中国肺癌杂志2020，Vol.23Issue(4)：247-254,8.DOI:10.3779/j.issn.1009-3419.2020.101.18
优化解决肺癌患者在新型冠状病毒肺炎疫情期间诊疗问题及心理问题的探索
Explore the Optimal Resolvent of Medical Needs and Mental Health for Patients with Lung Cancer during Epidemic Novel Coronavirus Pneumonia
徐海燕 1杨科 2杨广建 3杨路 3米玉玲 4崔晓红 4杨敏 1王丹 5王燕3
作者信息
- 1. 100021北京国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院综合科
- 2. 100005北京，北京市朝阳区桓兴肿瘤医院综合科
- 3. 100021北京，国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院肿瘤内科
- 4. 100122北京，北京市朝阳区三环肿瘤医院
- 5. 100088北京，首都医科大学附属北京安定医院抑郁治疗中心
- 折叠
摘要
Abstract
Background and objective With the rapid spread of novel coronavirus pneumonia (NCP）worldwide and the escalation of prevention and control efforts, the routine medical needs of patients have been restricted. The aims were to investigate medical needs of lung cancer patients and their mental health status during the epidemic periods, so as to provide rational recommendations for subsequent diagnosis and treatment. Methods The questionnaire was sent in the form of an electronic questionnaire at 7am on 4th，March, 2020, until 7am 6th, March, 2020, 368 questionnaires were recollected from 25 provinces (autonomous regions/municipalities in 48 h. Results Of the 368 patients, 18 patients were excluded as they didn't receive anti-tumor treatment, and 350 patients were included in the final analysis. 229 cases were treated with oral targeted drugs, and 121 cases were treated with chemotherapy or immunotherapy. 41.3% of patients treated with intravenous chemotherapy or immunotherapy experienced treatment discontinuation, and the proportion of treatment discontinuation in chemotherapy or immunotherapy was higher than those treated with oral targeted drugs (21.0%). Whether oral targeted drugs or intravenous chemotherapy or immunotherapy, more than 60% of patients experienced delays in imaging examinations. Nearly one third of patients developed new symptoms or exacerbation of existing symptoms. 26.6%-28.9% of patients have changed their treatment plans through online consultation. During novel coronavirus pneumonia, 40%-75% of lung cancer patients have mental health problems, and more than 95% of patients support government's prevention and control measures. Conclusions During the emergence of NCP, the medical needs of patients with lung cancer have not been enough, especially those who discontinued chemotherapy or immunotherapy. When medical institution resumes work, priority should be given to them. At the same time, mental health problems of patients should be valued and resolved timely.关键词
肺肿瘤/新冠肺炎/心理健康Key words
Lung neoplasms/ Novel coronavirus pneumonia/ Mental health引用本文复制引用
徐海燕,杨科,杨广建,杨路,米玉玲,崔晓红,杨敏,王丹,王燕..优化解决肺癌患者在新型冠状病毒肺炎疫情期间诊疗问题及心理问题的探索[J].中国肺癌杂志,2020,23(4):247-254,8.
