乳腺癌患者术前负面情绪与其术后心理应激及疼痛程度的关系  

Analysis of correlation between preoperative negative emotion and postoperative psychological stress and pain degree in patients with breast cancer

作　　者：任宏媛 李春蕊 杜瑞[1] REN Hongyuan;LI Chunrui;DU Rui(Tangshan People's Hospital,Tangshan 063000,China)

机构地区：[1]唐山市人民医院,唐山063000

出　　处：《国际精神病学杂志》2025年第1期224-227,共4页Journal Of International Psychiatry

基　　金：河北省医学科学研究重点课题计划(编号:20181230)。

摘　　要：目的 分析乳腺癌患者术前负面情绪与其术后心理应激及疼痛程度的相关性。方法回顾性分析2021年10月~2023年10月于我院进行治疗的90例乳腺癌患者的临床资料,收集其基线资料、术前焦虑自评量表(self-rating Anxiety Scale,SAS)、抑郁自评量表(self-rating Depression Scale,SDS)评分,比较患者术后症状自评量表(Symptom checklist 90,SCL-90)及疼痛视觉模拟评分(visual analogue scale,VAS),采用Spearman相关系数分析乳腺癌患者术前焦虑、抑郁与术后心理应激及疼痛程度的关系。结果 腋窝淋巴结清扫、术前存在抑郁、焦虑患者的心理应激及疼痛程度水平明显较高(P<0.05);相关性分析显示,乳腺癌患者术前SAS、SDS评分与术后SCL-90、VAS评分呈正相关(P<0.05)。结论 术后患者的心理应激、疼痛程度与其术前焦虑、抑郁呈正相关,临床治疗时需密切关注患者心理状态,及时给予心理干预措施,以减轻患者术后心理应激、疼痛程度。Objective To analyze the correlation between preoperative negative emotion and postoperative psychological stress and pain degree in patients with breast cancer.Methods Clinical data of 90 patients with breast cancer treated in our hospital from October 2021 to October 2023 were retrospectively analyzed.Baseline data,self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)scores were collected,and postoperative symptom Selfrating Scale(SCL-90)and visual analog pain scale(VAS)of patients with different demographic characteristics were compared.Spearman correlation coefficient was used to analyze the relationship between anxiety and depression before surgery and psychological stress and pain degree after surgery.Results The level of psychological stress and pain in patients with depression and anxiety before axillary lymph node dissection were significantly higher(P<0.05).Correlation analysis showed that preoperative SAS and SDS were positively correlated with postoperative SCL-90 and VAS scores in breast cancer patients(P<0.05).Conclusion Postoperative psychological stress and pain are positively correlated with preoperative anxiety and depression.In clinical treatment,close attention should be paid to the psychological state of patients and timely psychological intervention measures should be given to reduce the psychological stress and pain of patients after surgery.

关 键 词：乳腺癌 焦虑 抑郁 心理应激 疼痛程度 

分 类 号：R749[医药卫生—神经病学与精神病学]