伴有抑郁焦虑的乳腺癌患者的心理弹性状况及其影响因素

The status of mental resilience of breast cancer patients with depression and anxiety and its influencing factors

目的 调查伴有抑郁焦虑的乳腺癌患者心理弹性水平,并探讨其影响因素。方法 选取并研究2022年1月~2023年1月在我院收治的80例乳腺癌伴有抑郁焦虑患者,采用心理弹性量表(Connor-David-son Resilience Scale,CD-RISC)评估患者心理弹性水平,依据心理弹性水平将患者划分为心理弹性差组(CD-RISC≤60分,n=35)和心理弹性好组(CD-RISC> 60分,n=45)。比较两组基础资料信息及抑郁自评量表(Self-rating depression Scale,SDS)和焦虑自评量表(Self-rating anxiety scale,SAS)评分,经多因素Logistic回归分析影响乳腺癌患者心理弹性差的危险因素。结果心理弹性差组接受改良根治术患者占比高于心理弹性好组,且SDS轻中重抑郁评分、SAS轻中重焦虑评分高于心理弹性好组(P<0.05);经多因素Logistic回归分析证实,改良根治术、SDS评分、SAS评分是乳腺癌患者心理弹性差的危险因素(P<0.05);相关性分析显示,乳腺癌患者CD-RISC总分与SDS评分、SAS评分呈负相关(P<0.05)。结论 乳腺癌患者心理弹性与手术方式、焦虑抑郁情绪等密切相关,临床可通过调整手术方式,缓解抑郁焦虑等负性情绪来提高患者心理弹性水平。

Objective To investigate the level of mental resilience in patients with breast cancer complicated with depression and anxiety,and explore its influencing factors.Methods A total of 80 patients with breast cancer combined with depression and anxiety admitted to our hospital from January 2022 to January 2023 were selected and studied.The psychological Resilience level of the patients was assessed using the Connor-David-son Resilience Scale(CD-RISC).According to the level of mental resilience,the patients were divided into poor mental resilience group(CD-RISC ≤ 60 points,n=35)and good mental resilience group(CD-RISC > 60 points,n=45).The basic information and Self-rating depression Scale(SDS)and Self-rating anxiety scale(SAS)scores of the two groups were compared.The risk factors of poor mental resilience in breast cancer patients were analyzed by Logistic regression.Results The proportion of patients receiving modified radical surgery in the poor mental resilience group was higher than that in the good mental resilience group,and the SDS scores of mild to moderate depression and SAS scores of mild to moderate anxiety were higher than those in the good mental resilience group(P<0.05).Multivariate Logistic regression analysis confirmed that modified radical surgery,SDS score and SAS score were risk factors for poor mental resilience in breast cancer patients(P<0.05).Correlation analysis showed that the total score of CD-RISC in breast cancer patients was negatively correlated with SDS score and SAS score(P<0.05).Conclusion The psychological resilience of patients with breast cancer is closely related to surgical methods,anxiety and depression,etc.Clinically,the psychological resilience of patients can be improved by changing surgical methods and alleviating negative emotions such as depression and anxiety.