乳腺癌患者术后抑郁与痛苦表露及睡眠的相关性研究

doi:10.3760/cma.j.issn.1007-1245.2024.17.031

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (17): 2978-2982.DOI: 10.3760/cma.j.issn.1007-1245.2024.17.031

乳腺癌患者术后抑郁与痛苦表露及睡眠的相关性研究

刘丽琴¹ 袁红¹ 常颖智¹ 曾晶婷¹ 黄晴¹ 林云勇²

¹广州市第一人民医院乳腺外科，广州　510000；²广州医科大学附属第二医院超声诊断科，广州　510260

收稿日期:2024-06-11 出版日期:2024-09-01 发布日期:2024-09-23
通讯作者: 刘丽琴，Email：innonent@163.com
基金资助:
广东省医学科学技术研究基金（A2023399）；广东省中医药局科研项目（20231235）

Correlation of postoperative depression with distress disclosure and sleep quality in patients with breast cancer

Liu Liqin¹, Yuan Hong¹, Chang Yingzhi¹, Zeng Jingting¹, Huang Qing¹, Lin Yunyong²

¹Department of Breast Surgery, Guangzhou First People's Hospital, Guangzhou 510000, China; ²Ultrasonic Diagnostic Department, Second Hospital, Guangzhou Medical University, Guangzhou 510260, China

Received:2024-06-11 Online:2024-09-01 Published:2024-09-23
Contact: Liu Liqin, Email: innonent@163.com
Supported by:
Research Fund for Medical Science and Technology in Guangdong (A2023399); Scientific Research Project of Guangdong Bureau of Traditional Chinese Medicine (20231235)

摘要/Abstract

摘要：

目的　探讨乳腺癌患者术后抑郁水平与痛苦表露及睡眠质量之间的关系。方法　回顾性分析2023年11月至2024年5月广州市第一人民医院乳腺外科收治的236例乳腺癌患者的问卷调查结果，年龄<40岁44例、≥40岁192例，临床分期：Ⅰ期68例、Ⅱ期84例、Ⅲ期70例、Ⅳ期14例，乳腺癌保乳术68例、乳腺癌改良根治术132例、乳腺癌改良根治术+重建术36例。填写患者健康问卷（PHQ-9）抑郁量表、痛苦表露指数量表及匹兹堡睡眠指数量表，根据术后PHQ-9抑郁量表评分分为抑郁组和无抑郁组。采用χ²检验、Kendall及线性相关分析。结果　236名乳腺癌患者术后发生抑郁124例，无抑郁112例。抑郁组中年龄<40岁、婚龄<10年的例数高于无抑郁组（36例比8例、28例比4例），差异均有统计学意义（χ²=18.589、18.143，均P<0.001）。乳腺癌术后患者抑郁程度与匹兹堡睡眠质量总分呈正相关（r=0.620，P<0.001），痛苦表露水平与睡眠障碍评分呈负相关（r=-0.370，P=0.004）。结论　乳腺癌术后患者睡眠质量明显影响抑郁状态，其痛苦表露水平影响睡眠障碍评分。

关键词:

乳腺癌, 抑郁, 痛苦表露, 睡眠质量, 生活质量

Abstract:

Objective　To explore the relationship of postoperative depression with distress disclosure and sleep quality in patients with breast cancer. Methods　A retrospective analysis was conducted on the questionnaire survey of 236 patients with breast cancer admitted to Department of Breast Surgery, Guangzhou First People's Hospital from November 2023 to May 2024. Among the patients, 44 cases were below 40 years old, and 192 cases were ≥40 years old. There were 68 cases of clinical stage Ⅰ, 84 cases of stage Ⅱ, 70 cases of stage Ⅲ, and 14 cases of stage Ⅳ. Sixty-eight cases took breast-conserving surgery, 132 cases modified radical mastectomy for breast cancer, and 36 cases modified radical mastectomy + reconstruction. All the patients completed the Patient Health Questionnaire-9 (PHQ-9) depression scale, the Pain Disclosure Index scale, and the Pittsburgh Sleep Quality Index scale. According to the scores of PHQ-9 depression scale after surgery, the patients were divided into a depression group and a non-depression group. χ²test, Kendall's tau, and linear correlation analysis were employed for the statistical analysis. Results　Among the 236 patients, 124 cases had depression after surgery, and 112 did not. The proportions of the patients who were < 40 years old and whose marriage duration < 10 years in the depression group were higher than those in the non-depression group (36 cases vs. 8 cases and 28 cases vs.4 cases), with statistical differences (χ²=18.589 and 18.143; both P<0.001). The depression level in the patients with breast cancer after surgery was positively correlated with the score of the total Pittsburgh Sleep Quality Index (r=0.620, P<0.001), while their distress disclosure level was negatively correlated with the sleep disorder score (r=-0.370, P=0.004). Conclusion　The sleep quality of patients with breast cancer after surgery significantly affects their depression status, and their distress disclosure level affects the sleep disorder score.

Key words:

Breast cancer, Depression, Distress disclosure, Sleep quality, Quality of life

刘丽琴袁红常颖智曾晶婷黄晴林云勇.

乳腺癌患者术后抑郁与痛苦表露及睡眠的相关性研究 [J]. 国际医药卫生导报, 2024, 30(17): 2978-2982.

Liu Liqin, Yuan Hong, Chang Yingzhi, Zeng Jingting, Huang Qing, Lin Yunyong.

Correlation of postoperative depression with distress disclosure and sleep quality in patients with breast cancer [J]. International Medicine and Health Guidance News, 2024, 30(17): 2978-2982.

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乳腺癌患者术后抑郁与痛苦表露及睡眠的相关性研究

Correlation of postoperative depression with distress disclosure and sleep quality in patients with breast cancer

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