Current status of anxiety following total hysterectomy in endometrial cancer patients: A cross-sectional study

被引:0
|
作者
Yang, Jing [1 ]
Liang, Huan [1 ]
Zhu, Hongcheng [1 ]
Xiang, Hongmei [1 ]
Liu, Xiaoling [1 ]
Xiao, Hua [1 ]
Yang, Ting [1 ]
机构
[1] Cent Hosp Enshi Tujia & Miao Autonomous Prefecture, Dept Obstet & Gynaecol, Enshi, Hubei, Peoples R China
关键词
anxiety; cross-sectional study; endometrial cancer; hysterectomy; influencing factors; social support; SOCIAL SUPPORT; RADICAL HYSTERECTOMY; DEPRESSION; PREVALENCE; BREAST;
D O I
10.1097/MD.0000000000041782
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The aim of this study was to evaluate the prevalence of anxiety in endometrial cancer patients undergoing total hysterectomy and to analyze socio-demographic and clinical factors contributing to anxiety, with the goal of informing targeted psychological support and interventions in clinical settings. The study employed a cross-sectional survey design, including 74 patients who underwent total hysterectomy between January 2019 and January 2024 at our hospital. Data were collected through a combination of face-to-face interviews and self-administered questionnaires, conducted by specially trained research assistants or nurses to ensure standardized data collection. Anxiety levels were assessed using the Self-Assessment Scale for Anxiety, categorizing patients into no anxiety, mild anxiety, moderate anxiety, and severe anxiety based on standard scores. Results indicated that 33.78% of the 74 patients experienced varying levels of anxiety: 18.92% had mild anxiety, 12.16% had moderate anxiety, and 2.70% had severe anxiety. Univariate analysis showed significant associations between anxiety and factors such as education level, living arrangement, social support, tumor size, and International Federation of Gynaecology and Obstetrics (FIGO) stage. Multivariate logistic regression analysis further confirmed that low education level (OR = 1.866, P = .014), unstable living conditions (OR = 2.285, P = .016), inadequate social support (OR = 2.806, P = .044), larger tumor size (OR = 3.328, P = .021), and advanced FIGO stage (OR = 3.762, P = .01) were independent predictors of postoperative anxiety. This study revealed a high prevalence of anxiety among postoperative endometrial cancer patients and identified key influencing factors, including low educational attainment, unstable living arrangements, insufficient social support, larger tumors, and advanced disease stage. These findings underscore the importance of healthcare professionals focusing on high-risk groups to effectively reduce anxiety, improve mental health, and enhance quality of life. Strategies such as enhanced health education, establishment of support groups, provision of psychological counseling, and comprehensive mental health assessments are recommended to address the psychological needs of these patients.
引用
收藏
页数:7
相关论文
共 50 条
  • [21] Factors influencing death anxiety among Chinese patients with cancer: a cross-sectional study
    Gong, Youwen
    Yan, Yixia
    Yang, Renting
    Cheng, Qinqin
    Zheng, Hongling
    Chen, Yongyi
    Xu, Xianghua
    BMJ OPEN, 2022, 12 (10):
  • [22] Current status of cancer patients' perception of alternative medicine in Japan - A preliminary cross-sectional survey
    Eguchi, K
    Hyodo, I
    Saeki, H
    SUPPORTIVE CARE IN CANCER, 2000, 8 (01) : 28 - 32
  • [23] Current status of cancer patients' perception of alternative medicine in Japan: A preliminary cross-sectional survey
    Eguchi K.
    Hyodo I.
    Saeki H.
    Supportive Care in Cancer, 2000, 8 (1) : 28 - 32
  • [24] Climacteric symptoms in postoperative patients among endometrial cancer, cervical cancer, and ovarian cancer: a cross-sectional study
    Horiba, Yuko
    Yoshino, Tetsuhiro
    Yokota, Megumi
    Iwata, Takashi
    Watanabe, Kenji
    Mimura, Masaru
    Aoki, Daisuke
    SUPPORTIVE CARE IN CANCER, 2022, 30 (08) : 6785 - 6793
  • [25] Climacteric symptoms in postoperative patients among endometrial cancer, cervical cancer, and ovarian cancer: a cross-sectional study
    Yuko Horiba
    Tetsuhiro Yoshino
    Megumi Yokota
    Takashi Iwata
    Kenji Watanabe
    Masaru Mimura
    Daisuke Aoki
    Supportive Care in Cancer, 2022, 30 : 6785 - 6793
  • [26] Life quality of endometrioid endometrial cancer survivors: a cross-sectional study
    Karatasli, Volkan
    Can, Behzat
    Cakir, Ilker
    Erkilinc, Selcuk
    Kuru, Oguzhan
    Gokcu, Mehmet
    Sanci, Muzaffer
    JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2021, 41 (04) : 621 - 625
  • [27] Detecting Endometrial Cancer by Blood Spectroscopy: A Diagnostic Cross-Sectional Study
    Paraskevaidi, Maria
    Morais, Camilo L. M.
    Ashton, Katherine M.
    Stringfellow, Helen F.
    McVey, Rhona J.
    Ryan, Neil A. J.
    O'Flynn, Helena
    Sivalingam, Vanitha N.
    Kitson, Sarah J.
    MacKintosh, Michelle L.
    Derbyshire, Abigail E.
    Pow, Cecilia
    Raglan, Olivia
    Lima, Kassio M. G.
    Kyrgiou, Maria
    Martin-Hirsch, Pierre L.
    Martin, Francis L.
    Crosbie, Emma J.
    CANCERS, 2020, 12 (05)
  • [28] Current status and influencing factors of test anxiety of senior one students in Yanji, China: a cross-sectional study
    Xing, Xin-Yang
    Wang, Gui-Meng
    Li, Ying
    Zhang, Wen-Xuan
    Shen, Xiang-Dan
    FRONTIERS IN PSYCHOLOGY, 2024, 15
  • [29] Death anxiety among advanced cancer patients: a cross-sectional survey
    Yang Hong
    Lu Yuhan
    Gu Youhui
    Wang Zhanying
    Zheng Shili
    Hou Xiaoting
    Yu Wenhua
    SUPPORTIVE CARE IN CANCER, 2022, 30 (04) : 3531 - 3539
  • [30] Death anxiety among advanced cancer patients: a cross-sectional survey
    Yang Hong
    Lu Yuhan
    Gu Youhui
    Wang Zhanying
    Zheng Shili
    Hou Xiaoting
    Yu Wenhua
    Supportive Care in Cancer, 2022, 30 : 3531 - 3539