乳腺癌手术患者焦虑抑郁状况及相关因素分析

Analysis of anxiety and depression in patients undergoing breast cancer surgery and related factors

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2020, 47(6)
作者
作者单位

驻马店市市中心医院 手术部 ;

摘要
目的:调查乳腺癌手术患者的焦虑抑郁状况,并分析乳腺癌手术患者出现焦虑抑郁状况的影响因素。方法:于2017年1月~2019年10月,选择我院行乳腺癌根治手术治疗的140例乳腺癌患者作为研究对象,采用焦虑自评量表、抑郁自评量表对患者心理状况进行评估,统计患者的焦虑、抑郁状况,筛选出合并焦虑抑郁症状的乳腺癌患者,根据评估结果将乳腺癌患者分为观察组(存在焦虑抑郁症状)、对照组(无焦虑抑郁症状),对两组的临床资料进行分析和比较,对乳腺癌手术患者出现焦虑抑郁症状的影响因素进行单因素分析、多因素Logistics回归分析。结果:在单因素分析中,观察组与对照组在年龄、文化程度、收入水平、付费方式、婚姻状况、家庭支持方面比较均有明显差异(P<0.05),而观察组与对照组在肿瘤分期、职业方面比较无明显差异(P>0.05)。经多因素Logistics回归分析发现,年龄、文化程度、收入水平、付费方式、婚姻状况、家庭支持是乳腺癌手术患者出现焦虑抑郁症状的影响因素。结论:乳腺癌手术患者受到收入水平、付费方式、婚姻状况、家庭支持等因素的影响,其围手术期易出现焦虑抑郁症状,临床需根据上述影响因素对患者实施针对性的干预措施,以改善其心理状况。
Abstract
Objective: To investigate the status of anxiety and depression in patients undergoing breast cancer surgery, and analyze the influencing factors of anxiety and depression in patients undergoing breast cancer surgery. Methods: from January 2017 to October 2019, 140 breast cancer patients who were treated by radical mastectomy in our hospital were selected as the research objects. The self rating Anxiety Scale and self rating Depression Scale were used to evaluate the psychological status of the patients, the anxiety and depression status of the patients were counted, and the breast cancer patients with anxiety and depression symptoms were selected. According to the evaluation results, the breast cancer patients were divided into observation patients Group (with anxiety and depression symptoms) and control group (without anxiety and depression symptoms), the clinical data of the two groups were analyzed and compared, and the influencing factors of anxiety and depression symptoms in patients undergoing breast cancer surgery were analyzed by single factor analysis and multi factor Logistic regression analysis. Results: in the single factor analysis, there were significant differences between the observation group and the control group in terms of age, education level, income level, payment method, marital status and family support (P < 0.05), while there was no significant difference between the observation group and the control group in terms of tumor stage and occupation (P > 0.05). According to logistic regression analysis, age, education level, income level, payment method, marital status and family support are the influencing factors of anxiety and depression symptoms in patients undergoing breast cancer surgery. Conclusion: the patients with breast cancer surgery are affected by income level, payment method, marital status, family support and other factors, and they are prone to anxiety and depression during the perioperative period. According to the above factors, targeted interventions should be taken to improve their psychological status.
关键词
乳腺癌;手术;心理状况;焦虑;抑郁;影响因素
KeyWord
breast cancer; surgery; psychological condition; anxiety; depression; influencing factors
基金项目
页码 1222-1225
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王莉*. 乳腺癌手术患者焦虑抑郁状况及相关因素分析 [J]. 国际精神病学杂志. 2020; 47; (6). 1222 - 1225.

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