乳腺癌患者乳房切除术后决定进行乳房重建的心理、社会人口学和临床病理预测因素。

Psychological, sociodemographic, and clinicopathological predictors of breast cancer patients' decision to undergo breast reconstruction after mastectomy.

机构信息

Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail.

出版信息

Saudi Med J. 2020 Mar;41(3):267-274. doi: 10.15537/smj.2020.3.24946.

DOI:10.15537/smj.2020.3.24946

PMID:32114599

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7841554/

Abstract

OBJECTIVES

To examine the influence of socioeconomic factors, anxiety, depression, and personality traits on the decision to undergo breast reconstruction (BR) post mastectomy.

METHODS

In this cross-sectional study, adult female breast cancer (BC) patients who had undergone a mastectomy between January 2017 and 2019 were interviewed using a 46-item questionnaire at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The questionnaire was divided into 5 sections: demographic data, personality traits, the Narcissism Index (NI), and the Hospital Anxiety and Depression Scale (HADS). Results: The sample (N=196; mean age: 48.44 [± 9.87] years, opted for BR: 60.2%, with chronic diseases: 36.7%, Saudi nationals: 43.9%) obtained means of 4.17 (± 2.81) on NI score, 7.72 (± 4.88) on anxiety score, and 5.78 (± 4.65) on depression score. Group differences in age, depression, lymph node involvement, and 2 personality traits emerged.

CONCLUSION

Age and depression significantly influenced the decision to undergo BR. Women who had opted for BR tended to be younger, be less depressed, and be characterized by lesser nodal involvement. Personality traits also influenced the decision to undergo BR. Diagnosing and treating depressed patients is an important component. A patient's age should not deter physicians from counselling them about BR.

摘要

目的

探讨社会经济因素、焦虑、抑郁和人格特质对乳房重建（BR）术后决策的影响。

方法

在这项横断面研究中，对 2017 年 1 月至 2019 年间在沙特阿拉伯吉达阿卜杜勒阿齐兹国王大学医院接受过乳房切除术的成年女性乳腺癌（BC）患者进行了 46 项问卷调查。问卷分为 5 个部分：人口统计学数据、人格特质、自恋指数（NI）和医院焦虑和抑郁量表（HADS）。结果：该样本（N=196；平均年龄：48.44[±9.87]岁，选择 BR：60.2%，患有慢性疾病：36.7%，沙特国民：43.9%）NI 得分为 4.17（±2.81），焦虑得分为 7.72（±4.88），抑郁得分为 5.78（±4.65）。年龄、抑郁、淋巴结受累和 2 种人格特质存在组间差异。结论：年龄和抑郁显著影响 BR 的决策。选择 BR 的女性往往更年轻、抑郁程度较低，且淋巴结受累程度较低。人格特质也影响 BR 的决策。诊断和治疗抑郁患者是一个重要的组成部分。患者的年龄不应阻止医生向他们提供关于 BR 的咨询。