岭南现代临床外科2026，Vol.26Issue(4)：222-229,8.DOI:10.3969/j.issn.1009-976X.2026.04.003
乳腺及甲状腺疾病患者术前焦虑、抑郁发生情况及相关因素研究
Analysis of the incidence and influencing factors of preoperative anxiety and depression in pa-tients with breast and thyroid diseases
韩莹莹 1郑越男 2王模日根 2王墨飞2
作者信息
- 1. 内蒙古民族大学临床医学院,内蒙古 通辽 028000||内蒙古民族大学附属医院甲状腺、乳腺、疝外科,内蒙古 通辽 028000
- 2. 内蒙古民族大学附属医院甲状腺、乳腺、疝外科,内蒙古 通辽 028000
- 折叠
摘要
Abstract
Objective To investigate the detection rates and influencing factors of preoperative anxiety and depression in patients with breast and thyroid diseases,and to provide evidence for clinical psycho-logical intervention.Methods Patients who underwent breast or thyroid surgery in the Department of Thyroid,Breast,and Hernia Surgery of the Affiliated Hospital of Inner Mongolia Minzu University from October to December 2025 were enrolled.Demographic and clinical data were collected.The Generalized Anxiety Disorder7(GAD7)and Patient Health Questionnaire9(PHQ9)scales were used to assess anxi-ety and depression status.Univariate and multivariate logistic regression analyses were performed to explore influencing factors of preoperative anxiety and depression.Results The preoperative detection rates of anxiety and depression were 23.9%and 25.0%among patients with thyroid diseases,versus 36.2%and 38.3%among patients with breast diseases,with mild-to-moderate symptoms being predominant.Surgical approach(P=0.048)and lack of preoperative puncture biopsy(P=0.044)were independent correlative factors for preoperative anxiety.Surgical approach(P=0.020)and low income level(P=0.044)were independent correlative factors for preoperative depression.No independent statistical association was found between disease type and preoperative anxiety or depression in this study.Conclusion Mild-to-moderate anxiety and depression are prevalent among patients undergoing breast and thyroid surgery preoperatively.Surgical approach,preoperative puncture status and income level are key influencing fac-tors.Clinicians should attach importance to preoperative psychological assessment,implement individual-ized interventions targeting relevant risk factors,and comprehensively improve patients'quality of life.关键词
甲状腺疾病/乳腺疾病/焦虑/抑郁/心理/独立相关因素Key words
thyroid diseases/breast diseases/anxiety/depression/psychology/independent correlative factors分类
医药卫生引用本文复制引用
韩莹莹,郑越男,王模日根,王墨飞..乳腺及甲状腺疾病患者术前焦虑、抑郁发生情况及相关因素研究[J].岭南现代临床外科,2026,26(4):222-229,8.
