乳腺癌保乳手术后患者焦虑抑郁现状及影响因素  

Current situation and influencing factors of anxiety and depression in patients with breast cancer after breast-conserving surgery

作　　者：李强 李雪 LI Qiang;LI Xu(Tangshan maternal and Child Health Hospital,operating room,Tangshan 063000,China)

机构地区：[1]唐山市妇幼保健院手术室,唐山063000

出　　处：《国际精神病学杂志》2025年第1期228-231,共4页Journal Of International Psychiatry

摘　　要：目的 分析乳腺癌保乳手术后患者焦虑抑郁的现状,并深入分析其影响因素。方法 回顾性分析2021年7月~2023年7月于我院进行保乳术治疗的100例乳腺癌患者的临床资料,依据术后焦虑自评量表、抑郁自评量表结果分为焦虑抑郁组(n=63)、无焦虑抑郁组(n=37)。比较两组年龄、病理类型、病理分期、肿瘤直径、居住地、婚姻状况、文化程度、工作情况、每月家庭人均收入、术后化疗情况以及家人接受程度。采用多因素Logistic回归分析乳腺癌保乳手术后患者焦虑抑郁的影响因素。结果 焦虑抑郁组病理分期为Ⅱ期、肿瘤直径>2 cm、未婚、文化程度为高中及以下、家人接受程度差的比例均高于无焦虑抑郁组(P<0.05);多因素Logistic回归分析显示病理分期为Ⅱ期、肿瘤直径>2 cm、未婚、文化程度为高中及以下、家人接受程度差均为导致乳腺癌保乳手术后患者焦虑抑郁的影响因素(P<0.05)。结论 影响乳腺癌保乳手术后患者焦虑抑郁发生的危险因素较多,包括病理分期、肿瘤直径、婚姻状况、文化程度及家人接受程度等,临床可结合以上因素制定个体化干预措施,尽早改善患者心理状况。Objective To analyze the current situation of anxiety and depression in patients with breast cancer after breast-conserving surgery,and analyze the influencing factors.Method Clinical data of 100 patients with breast cancer who underwent breast conserving surgery in our hospital from July 2021 to July 2023 were retrospectively analyzed.According to the results of postoperative self-rating anxiety Scale and self-rating depression Scale,they were divided into anxiety and depression group(n=63)and no anxiety and depression group(n=37).Age,pathological type,pathological stage,tumor diameter,place of residence,marital status,educational level,job status,monthly per capita family income,postoperative chemotherapy and family acceptance were compared between the two groups.Multivariate Logistic regression was used to analyze the influencing factors of anxiety and depression in patients with breast cancer after breast-conserving surgery.Results The proportion of pathological stageⅡ,tumor diameter>2cm,unmarried,education level of high school or below,and poor family acceptance in anxiety and depression group were higher than those in no anxiety and depression group(P<0.05).Multivariate Logistic regression analysis showed that pathological stageⅡ,tumor diameter>2cm,unmarried,education level of high school or below,and poor family acceptance were all influencing factors for anxiety and depression of patients after breast cancer preservation surgery(P<0.05).Conclusion There are many risk factors that affect the occurrence of anxiety and depression in patients with breast cancer after breast-preserving surgery,including pathological stage,tumor diameter,marital status,educational level and family acceptance,etc.Clinical individualized intervention measures can be combined with the above factors to improve the psychological status of patients as soon as possible.

关 键 词：乳腺癌 保乳手术 焦虑抑郁 影响因素 文化程度 

分 类 号：R749[医药卫生—神经病学与精神病学]