Correlation of postoperative depression with distress disclosure and sleep quality in patients with breast cancer
Objective To explore the relationship of postoperative depression with distress disclosure and sleep quality in patients with breast cancer.Methods A retrospective analysis was conducted on the questionnaire survey of 236 patients with breast cancer admitted to Department of Breast Surgery,Guangzhou First People's Hospital from November 2023 to May 2024.Among the patients,44 cases were below 40 years old,and 192 cases were ≥40 years old.There were 68 cases of clinical stage Ⅰ,84 cases of stage Ⅱ,70 cases of stage Ⅲ,and 14 cases of stage Ⅳ.Sixty-eight cases took breast-conserving surgery,132 cases modified radical mastectomy for breast cancer,and 36 cases modified radical mastectomy+reconstruction.All the patients completed the Patient Health Questionnaire-9(PHQ-9)depression scale,the Pain Disclosure Index scale,and the Pittsburgh Sleep Quality Index scale.According to the scores of PHQ-9 depression scale after surgery,the patients were divided into a depression group and a non-depression group.x2 test,Kendall's tau,and linear correlation analysis were employed for the statistical analysis.Results Among the 236 patients,124 cases had depression after surgery,and 112 did not.The proportions of the patients who were＜40 years old and whose marriage duration＜10 years in the depression group were higher than those in the non-depression group(36 cases vs.8 cases and 28 cases vs.4 cases),with statistical differences(x2=18.589 and 18.143;both P＜0.001).The depression level in the patients with breast cancer after surgery was positively correlated with the score of the total Pittsburgh Sleep Quality Index(r=0.620,P＜0.001),while their distress disclosure level was negatively correlated with the sleep disorder score(r=-0.370,P=0.004).Conclusion The sleep quality of patients with breast cancer after surgery significantly affects their depression status,and their distress disclosure level affects the sleep disorder score.
Breast cancerDepressionDistress disclosureSleep qualityQuality of life
万方数据
维普
