抑郁症对乳腺癌患者功能幸福感的影响

Dajana Dedic, Aleksandra Kovac, S. Popović-Petrović, Ivana Zelic-Kozomora
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摘要

介绍。在诊断出恶性疾病后,由于长期暴露于负面情绪和心理困扰,乳腺癌患者的心理状态往往受到损害,抑郁和焦虑等状况可能对乳腺癌患者的功能健康产生直接影响。这项研究的目的是研究抑郁症是否会影响乳腺癌患者的功能健康。材料和方法。这项横断面研究于2021年进行,其中包括在检查时在伏伊伏丁那肿瘤研究所物理医学和康复部接受治疗的71名乳腺癌患者。塞尔维亚版抑郁、焦虑和压力量表21的抑郁子量表评估抑郁程度,用于评估参与者的抑郁症状。功能幸福感采用乳腺癌治疗功能评估问卷的功能幸福感子量表进行评估。结果。被检查患者的抑郁与功能幸福感之间存在统计学显著相关(r = - 0.438, p < 0.001)。回归分析结果显示,F模型显著(F (1.69) = 16.366;P < 0.001),方差为19.2%。抑郁症对乳腺癌患者的功能幸福感有显著影响(?= - 438, t = - 4.045, p < 0.001)。结论。通过多学科的方法,在对乳腺癌患者进行功能训练的同时,还要及时实施心理支持和康复。
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Effects of depression on the functional well-being of patients with breast cancer
Introduction. The psychological status of patients with breast cancer is often compromised as a result of chronic exposure to negative emotions and psychological distress after the diagnosis of a malignant disease and conditions such as depression and anxiety may have a direct impact on the functional wellbeing of breast cancer patients. The aim of this study was to examine whether depression affects the functional well-being of breast cancer patients. Material and Methods. This crosssectional study was conducted in 2021 and it included 71 breast cancer patients treated at the Department of Physical Medicine and Rehabilitation of the Oncology Institute of Vojvodina at the time of examination. The depression subscale of the Serbian version of the Depression, Anxiety and Stress Scale 21, assessing the degree of depression was used to assess depressive symptoms in the participants. The functional well-being was assessed using the Functional Well-Being subscale of the questionnaire for the Functional Assessment of Cancer Therapy - Breast. Results. A statistically significant correlation was found between depression and functional well-being (r = - 0.438, p < 0.001) of the examined patients. The results of the regression analysis showed that the F model was significant (F (1.69) = 16.366; p < 0.001) and showed 19.2% of the variance. Depression has a significant impact on the functional well-being of breast cancer patients (? = - 438, t = - 4.045, p < 0.001). Conclusion. Through a multidisciplinary approach, it is important to simultaneously functionally train breast cancer patients, but also to implement timely psychological support and rehabilitation.
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