Original Article
Changes in psychological status of initial-diagnosed breast cancer patients before and after surgical treatment
Lyu Chunyang, Zhao Yun, Yuan Li, Qu Xiang, Xu Qing
Published 2022-06-15
Cite as Int J Surg, 2022, 49(6): 376-381. DOI: 10.3760/cma.j.cn115396-20210924-00379
Abstract
ObjectiveTo study the effect of surgical treatment on the psychological status of initial-diagnosed breast cancer patients.
MethodsUsing a prospective study method, 73 initial-diagnosed breast cancer patients who received surgical treatment in Beijing Bo′ai Hospital from March 2015 to June 2017 were selected. The self-rating anxiety scale (SAS), the self-rating depression scale (SDS) and the symptom checklist-90 (SCL-90) were used to evaluate the psychological health status before and after surgery by face-to-face conversation. The measurement data were described as mean±standard deviation(
±s), and the scores of SAS, SDS and SCL-90 before and after surgery were analyzed by paired t-test. Chi-square test was used to compare count data before and after surgery.
ResultsAfter surgical treatment, the anxiety and depression scores were 38.03±8.53 and 42.17±10.93, which were significantly lower than that in the pre-operation (46.47±11.47 and 51.01±14.22), the differences were statistically significant (P<0.001). The scores of somatization, obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, depression, hostility, phobia, paranoid and psychotic disorder of initial-diagnosed breast cancer patients in SCL-90 were 4.52±4.71, 6.15±5.49, 3.51±3.26, 4.52±4.44, 7.12±6.23, 1.55±2.03, 3.18±3.36, 0.99±1.36 and 2.85±3.59 after surgical treatment, which were significantly lower than that in the pre-operation (6.88±6.36, 10.08±6.77, 5.99±5.57, 10.03±8.00, 12.59±9.78, 4.12±5.25, 4.92±4.46, 2.59±3.60) and (5.84±5.43), the differences were statistically significant (P=0.002 in somatization, others P<0.001).
ConclusionSurgical treatment can improve the psychological status of initial-diagnosed breast cancer patients, which has important significance for the psychological rehabilitation of patients who were initial-diagnosed breast cancer.
Key words:
Breast neoplasms; Surgical procedures, operative; Psychological status; Anxiety; Depression
Contributor Information
Lyu Chunyang
Department of General Surgery, the Affiliated Huai′an Hospital of Xuzhou Medical University, Huai′an 223002, China
Zhao Yun
Department of Thoracic Surgery, Beijing Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, China
Yuan Li
Department of Breast Surgery, Beijing Bo′ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
Qu Xiang
Department of Breast Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Xu Qing
Department of Breast Surgery, Beijing Bo′ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
±s)表示，手术治疗前后患者的SAS、SDS及SCL-90各项因子得分比较采用配对t检验；计数资料手术治疗前后比较采用χ2检验。
