乳腺癌患者手术前后情绪变化的动态分析  

Emotional Changes of Patients with Breast Cancer between before and after Operation

作　　者：石晶[1] 陈璐[2] 邱晓惠[1] 宁南[1] 杨秀贤[1] 乔正学[1] 王琳[1] 何金彩[3] 杨艳杰[1] 

机构地区：[1]哈尔滨医科大学公共卫生学院医学心理教研室,中国150081 [2]华中科技大学同济医学院 [3]温州医学院

出　　处：《中国健康心理学杂志》2013年第1期30-32,共3页China Journal of Health Psychology

基　　金：国家科技支撑计划-心身疾病常见心理问题的识别与干预(2009BAI77B06)

摘　　要：目的了解乳腺癌患者术前、术后(半年内)、康复期(1年后)3个阶段的焦虑抑郁情绪变化。方法采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD-17)对术前、术后及康复期各60例患者和60名正常人对照组进行评定。结果乳腺癌患者精神性焦虑因子分术前与术后、术后与康复期都有显著差异(F=14.03,P<0.01);迟缓(F=10.003,P<0.01)、睡眠障碍因子分(F=10.00,P<0.01)和HAMA总分(F=8.297,P<0.01)术前与术后有显著差异;HAMD-17总分术前与术后、康复期有显著差异(F=8.297,P<0.01);与对照组相比,躯体性焦虑因子分(t=8.688,P<0.01)、精神性焦虑因子分(t=12.33,P<0.01)、HAMA总分(t=12.7,P<0.01)、焦虑/躯体性(t=11.97,P<0.01)、认知障碍(t=3.366,P<0.01)、迟缓(t=9.743,P<0.01)、睡眠障碍(t=3.317,P<0.01)、HAMD-17总分(t=14.66,P<0.01)有明显差异。结论乳腺癌患者手术前后有着明显的焦虑、抑郁情绪,术前表现最高,应对其进行适当的干预。Objective To understand the differences of depression and anxiety of patients with breast cancer among preoperative,postoperative（within half a year）and the rehabilitation period（one year）three stages.Methods Using Hamilton Anxiety Scale（HAMA）,the Hamilton Depression Scale（HAMD-17）to assess 60 patients and 60 normal controls in preoperative,postoperative and the rehabilitation period.Results There was significant difference in psychic anxiety factor between preoperative and postoperative,postoperative and rehabilitation period（F=14.03,P0.01）;There were significant differences in retardation factor（F=10.003,P0.01）,sleep disturbance（F=10.00,P0.01）,and HAMA total（F=8.297,P0.01）between preoperative and postoperative;There was a significant difference in HAMD-17 total score among preoperative,postoperative and rehabilitation period（F=8.297,P0.01）;Compared with the control group,somatic anxiety factor（t=8.688,P0.01）,psychic anxiety（t=12.33,P0.01）,HAMA total score（t=12.7,P0.01）,anxiety/somatization（t=11.97,P0.01）,cognitive disturbance（t=3.366,P0.01）,retardation factor（t=9.743,P0.01）,sleep disturbance（t=3.317,P0.01）,HAMD-17 total score（t=14.66,P0.01）were significantly different.Conclusion Patients with breast cancer have significant anxiety and depression during preoperative and postoperative rehabilitation,especially preoperative to the highest.which should carry out appropriate interventions.

关 键 词：乳腺癌 术前 术后 康复期 抑郁 焦虑 

分 类 号：R737.9[医药卫生—肿瘤]