女性乳腺癌根治术前负性情绪对术后睡眠质量的影响

The influence of negative emotions before radical mastectomy on postoperative sleep quality in women with breast cancer

ES评分 0

DOI
刊名
Journal of International Psychiatry
年,卷(期) 2025, 52(2)
作者
作者单位

唐山市妇幼保健院,手术室

摘要
【摘要】目的 探讨女性乳腺癌根治术前负性情绪对术后睡眠质量的影响。方法 回顾性分析2017年1月~2018年10月本院收治的95例乳腺癌患者的临床资料,所有患者均行乳腺癌根治术,术后3d根据匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分结果分为睡眠正常组(n=75)与睡眠障碍组(n=20)。比较两组一般资料[年龄、婚姻状况、文化程度、家族史、职业、居住地、肿瘤原发灶、病理淋巴结和转移(Tumor, Node, Metastasis staging system,TNM)分期、发病部位、是否绝经]以及焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)间的差异,经多因素Logistic回归分析女性乳腺癌患者乳腺癌根治术后睡眠质量的危险因素。结果 睡眠正常组相比睡眠障碍组,SDS评分、SAS评分更低,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示,SPBS评分、SDS评分、SAS评分是女性乳腺癌患者乳腺癌根治术后睡眠障碍的危险因素,均有P<0.05。结论 女性乳腺癌患者乳腺癌根治术后睡眠质量受SDS评分、SAS评分影响,临床应予以密切关注。
Abstract
【Abstract】 Objective To explore the influence of negative emotion on sleep quality after radical operation for female breast cancer. Methods The clinical data of 95 patients with breast cancer admitted to our hospital from January 2017 to October 2018 were retrospectively analyzed. All patients underwent radical surgery for breast cancer. Three days after surgery, they were divided into normal sleep group (n=75) and sleep disorder group (n=20) according to Pittsburgh sleep quality index (PSQI) score. They were divided into survival group (n=75) and death group (n=20) according to the prognosis after five years of follow-up.Compare two groups of general information [age, marital status, education level, family history, occupation, place of residence, primary tumor, pathological lymph node and metastasis (TNM) staging, site of onset, menopause status], as well as differences between Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS), The risk factors of sleep quality of female breast cancer patients after radical breast cancer surgery were analyzed by multivariate logistic regression.Results The SDS and SAS scores of the normal sleep group were lower than those of the sleep disorder group, and the difference was statistically significant (P<0.05); Multivariate logistic regression analysis showed that SPBS score, SDS score and SAS score were risk factors for sleep disorder after radical surgery for female breast cancer patients with breast cancer, all of which were P<0.05. Conclusion The sleep quality of female breast cancer patients after radical breast cancer surgery is affected by SDS score and SAS score, which should be paid close attention to clinically.
关键词
【关键词】乳腺癌;乳腺癌根治术;负性情绪;焦虑;抑郁;睡眠质量
KeyWord
【Key words】 breast cancer; Radical mastectomy for breast cancer; Negative emotions; Anxiety; Sleep quality
基金项目
页码 567-570
  • 参考文献
  • 相关文献
  • 引用本文

李雪. 女性乳腺癌根治术前负性情绪对术后睡眠质量的影响 [J]. 国际精神病学杂志. 2025; 52; (2). 567 - 570.

  • 文献评论

相关学者

相关机构