根治性手术后乳腺癌和妇科癌症女性心理健康障碍的预测因素：一项横断面研究。
Predictors of mental health disorders in women with breast and gynecological cancer after radical surgery: A cross-sectional study.
作者信息
Aquil Amina, El Kherchi Ouassil, El Azmaoui Naoual, Mouallif Mustapha, Guerroumi Maroua, Benider Abdellatif, Elgot Abdeljalil
机构信息
Epidemiology and Biomedical Unit, Laboratory of Sciences and Health Technologies, Higher Institute of Health Sciences, Hassan First University of Settat, Morocco.
Ibn Rochd University Hospital Center, Mohammed VI Center for the Treatment of Cancers, Casablanca, Morocco.
出版信息
Ann Med Surg (Lond). 2021 Apr 10;65:102278. doi: 10.1016/j.amsu.2021.102278. eCollection 2021 May.
INTRODUCTION
In lower-middle-income countries, significant progress has been made in the therapeutic management of cancers. However, mental health disorders related to these diseases are usually underestimated by the health system. The aim of this study is to investigate the predictive factors for mental health disorders in Moroccan women with breast or gynecological cancer treated by radical surgery.
MATERIAL AND METHODS
A cross-sectional study was carried out on Moroccan women treated by radical surgery for breast or gynecological cancer (N = 200). For each cancer type, patients were divided into two groups following age criteria. Hospital Anxiety and Depression Scale and Body image scale were used.
RESULTS
Age had a significant effect on mental health disorders but not the type of cancer. Younger women showed significantly greater mental health disorders than older women (p ≤ 0.001). The predictive model for high anxiety and depression included the effect of the following variables: Being younger, having lower income, and advanced tumor stage. For higher body image dissatisfaction, the variables are as follows: being younger, having fewer children, lower-income, and advanced tumor stage.
CONCLUSION
The association of mental health disorders in patients with breast or gynecological cancer increases their distress. The establishment of management protocols for these disorders is strongly recommended in oncology departments.
引言
在中低收入国家，癌症治疗管理已取得显著进展。然而，与这些疾病相关的心理健康障碍通常被卫生系统低估。本研究旨在调查接受根治性手术治疗的摩洛哥乳腺癌或妇科癌症女性心理健康障碍的预测因素。
材料与方法
对接受乳腺癌或妇科癌症根治性手术治疗的摩洛哥女性（N = 200）进行了一项横断面研究。对于每种癌症类型，根据年龄标准将患者分为两组。使用医院焦虑抑郁量表和身体形象量表。
结果
年龄对心理健康障碍有显著影响，但癌症类型无影响。年轻女性的心理健康障碍明显高于老年女性（p≤0.001）。高焦虑和抑郁的预测模型包括以下变量的影响：年龄较小、收入较低和肿瘤分期较晚。对于更高的身体形象不满，变量如下：年龄较小、子女较少、收入较低和肿瘤分期较晚。
结论
乳腺癌或妇科癌症患者心理健康障碍的关联增加了她们的痛苦。强烈建议肿瘤科室制定这些障碍的管理方案。
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