Factors Associated with Psychological Characteristics in Patients with Hepatic Malignancy before Interventional Procedures

Abstract

Objective: To investigate the psychological characteristics of hepatic malignancy patients before interventional procedures and assess associations with related factors. Methods: Two hundred and thirteen patients requiring interventional procedure for hepatic malignancy were asked to complete a survey of health knowledge and psychological symptom on health knowledge questionnaire and SCL-90 before interventional procedure. Logistic regression analysis was employed to determine the association of various demographic, clinical and health knowledge factors with the presence of psychological symptoms in patients. Results: Eight psychological symptom scores, i.e. somatization, obsessive-compulsive tendencies, depression, anxiety, hostility, phobia, paranoid ideations and psychotic states, were significantly higher than the normal range (P< 0.001). Of 213 cases in the study, 49 families (23.00%) concealed the diagnoses of hepatic carcinoma from patients; 135 patients (63.38%) described the prognosis of the disease correctly. It was demonstrated that the correlations between psychological symptoms and related factors, i.e. age, gender, education, interventional procedure times and health knowledge, were statistically significant (P< 0.05). Conclusion: Psychological distress is severe in hepatic malignancy patients before interventional procedures. Age, gender, education, interventional procedure times and health knowledge are associated with psychological symptoms which are significant different from the normal range in Chinese.

Health education helps to relieve postembolization pain during hepatic arterial chemoembolization therapy

“… 13 , 15 , 16 Owing to lack of the information of disease or interventional procedures, diagnostic and therapeutic procedures performed in the interventional radiology department are anxiety provoking and painful for some patients. Wang et al 14 surveyed 213 patients requiring interventional procedure for hepatic malignancy and confirmed that the health knowledge is associated with the psychological symptoms of the patients. In the study, the pain score in the HE group was significantly lower than that in the control group.…”

“…Health knowledge was assessed with HKQ, a questionnaire created for HCC patients before interventional procedure. 14 The HKQ consists of patient’s name, ID, and five questions defining a total score from 0 to 10 ( Table 1 ). Every answer is evaluated and rated on a scale of 0–2: “0”, do not know; “1”, knows but the answer is incomplete; and “2”, know and the answer is complete.…”

“…A large number of studies indicated that severe psychological distress occurs in liver cancer patients, 12 especially in patients with hepatic malignancy before interventional procedures. 13 , 14 A former study demonstrated that psychological interventions, including encouragement, verbal suggestion, relaxation training, distraction, therapeutic touch, guided imagery, and intra-arterial placebo, can relieve postembolization pain during hepatic arterial chemoembolization therapy. 13 Another subsequent study suggested that health knowledge is associated with psychological symptoms in patients with liver cancer.…”

“… 13 Another subsequent study suggested that health knowledge is associated with psychological symptoms in patients with liver cancer. 14 Lack of health knowledge could lead to psychological stress directly. 15 , 16 Therefore, what is the relationship between health knowledge and postembolization pain in patients with liver cancer?…”

Analysis of risk factors for mental health problems of inpatients with chronic liver disease and nursing strategies: A single center descriptive study

“…(Z. X. Wang et al, 2012). The SCL-90 questionnaire test is the questionnaire survey that is used for evaluating comprehensive mental health and has good validity and reliability.…”