关键词: 肺部肿瘤, ICU不适感, 心理痛苦

Abstract: Objective: To understand the correlation between the physical and mental distress of patients in ICU with lung tumor after operation in order to provide a basis for medical treatments to reduce the pain of physical and mental in ICU.Methods:182 patients with lung tumor after operation in a tertiary class A specialist hospital in Tianjin were selected in this research with the method of convenience sampling. The general condition questionaires, Chinese version of ICU discomfort Assessment scale, psychological distress scale were used to evalute the situation of patients in ICU. Results:The total score of ICU discomfort scale of patients after lung tumor surgery was（2.93 ± 0.85）. In order of score from high to low, the top 5 items were pain and discomfort（4.39 ± 1.94）, thirst discomfort（4.27 ± 1.94）, anxiety（3.87±1.65）, chest distress, dyspnea（3.54±1.59） and limited activity discomfort（3.33±2.10）. The total score of ICU discomfort scale was statistically significant in gender, age, marriage, cost type, operation method, operation site and smoking. The score of psychological distress was（4.74 ± 1.63）, 144 cases were moderate or above, and the detection rate of psychological distress was 79.12%. The results of correlation analysis showed that there was a positive correlation between the discomfort of ICU and psychological distress（r=0.62, P<0.01）. Conclusion:Medical staffs should pay attention to the senior patients who are divorced or belonging to widower. For patients undergoing thoracotomy or pneumonectomy, strengthen health education in patients with preoperative to stop smoking and the effective evaluation and management of postoperative pain are efficient. In addition, timely communication with the patient can strengthen positive psychological support from the patients’ families and reduce discomfort of the ICU patients, thereby reducing patients psychological distress degree, promoting the faster recovery.

Key words: Lung tumor, ICU discomfort, Psychological