青年乳腺癌患者焦虑现状及影响因素分析

Anxiety status and influencing factors of young patients with breast cancer

目的了解青年乳腺癌患者的心理健康状况,分析其影响因素,为制定青年乳腺癌患者心理健康干预措施提供依据。方法2021年1月-2022年1月,采用便利抽样法抽取青年乳腺癌患者,采用一般资料调查表、广泛性焦虑量表(Generalized Anxiety Disorder,GAD-7)对湖南省2所三级甲等医院234例青年乳腺癌患者进行调查。结果75名(32.1%)出现焦虑,二元回归分析结果显示,家庭月收入(OR=0.017,95%CI:0.005-0.054)、文化程度(OR=16.659,95%CI:5.958-46.583)、是否生育(OR=0.050,95%CI:0.007-0.334)是青年乳腺癌患者焦虑症状的独立影响因素(均P<0.05)。结论青年乳腺癌患者易产生焦虑等心理问题,应重视低收入、文化程度高、未生育的青年乳腺癌患者的心理干预措施,减轻其焦虑等不良情绪,促进心理健康。

Objective To understand the mental health status of young breast cancer patients and analyze its influencing factors,so as to provide basis for formulating mental health intervention measures for young breast cancer patients.Methods From January 2021 to January 2022,234 young patients with breast cancer from two tertiary hospitals in Hunan Province were selected by convenience sampling method,and general information questionnaire and generalized anxiety disorder(GAD-7)were used to investigate.Results Of 234 breast cancer patients investigated,75(32.1%)showed anxiety.The results of binary regression analysis showed that family monthly income(OR=0.017,95%CI:0.005-0.054),education level(OR=16.659,95%CI:5.958-46.583),and whether to have children(OR=0.050,95%CI:0.007-0.334)were independent influencing factors for anxiety symptoms of young breast cancer patients(all P<0.05).Conclusion Young breast cancer patients are prone to psychological problems such as anxiety.We should pay attention to the psychological intervention measures for young breast cancer patients with low income,high education and childlessness to reduce their anxiety and other negative emotions and promote their mental health.