乳腺切除术对乳腺癌患者焦虑抑郁情绪的影响及与自我效能的相关性  

Effects of mastectomy on anxiety and depression in patients with breast cancer and its correlation with self-efficacy

作　　者：孙敏[1] 赵悦 朱家蓓 周波 SUN Min;ZHAO Yue;ZHU Jiapei(Department of Breast Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院乳腺外科,郑州450052 [2]驻马店市第一人民医院乳腺外科

出　　处：《中国健康心理学杂志》2021年第8期1154-1157,共4页China Journal of Health Psychology

基　　金：河南省科技计划项目(编号:2017T03003)。

摘　　要：目的:探讨乳腺切除术后患者焦虑抑郁情绪与自我效能的相关性。方法:选取2017年6月至2018年12月某院收治的乳腺癌患者68例为研究对象,其中采用手术治疗者42例,保守治疗者26例,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评估受试者情绪状态,使用一般自我效能感量表(GSES)评估受试者自我效能,并分析乳腺切除术后患者焦虑抑郁情绪与自我效能的相关性,进一步探索其影响因素。结果:不同年龄、文化程度、婚姻状况、配偶是否在意当前形象、接受化疗等患者的术后HAMA评分、HAMD评分比较有统计学差异,乳腺癌是否转移患者的术后HAMA评分、HAMD评分比较无统计学差异;乳腺癌患者术后HAMA评分(t=-0.342,P<0.05)、HAMD评分(t=-0.351,P<0.05)与GSES评分呈负相关;多因素Logistic回归分析发现乳腺癌患者年龄、文化程度、婚姻状况、配偶是否在意当前形象、接受化疗、手术治疗、自我效能是影响术后焦虑抑郁情绪的主要因素(OR=1.422,95%CI=1.113~1.817;OR=1.302,95%CI=1.035~1.638;OR=1.406,95%CI=1.082~1.829,OR=1.435,95%CI=1.103~1.866,OR=1.415,95%CI=1.030~1.944,P<0.05,OR=1.443,95%CI=1.139~1.830,OR=1.510,95%CI=1.246~1.830)。结论:乳腺切除术后患者焦虑抑郁情绪与自我效能呈负相关,且年龄、文化程度、婚姻状况、配偶是否在意当前形象、接受化疗、手术治疗、自我效能等是影响患者术后焦虑、抑郁情绪的主要因素。Objective:To explore the correlation between anxiety and depression and self-efficacy in patients after mastectomy.Methods:A total of 68 patients with breast cancer admitted to our hospital from June 2017 to December 2018 were selected as the study subjects, including 42 cases with surgical treatment and 26 cases with conservative treatment.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to evaluate the emotional status of subjects.General Self-Efficacy Scale(GSES)was used to evaluate the self-efficacy of subjects, and the correlation between anxiety and depression and self-efficacy was analyzed among patients after mastectomy, and the influencing factors were further explored.Results:There were significant differences in postoperative HAMA score and HAMD score among patients of different ages, education levels, marital status, whether the spouse cared about the current image and receiving chemotherapy(P<0.05),and there were no significant differences in the postoperative HAMA score and HAMD score among patients with or without breast cancer metastasis(P>0.05).The postoperative HAMA score(r=-0.342,P<0.05)and HAMD score(r=-0.351,P<0.05)inpatients with breast cancer were negatively correlated with GSES score.Multivariate Logistic regression analysis found that age, education level, marital status, whether the spouse cared about the current image, receiving chemotherapy, surgical treatment and self-efficacy were the main factors affecting postoperative anxiety and depression(OR=1.422,95% CI=1.113~1.817;OR=1.302,95% CI=1.035~1.638;OR=1.406,95% CI=1.082~1.829,OR=1.435,95% CI=1.103~1.866,OR=1.415,95% CI=1.030~1.944,P<0.05;OR=1.443,95% CI=1.139~1.830,OR=1.510,95% CI=1.246~1.830).Conclusion:The anxiety and depression of patients after mastectomy are negatively correlated with self-efficacy.Age, education level, marital status, whether the spouse cares about the current image, receiving chemotherapy surgical treatment and self-efficacy are the main factors affecting postoperative anxiety and depre

关 键 词：乳腺切除 焦虑情绪 抑郁情绪 自我效能 相关性 

分 类 号：R749.92[医药卫生—神经病学与精神病学]