Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jul 19, 2024; 14(7): 1053-1061
Published online Jul 19, 2024. doi: 10.5498/wjp.v14.i7.1053
Investigation of the quality of life, mental status in patients with gynecological cancer and its influencing factors
Hai-Xia Shang, Wen-Ting Ning, Jin-Fen Sun, Nan Guo, Xin Guo, Jan-Nan Zhang, Hong-Xin Yu, Su-Hui Wu
Hai-Xia Shang, Wen-Ting Ning, Jin-Fen Sun, Nan Guo, Xin Guo, Jan-Nan Zhang, Hong-Xin Yu, Su-Hui Wu, Department of Gynaecology and Obstetrics, The Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan 030032, Shanxi Province, China
Author contributions: Shang HX and Wu SH conceived and designed research; Shang HX, Ning WT, Sun JF, Guo N, Guo X, Zhang JN and Yu HX collected data and conducted research; Shang HX analyzed and interpreted data; Shang HX and Wu SH wrote the initial draft; Shang HX revised the manuscript; all authors read and approved the final version of the manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Shanxi Bethune Hospital (Approval No. YXLL-2023-053).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https: //creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Su-Hui Wu, PhD, Chief Physician, Professor, Department of Gynaecology and Obstetrics, The Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, No. 99 Longcheng Street, Taiyuan 030032, Shanxi Province, China. shx_mail2004@126.com
Received: May 7, 2024
Revised: June 7, 2024
Accepted: June 14, 2024
Published online: July 19, 2024
Processing time: 65 Days and 19.9 Hours
Abstract
BACKGROUND

Having a gynecological tumor or undergoing treatment can be a traumatic experience for women, as it affects their self-image and sexual relationships and can lead to psychological reactions. Psychological adjustment following cancer occurrence remains a key issue among the survivors.

AIM

To examine the current status of quality of life (QoL), anxiety, and depression in patients with gynecological cancer and to analyze the factors associated with it.

METHODS

Data for 160 patients with gynecological malignancies treated at Shanxi Bethune Hospital from June 2020 to June 2023 were collected and analyzed retrospectively. Patients’ QoL was assessed using the European Organization for Research on Treatment of Cancer Quality of Life Questionnaire Core 30 and the Functional Assessment of Cancer Therapy-General Questionnaire. Their emotional status was evaluated using the Self-Rating Anxiety/Depression Scale. The associated factors of anxiety and depression were analyzed.

RESULTS

The overall QoL score of the patients 6 months after surgery was 76.39 ± 3.63 points. This included low levels of social and emotional function and severe fatigue and pain. The scores for physiological, functional, emotional, social, and family well-being exhibited an upward trend following surgery compared with those before surgery. One month after surgery, some patients experienced anxiety and depression, with an incidence of 18.75% and 18.13%, respectively. Logistic analysis revealed that good sleep was a protective factor against anxiety and depression in patients with gynecological tumors, whereas physical pain was a risk factor.

CONCLUSION

Patients with gynecological malignancies often experience anxiety and depression. By analyzing the factors that affect patients’ QoL, effective nursing measures can be administered.

Keywords: Gynecological; Tumors; Quality of life; Anxiety; Depression

Core Tip: Patients diagnosed with cancer experience various emotions. Up to now, numerous papers exploring the association and risk factors between various types of cancer and depressive/anxiety episodes have been published. However, the results of these studies remain inconsistent. The aim of this study was to evaluate the relationship between depression and anxiety mood in gynecological cancer and its risk factors.