Analysis Of Related Factors Of Anxiety And Depression After Modified Radical Mastectomy In Breast Cancer Patients

Objective:Surgery as a source of stress severely affects the mental health of postoperative patients.If it is not properly understood and handled,it will not only impose a heavy burden on the mental health of the patient,but it will also hinder postoperative rehabilitation and even cause physical and mental illnesses and sequelae.Therefore,it is one of the main problems that need to be solved to understand in depth the psychological characteristics of breast cancer patients after modified radical mastectomy and to improve the psychological status of anxiety and depression in breast cancer patients in order to improve their quality of life.This article analyzes the factors associated with postoperative anxiety and depression in patients with breast cancer,in order to find the entry point for adjusting the patient's anxiety and depression,and improve the quality of life of postoperative patients.Methods:A total of 104 breast cancer patients hospitalized in Yunnan Provincial Tumor Hospital from December 2016 to October 2017 were randomly selected to conduct a questionnaire survey.The self-rating anxiety scale(SAS)and the Self-rating Depression Scale(SDS)were used.The patient's anxiety and depression status were evaluated.At the same time,the digital assessment method(NRS)was used to evaluate the patient's pain status.Finally,the self-designed demographic characteristics table and clinical information table were used to carry out relevant factor statistics.The patients were divided into anxiety group and non-anxiety group,depression group and non-depression group.Through univariate and bivariate logistic regression analysis,relevant factors affecting anxiety and depression in breast cancer patients were summarized.Results:There were 104 patients enrolled this time and 104 valid questionnaires.There were 75 patients without anxiety,accounting for 72.12%;23 patients with mild anxiety,accounting for 22.11%;5 patients with moderate anxiety,accounting for 4.81%;1 patient with severe anxiety accounted for 0.96%.There were 72 patients without depression,accounting for 69.23%;26 patients with mild depression,accounting for 25.00%;6 patients with moderate depression,accounting for 5.77%.Through single-factor and multi-factor analysis,the results were as follows:age,breast cancer treatment cost tolerance,past health status,postoperative pain,drainage tube indwelling time,pathological stage,self-knowing degree and postoperative anxiety;age,Breast cancer treatment costs,previous health status,communication witht he outside world,and understanding of their own condition are related to postoperative depression.Conclusion:The risk factors for breast cancer patients' postoperative radical postoperative depression are age less than 50 years old,family economy can not afford treatment expenditure,past physical health,pain degree,prolonged drainage tube placement time,high pathological stage,and lack of understanding of their own condition.The age of less than 50 years old,the family economy can not afford treatment expenditures,past physical health,lack of communication with the outside world,do not understand their own condition is a risk factor for modified radical postoperative depression in patients with breast cancer.