Effects of breast prosthesis implantation on psychological stress and quality of life in patients with breast cancer under double stress / 中国基层医药

ABSTRACT

Objective:To investigate the effect of breast prosthesis implantation on psychological stress and quality of life in patients with breast cancer under double stress.Methods:A total of 104 patients with breast cancer who received treatment in the Department of Surgery, The First Affiliated Hospital of Wenzhou Medical University from July 2021 to July 2022 were included in this study. These patients were randomly divided into a control group ( n = 52) and an observation group ( n = 52). All patients underwent radical mastectomy. The patients in the observation group received breast prosthesis implantation in addition to radical mastectomy. Operative time, length of hospital stay, psychological state scores before and 3 months after surgery, aesthetic recovery effect of breast 3 months after surgery, WHO Quality of Life Rating Scale (WHOQOL-100) score, postoperative occurrence of subcutaneous effusion, and flap necrosis were compared between the two groups. Results:There was no significant difference in operative time between the two groups ( P > 0.05). The length of stay in the observation group was (10.89 ± 2.34) days, which was significantly shorter than (21.06 ± 3.82) days in the control group ( t = 16.37, P < 0.001). At 3 months after surgery, the scores of the Self-rating Anxiety Scale (SAS), Hamilton Anxiety Scale (HAMA), Self-rating Depression Scale (SDS), and Hamilton Depression Scale (HAMD) in both groups were significantly lower than those before surgery. At 3 months after surgery, the scores of SAS, HAMA, SDS, and HAMD in the observation group were (39.02 ± 5.21) points, (19.02 ± 2.51) points, (16.03 ± 2.55) points, and (41.89 ± 3.56) points, which were significantly lower than (50.76 ± 4.85) points, (28.97 ± 2.66) points, (53.41 ± 4.56) points, and (24.88 ± 2.32) points in the control group ( t = 11.89, 19.62, 14.77, 18.51, all P < 0.001). At 3 months after surgery, the excellent and good rate of breast recovery in the observation group was [96.15% (50/52)], which was significantly higher than [69.23% (36/52)] in the control group ( Z = 5.40, P < 0.001). At 3 months after surgery, the scores of overall health, physical function, social function, cognitive function, and role function in each group were significantly higher than those before surgery, and the sole of emotional function in the observation group was significantly higher than that in the control group. At 3 months after surgery, the scores of overall health, physical function, social function, cognitive function, and role function in the observation group were (55.87 ± 12.70) points, (55.89 ± 12.34) points, (35.05 ± 11.25) points, (55.87 ± 7.88) points, and (58.77 ± 14.05) points, respectively, which were significantly higher than (43.75 ± 12.58) points, (47.50 ± 12.87) points, (28.04 ± 10.13) points, (39.87 ± 8.06) points, (32.05 ± 13.85) points, (74.52 ± 14.88) points in the control group ( t = 4.89, 3.39, 3.34, 10.24, 9.77, P < 0.001, 0.001, < 0.001, < 0.001, < 0.001, 0.003). The incidence of complications in the observation group was [3.85% (2/52)], which was significantly lower than [17.31% (9/52), χ2 = 4.98, P = 0.026] in the control group. Conclusion:Radical mastectomy combined with breast prosthesis implantation for the treatment of breast cancer patients can shorten the length of hospital stay, increase the excellent and good rate of breast recovery, reduce negative emotions of patients, improve quality of life, and reduce the occurrence of complications.