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目的:探究年龄和家庭支持等因素对乳腺癌妇女精神障碍的影响程度,为有效的临床干预提供科研依据。方法:对乳腺癌妇女精神心理状态和人格评定采用临床晤谈、明尼苏达多项人格问卷(MMPI)和生活事件量表及基本情况问卷的方法,以SPSS10.0软件进行统计学处理。结果:①纳入术后续贯入住肿瘤科继续接受治疗的208例乳腺癌妇女,年龄24～83岁,平均47岁,61例为文盲或初小文化,19.2%为农民,74例为工人,94例为脑力劳动者。接受乳房保留术22例,根除术186例;182例接受化疗,176例接受放疗;自述患病时间为术后1～17年。89%为已婚妇女,婚姻时间平均23年;感到自己得到家人悉心照顾和积极支持者占70.7%,15.4%患者不知道自己所患疾病真相。MMPI测量结果高于70分的临床量表情况有Hs为40.9%,D为72.6%,Hy为38.5%,Pd为17.8%,Mf高于60分占50.0%,但都低于70分;Pa和Pt分别有42.8%和54.8%高于70分,Sc为76.9%,Ma为17.8%,而Si有7例(3.4%)高于70分,58.6%高于60分。②多因素Logistic分析发现,确诊时年龄越大,D与Pa得分越低,与40岁以下相比,各年龄组OR分别为0.72,0.51,0.37,0.26(P=0.03)和0.68,0.46,0.31,0.21(P=0.01);能够得到家庭和亲人的悉心照顾与支持,亦使Pa(OR=0.38,P=0.002)和Pt(OR=0.38,P=0.01)分值减低。结论:年龄增大是D与Pa的保
Objective: To explore the impact of age and family support on mental disorders in women with breast cancer and to provide scientific basis for effective clinical intervention. Methods: The psychological status and personality assessment of breast cancer women using clinical interviews, Minnesota Multiple Personality Questionnaire (MMPI) and life events scale and the basic situation questionnaire method, using SPSS10.0 software for statistical analysis. Results: ① Among the 208 women with breast cancer who underwent continuous surgical follow-up, there were 208 breast cancer women aged 24-83 years (average 47 years old), 61 were illiterate or early childhood, 19.2% were farmers, 74 were workers, 94 cases of mental workers. Twenty-two breast conservatism and 186 eradication cases were received; 182 received chemotherapy and 176 received radiotherapy; and the presentation time ranged from 1 to 17 years postoperatively. 89% are married women, the average marriage time is 23 years; 70.7% feel that they receive the careful care and active support from their families, and 15.4% do not know the truth of their illness. For the clinical scale with MMPI higher than 70, Hs was 40.9%, D was 72.6%, Hy was 38.5%, Pd was 17.8%, Mf was higher than 60, accounting for 50.0% but lower than 70; Pa And Pt were 42.8% and 54.8% higher than 70, Sc was 76.9%, Ma was 17.8%, while Si was higher than 70, Si of 58.6% higher than 60 points. (2) Multivariate Logistic analysis showed that the higher the age at diagnosis, the lower the score of D and Pa. The OR of each age group was 0.72,0.51,0.37,0.26 (P = 0.03) and 0.68,0.46 respectively compared with those under 40 years old, 0.31 and 0.21 respectively (P = 0.01). Paternal and family members’ care and support were also obtained. Pa (OR = 0.38, P = 0.002) and Pt (OR = 0.38, P = 0.01) decreased. Conclusion: Increasing age is a guarantee of D and Pa