Breast cancer patients with concurrent mental disorders and their impact

• Main Authors: Chi-Wen Wu, 吳琦雯
• Other Authors: Ke-Zong MA
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/43832297403914007553

碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 100 === Purpose The purpose of this study was to (1) to investigate the breast cancer patients with concurrent depression and its related factors (2) to investigate breast cancer patients with concurrent anxiety disorder situation and its influencing factors (3) to explore the breast cancer patients with concurrent sleep disorder and its related factors (4) to explore the breast cancer patients with concurrent mental disorders (depression, anxiety and sleep disorders) will affect the survival situation (5) to explore the breast cancer patients with concurrent mental disorders (depression, anxiety, and sleep disorders) who, with or without psychiatricspecialist treatment will affect the survival situation. Methods In this study, secondary data analysis study, a retrospective longitudinal approach (Retrospective longtudinal study), "National Health Insurance Research Database in 2000, one million naturalization file analysis of breast cancer patients to compare with or without concurrent mental disorders meantimedifference. Collect 2788 breast cancer patients for the study, the first analysis of the incidence and prevalence of mental disorders in breast cancer patients and control group are significantly different and concurrent psychological disorders, medication and treatment situation and analysis of breast cancer patients under the National Health Insurance Cox proportion hazards model, and then further explore the breast cancer survival situation concurrent psychological disorders of breast cancer patients. Results The results showed that (1) suffering from breast cancer than those without breast cancer, more likely to have the case of depression (hazard rate = 1.1470, p <.0929); (2) suffering from breast cancer than breast cancer, easy tothe anxiety of the situation (hazard rate = 1.0951, P <0.0775); (3) suffering from breast cancer than breast cancer, likely to have sleep disorders, (hazard rate = 1.2084, P <0.0001); (4) psychiatricspecialized in the treatment have a significant effect of survival of breast cancer patients (hazard rate = 1.4038, P <.0160). Conclusions The results of this study suggested that when determining the diagnosis of breast cancer patients start notification note mechanisms, early assessment and confirm the occurrence of psychological disorders, given the proper guidance and referral psychiatric intervention, to do psychological counseling and treatment services to reduce the occurrence of psychological disorders orfurther deterioration.