乳腺癌根治术患者疼痛、焦虑及抑郁现况研究

目的:通过对120例25～65岁择期行乳腺癌根治术的女性乳腺癌患者进行现况调查,了解其疼痛、焦虑及抑郁发生的现状。方法:采用现况研究的方法,以状态-特质焦虑问卷和抑郁自评量表在术前一天对研究对象焦虑、抑郁状况进行调查;以简式麦氏疼痛问卷在术后第一天对其疼痛状况进行调查。结果:疼痛指标评分中,疼痛分级指数总分为(8.12±2.83)分,视觉模拟量表评分为(4.49±1.08)分,现有疼痛强度评分为(2.65±0.55)分。状态焦虑评分为(51.99±8.60)分,中、重度焦虑分别为77.5%和15.0%;特质焦虑评分为(48.30±6.18)分,中、重度焦虑分别为90.0%和3.3%。抑郁评分为(37.19±6.30)分,中、重度抑郁分别为25.0%和2.8%。结论:乳腺癌患者术前存在不同程度的焦虑、抑郁心理反应,术后也有不同程度的疼痛以及对疼痛不同级别的敏感性。

Prevalence survey on pain, anxiety and depression of breast cancer patients with radical mastectomy

Objective： To investigate the present situation of pain, anxiety and depression by surveying 120 female patients aged 25~65 with breast cancer hospitalized for radical mastectomy. Methods： Three instruments were used to assess the subjects＇ anxiety and depression on the day before the operation and pain on the first day after the operation through the way of prevalence survey, which included State-Trait Anxiety Inventory （STAI）, Self-rating Depression Scale （SDS） and Short-Form of Mcgill Pain Questionnaire （SF-MPQ）. Results：Of pain indices, subjects＇ PRI （Pain Rating Index）, VAS （Visual Analogue Scale） and PPI （Present Pain Intensity） scores were 8.12±2.83, 4.49±1.08, and 2.65±0.55 respectively; State anxiety score was 51.99±8.60, moderate to severe anxiety account for 77.5% and 15.0%. Trait anxiety score was 48.30±6.18, moderate to severe anxiety account for 90.0% and 3.3%. Depression score was 37.19±6.30, moderate to severe depression account for 25.0% and 2.8%. Conclusions： Breast cancer patients have different kinds of psychological reaction, anxiety and depression in different levels before the operation as well as different levels of pain and sensitivity to pain after the operation.