乳腺癌病人抑郁焦虑情绪测查及影响因素的分析研究

    Analysis of status of depression and anxiety in patients with breast cancer and its influencing factors

    • 摘要: 目的:测查乳腺癌病人抑郁和焦虑情绪的状况,分析其影响因素。方法:选取乳腺癌病人289例,采用自行设计的一般情况调查表,内容包括年龄、婚姻状况、文化程度、化疗反应严重程度、免疫组化分型等一般资料,随后采用Zung抑郁自评量表(SDS)和焦虑自评量表(SAS)对病人进行测查,将其得到的数据与中国常模进行比较,并进行影响因素分析。结果:289例病人中存在抑郁68例,焦虑44例,抑郁、焦虑发生率分别为23.53%、15.22%,SDS、SAS评分均高于中国常模(P<0.01)。新辅助化疗与否、是否发生严重化疗反应、文化程度高低、气质类型是乳腺癌病人抑郁的影响因素(P<0.05~P<0.01);是否腋窝淋巴结清扫、新辅助化疗与否、是否发生严重化疗反应是乳腺癌病人焦虑的影响因素(P<0.05~P<0.01)。抑郁人群里多血质占比最少,为12.5%(8/64);抑郁质占比最多,为35.0%(14/40)。结论:乳腺癌女性病人临床观察多存在焦虑抑郁的负面情绪,针对引起相关负面情绪的因素进行干预,对治疗过程中临床介入有指导作用,有利于改善病人预后。

       

      Abstract: Objective: To investigate the status of depression and anxiety in patients with breast cancer and analyze its influencing factors.Methods: A total of 289 patients with breast cancer were selected.A self-designed general questionnaire, including age, marital status, education level, chemotherapy reaction severity, immunohistochemical classification and other general data, was used to collect the general information.Zung self-rating depression scale(SDS) and self-rating anxiety scale(SAS) were then performed to investigate the status of depression and anxiety among the patients.The data were obtained and compared with the data under the Chinese normal model, and the influencing factors were analyzed.Results: Among the 289 patients, there were 68 cases of depression and 44 cases of anxiety, with the incidence of depression and anxiety being 23.53% and 15.22%, respectively.The scores of both SDS and SAS in patients with breast cancer were significantly higher than those in Chinese normal model(P<0.01).Further analysis revealed that neoadjuvant chemotherapy status, chemotherapy reaction severity, education level and temperament type were the influencing factors of depression in breast cancer patients(P<0.05 to P<0.01);and axillary lymph node dissection status, neoadjuvant chemotherapy status and chemotherapy reaction severity were the influencing factors of anxiety in breast cancer patients(P<0.05 to P<0.01).Moreover, the incidence of depression was found less frequently in the patients with sanguineous temperament, which accounted for 12.50%(8/64);and more frequently in the patients with depression temperament, which accounted for 35.00%(14/40).Conclusions: Female patients with breast cancer often have negative emotions of anxiety and depression in clinical observation.Intervention against the factors causing relevant negative emotions may play a role in the management of breast cancer patients.

       

    /

    返回文章
    返回