育龄期乳腺癌患者改良根治术后创伤后应激障碍与应对方式的相关性

Correlation Between Post-Traumatic Stress Disorder and Coping Style AfterModified Radical Mastectomy in Patients with Breast Cancer in Childbearing Age

目的观察育龄期乳腺癌患者改良根治术后创伤后应激障碍(PTSD)与应对方式情况,并分析二者的相关性。方法选取2019年1月至2021年3月在河南大学第一附属医院接受改良根治术治疗的118例育龄期乳腺癌患者为研究对象,所有患者术后均随访3个月;于随访3个月时采用PTSD检查量表平民版(PCL-C)评估患者PTSD状况,并采用医学应对方式问卷(MCMQ)评估患者应对方式,分析育龄期乳腺癌患者改良根治术后PTSD与应对方式的相关性。结果随访3个月,育龄期乳腺癌患者改良根治术后经评估,PCL-C总分平均为(45.53±6.48)分,具有一定程度的PTSD症状;积极应对评分为(22.25±2.07)分,消极应对评分为(29.12±2.13)分,其中50例患者倾向于积极应对,68例患者倾向于消极应对整体处于消极应对状态。一般线性双变量Pearson直线相关性检验结果显示,育龄期乳腺癌患者改良根治术后PCL-C各维度评分及总分与MCMQ中面对评分呈负相关(r<0,P<0.05),与回避、屈服评分呈正相关(r>0,P<0.05);一元线性回归分析结果显示,消极应对与育龄期乳腺癌患者改良根治术后PTSD水平较高有关(P<0.05)。结论育龄期乳腺癌患者改良根治术后PTSD与应对方式有关。

Objective To observe post-traumatic stress disorder(PTSD)and coping style after modified radical mastectomy in patients with breast cancer in childbearing age,and to analyze the correlation.Methods A total of 118 patients with breast cancer in childbearing age who underwent modified radical mastectomy in the First Affiliated Hospital of Henan University from January 2019 to March 2021 were selected as the study subjects.All patients were followed up for three months after operation.The PTSD status of patients was evaluated by PTSD checklist-civilian version(PCL-C)after three months of follow-up,the coping styles of patients were evaluated by medical coping style questionnaire(MCMQ),and the correlation between PTSD and coping style after modified radical mastectomy in patients with breast cancer in childbearing age was analyzed.Results After three months of follow-up,the average total score of PCL-C was(45.53±6.48)after modified radical mastectomy in patients with breast cancer in childbearing age after assessment,with a certain degree of PTSD symptoms.The positive coping score was(22.25±2.07)and the negative coping score was(29.12±2.13).Among them,50 patients tended to positive coping,68 patients tended to negative coping,and they were in negative state as a whole.Through the general linear bivariate Pearson linear correlation test,the results showed that,each dimension score and total score of PCL-C in patients with breast cancer in childbearing age after modified radical mastectomy were negatively correlated with score in MCMQ(r<0,P<0.05),and positively correlated with avoidance and yield scores(r>0,P<0.05).The results of univariate linear regression analysis showed that negative coping was associated with higher PTSD level after modified radical mastectomy in patients with breast cancer in childbearing age(P<0.05).Conclusion PTSD is related to coping style in patients with breast cancer in childbearing age after modified radical mastectomy.