皮毛甲状腺癌患者的焦虑和抑郁:一项纵向研究
Yuenan Zheng1, Jie Zhao1, Yang Shi1
1Department of Thyroid Surgery, The First Hospital of China Medical University, Shenyang, Liaoning Province, PR China.
Endocrine
|October 17, 2024
概括
乳头甲状腺癌患者在手术后经历了增加的焦虑和抑郁. 女性和绝经后患者需要有针对性的心理支持,因为他们更容易受到这些不良情绪状态的影响.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 医学心理学 医学心理学
背景情况:
- 乳头甲状腺癌 (PTC) 患者经常经历心理困扰,包括焦虑和抑郁.
- 现有的研究缺乏大规模的前性研究,研究PTC患者的情绪轨迹.
- 了解这些情绪变化对于有效的患者护理至关重要.
研究的目的:
- 为了研究手术前后PTC患者焦虑和抑郁水平的变化.
- 评估性别和更年期状态对PTC患者情绪健康的影响.
主要方法:
- 一项涉及320名PTC患者的前性纵向研究.
- 患者完成了自我评价焦虑量表 (SAS) 和自我评价抑郁量表 (SDS) 术前和术后.
- 使用对样本T测试和后勤回归分析.
主要成果:
- 在术后,焦虑和抑郁的水平显著增加 (p=0.028,p=0.005).
- 手术后焦虑的发生率为13.8%,抑郁的发生率为26.9%.
- 女性和绝经后的状态是影响术后焦虑和抑郁症的重要因素,女性患者表现出更高的易感性.
结论:
- 术后心理护理对于PTC患者,特别是女性和绝经后患者至关重要.
- 建议对更大的队列和更长的随访进行进一步的研究,以充分了解PTC幸存者的心理变化.
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