摘要
目的分析乳腺癌患者术后并发创伤后应激障碍(PTSD)的相关危险因素.方法选取九江市第一人民医院2022年2月-2023年4月接受手术治疗的113例乳腺癌患者,术后3d,使用创伤后应激障碍自评量表(PCL-C)评价患者PTSD发生情况,调查患者一般资料,纳入可能影响PTSD发生的资料,分析乳腺癌患者术后并发PTSD的相关危险因素.结果113例乳腺癌患者术后有30例并发PTSD,发生率为26.55%;经Logistic回归分析显示,年龄<50岁、文化程度初中及以下、辅助化疗、恐惧疾病进展程度高、睡眠障碍、家庭功能障碍是乳腺癌患者术后并发PTSD的危险因素(OR>1,P<0.05).结论乳腺癌患者术后并发PTSD受年龄、文化程度、辅助化疗、恐惧疾病进展、睡眠质量、家庭功能因素影响,可据此制定个体化护理方案,以期降低患者术后PTSD发生率.
Objective To analyze the risk factors of postoperative post-traumatic stress disorder(PTSD)in patients with breast cancer.Methods A total of 113 patients with breast cancer who received surgical treatment from February 2022 to April 2023 were selected.After 3 days of surgery,the occurrence of PTSD in patients was evaluated with the self-rating Scale for post-traumatic Stress Disorder(PCL-C).General data of patients were investigated,and possible data were included to analyze the risk factors associated with postoperative PTSD in breast cancer patients.Results Among 113 breast cancer patients,30 cases were complicated with PTSD(26.55%).Logistic regression analysis showed that age<50 years old,junior high school education or below,adjuvant chemotherapy,high progression of fear disease,sleep disorder and family dysfunction were risk factors for postoperative PTSD in breast cancer patients(OR>1,P<0.05).Conclusion Breast cancer patients risk of post-operative PTSD,which is affected by age,education,adjuvant chemotherapy,fear of disease progression,sleep quality and family function.Therefore,individualized nursing plan can be developed to reduce the incidence of post-operative PTSD.
作者
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Zhan Huanhuan(The First People's Hospital of Jiujiang City,Jiujiang,Jiangxi 332000,China)
出处
《首都食品与医药》
2024年第6期55-58,共4页
Capital Food Medicine
关键词
乳腺癌
手术
创伤后应激障碍
危险因素
breast cancer
Surgery
Post-traumatic stress disorder
Risk factor
