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影响接受放疗的年轻乳腺癌幸存者焦虑和抑郁的因素。

Factors affecting anxiety and depression in young breast cancer survivors undergoing radiotherapy.

机构信息

College of Nursing, Chung-Ang University, Seoul, 06974, Republic of Korea.

College of Nursing, Chung-Ang University, Seoul, 06974, Republic of Korea.

出版信息

Eur J Oncol Nurs. 2021 Feb;50:101898. doi: 10.1016/j.ejon.2021.101898. Epub 2021 Jan 13.

Abstract

PURPOSE

This study examined anxiety and depression, and their relationship with symptom assessment, uncertainty, social support, and stress in young breast cancer patients receiving radiotherapy.

METHODS

This is a descriptive quantitative study. The participants were 126 patients under 50 years of age with breast cancer undergoing radiotherapy.

RESULTS

The anxiety and depression levels were higher among those who were married (t = -2.318, p = .022), non-religious (t = 4.510, p = .005), and had a higher monthly income (F = 2.840, p = .041). The hierarchical regression analysis model included symptom assessment, uncertainty, social support, and stress, and accounted for about 49% of the variance in anxiety and depression (F = 7.688, p < .001). Additionally, uncertainty (β = 0.304, p = .001) and stress (β = 0.308, p = .001) were significant predictors of anxiety and depression.

CONCLUSIONS

Based on the results of this study, nursing interventions are needed to reduce uncertainty and stress in order to reduce anxiety and depression in young breast cancer patients undergoing radiation treatment.

摘要

目的

本研究旨在探讨年轻乳腺癌放疗患者的焦虑和抑郁状况,以及它们与症状评估、不确定性、社会支持和压力之间的关系。

方法

这是一项描述性定量研究。参与者为 126 名年龄在 50 岁以下、正在接受放疗的乳腺癌患者。

结果

在婚姻状况(t=-2.318,p=.022)、宗教信仰(t=4.510,p=.005)和月收入较高(F=2.840,p=.041)的患者中,焦虑和抑郁水平较高。分层回归分析模型包括症状评估、不确定性、社会支持和压力,可解释焦虑和抑郁变异的约 49%(F=7.688,p<.001)。此外,不确定性(β=0.304,p=.001)和压力(β=0.308,p=.001)是焦虑和抑郁的显著预测因子。

结论

基于本研究结果,需要采取护理干预措施来减轻不确定性和压力,以降低年轻乳腺癌放疗患者的焦虑和抑郁水平。

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