crucial for these patients.