摘要
目的探讨乳腺癌术后上肢淋巴水肿患者焦虑抑郁和生活质量状况及其相关性,为改善其焦虑抑郁与生活质量提供科学依据。方法采用便利取样法,选取在本院就诊的71例乳腺癌术后上肢淋巴水肿患者,采用一般资料调查问卷、医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)、乳腺癌生活质量评定量(functional assessment of cancer therapy-breast quality of life instrument,FACT-B)进行调查。结果36.62%(26/71)的患者为临界焦虑或存在明显焦虑情绪,33.80%(24/71)的患者为临界抑郁或存在明显抑郁;生活质量得分为(95.27±20.14)分,处于中等偏高水平;乳腺癌术后淋巴水肿患者焦虑抑郁与生活质量及各维度(乳腺特异模块除外)之间呈负相关(P<0.05)。结论乳腺癌术后淋巴水肿患者焦虑抑郁及生活质量仍然有待提高,并且患者焦虑抑郁情绪越严重其生活质量越差。临床医护人员应建立乳腺癌术后上肢淋巴水肿三级预防制度及乳腺癌术后多学科团队心理干预方案,以减轻患者焦虑抑郁情绪,改善其生活质量。
Objective To investigate the relationship between anxiety and depression and quality of life in patients with upper extremity lymphedema after breast cancer surgery so as to provide scientific basis for improving their quality of life.Methods A total of 71 patients with upper extremity lymphedema after breast cancer surgery in our hospital were selected by convenient sampling method.General data questionnaire,hospital anxiety and depression scale(HADS)and functional assessment of cancer therapy-breast quality of life instrument(FACT-B)were used for the survey.Results Among the 71 patients,36.62%had borderline or obvious anxiety,and 33.80%had borderline or obvious depression.The quality of life score was(95.27±20.14),which was at a moderately high level.The anxiety and depression were negatively correlated with quality of life and all dimensions except breast cancer additional concerns subscale(P<0.05).Conclusions Anxiety and depression in patients with lymphedema after breast cancer surgery are at a higher level and their quality of life needs to be improved.The more serious the anxiety and depression,the worse the quality of life.It is suggested that clinical medical staff should reasonably construct a tertiary prevention system of upper extremity lymphedema after breast cancer surgery and work out a psychological intervention scheme of multidisciplinary team after breast cancer surgery,so as to reduce anxiety and depression and improve the quality of life of patients.
作者
张丽娟
张惠婷
张慧珍
陈静
钟巧玲
罗庆华
Zhang Lijuan;Zhang Huiting;Zhang Huizhen;Chen Jing;Zhong Qiaoling;Luo Qinghua(Department of Breast Cancer,Sun Yat-sen University Cancer Center,Guangzhou,510060,China;School of Nursing,Sun Yat-sen University,Guangzhou,510060,China)
出处
《现代临床护理》
2021年第2期15-20,共6页
Modern Clinical Nursing
基金
广东省医学科研基金项目,项目编号A2020088
广东省护理学会护理科研课题面上项目,项目编号gdhlxueh2019zx029。
关键词
乳腺癌
淋巴水肿
焦虑
抑郁
生活质量
现况研究
breast cancer
lymphedema
anxiety
depression
quality of life
cross-sectional study
