岭南现代临床外科2025，Vol.25Issue(2)：118-126,9.DOI:10.3969/j.issn.1009-976X.2025.02.006
不同手术方式对乳腺癌患者焦虑抑郁情绪影响的相关性研究
The correlational study of different surgical approaches on anxiety and depression in breast can-cer patients
伍春华 1赵晨 1朱紫鹏 1杨国忠 1李梓仪 1钱浩2
作者信息
- 1. 承德医学院,河北 承德 067000
- 2. 承德市中心医院甲乳直肠外科,河北 承德 067000
- 折叠
摘要
Abstract
Objective To explore the current status of anxiety and depression among breast cancer surgery patients and their influencing factors,providing a basis for clinical diagnosis and treatment.Methods Patients who underwent surgical treatment in the Breast and Thyroid and Rectal Surgery Department of Chengde City Central Hospital from November 2022 to April 2024 were selected as the research subjects.They were divided into lumpectomy group(n=32)and mastectomy group(n=52)based on the surgical method.A longitudinal study was conducted using the Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)to assess the patients before surgery,three months after surgery,and six months after surgery.The general information and clinical characteristics of the patients were collected to analyze the occurrence of depression and anxiety among breast cancer surgery patients and their influencing factors.Results There was no significant difference in SAS and SDS scores between the two groups before surgery(P=0.770).Three months after surgery,both groups showed a significant increase in SAS and SDS scores,with the lumpectomy group showing a more significant increase in anxiety scores(an increase of 7.6 points on average,P<0.001),and the mastectomy group showing a more significant increase in depression scores(an increase of 7.2 points on average,P=0.010).Six months after surgery,the anxiety and depression scores of the lumpectomy group returned to preoperative levels,while the depression scores of the mastectomy group were still higher than before surgery(P=0.048),but there was no significant difference in depression scores between the two groups(P>0.05).The analysis of the influencing factors on their psychological status showed that being young,having a low level of education,and having a low family monthly income were the main independent risk factors for anxiety and depression at all three time points(P<0.05).Conclusion Breast cancer surgery patients have a high incidence of depression and anxiety,and the surgical method can directly affect patients′depressive and anxious emotions.Compared to preoperative levels,anxiety increases more significantly in the lumpectomy group,and depression increases more significantly in the mastectomy group three months after surgery.Six months after surgery,the psychological state of the lumpectomy group recovers better,while the improvement in depression in the mastectomy group is relatively delayed.Medical staff should strengthen psychological care for breast cancer patients at all stages,especially three months after surgery.Different intervention strategies should be implantated for different groups to mitigate patients′ anxiety and depression.关键词
乳腺癌/焦虑/抑郁/影响因素/手术方式Key words
breast cancer/depression/anxiety/influencing factors/surgical methods分类
临床医学引用本文复制引用
伍春华,赵晨,朱紫鹏,杨国忠,李梓仪,钱浩..不同手术方式对乳腺癌患者焦虑抑郁情绪影响的相关性研究[J].岭南现代临床外科,2025,25(2):118-126,9.
