乳腺癌手术治疗后的妇女可能更少参与体育活动，可能在手术后多年仍出现抑郁症状。本研究的目的是比较6个月水中和陆地运动对乳腺癌手术后妇女心理健康的影响。该研究基于一项调查，共有90名年龄≥50岁的妇女参与（包括60名乳腺癌治疗≥2年的手术后患者和30名健康对照组）。研究参与者分为三组，即参加健身房普通运动课程的妇女组（A，n = 30），参加水中运动的妇女组（B，n = 30），以及6个月内没有定期参加体育锻炼的健康女性对照组（C，n = 30）。通过使用标准问卷调查获取的数据，评估了体育活动（IPAQ-SF），心理健康状况（WHO-5）和焦虑水平（即广泛性焦虑障碍问卷GAD-7）。无论是水中运动还是陆地运动，都对乳腺癌手术后妇女的心理健康产生了积极的影响，两者之间没有显著差异。焦虑水平（GAD-7）的分析表明，乳腺癌治疗后的妇女更容易产生广泛性焦虑障碍的感觉，即8.67 vs. 6.73, 4.5 (p = 0.001)。WHO-5指数的结果在A和B组中明显高于健康对照组，即13.27 vs. 14.18; 10.10 (p < 0.001)，但所得结果仍表明研究组的自尊心较低。乳腺癌手术后定期参加水中运动的妇女在剧烈体育活动方面比其他组更多，即1049.33 vs. 521.33; 860.00 MET min/week (p = 0.001)。无论体育活动的类型如何，进行6个月的水中和陆地运动都有助于提高妇女的心理健康，并确保乳腺癌手术后的妇女保持适度的体育锻炼水平。定期进行体育锻炼在乳房切除术后的康复过程中至关重要，并可成为实现有益心理结果的有效治疗方法。© 2023. 作者。

Women after surgical treatment of breast cancer are less likely to engage in physical activity and may exhibit depressive symptoms even for many years post-treatment. The aim of the study was to compare the impact of 6 months aquatic and land exercise on mental well-being of women after breast cancer surgery.The study was based on a survey which involved a total of 90 women ≥ 50 years of age (including 60 subjects after treatment of breast cancer ≥ 2 years after surgery and 30 healthy control). The study participants were divided into three groups, i.e. women attending general exercise sessions in a gym (A, n = 30), participating in aquatic exercise (B, n = 30), as well as healthy female peers reporting no regular physical exercise for the period of 6 months (C, n = 30). The present data were acquired using standardized questionnaires designed to assess physical activity (IPAQ-SF), mental well-being (WHO-5) and level of anxiety, i.e., Generalized Anxiety Disorder Questionnaire (GAD-7).Both the aquatic and land exercise had positive effect on mental well-being of woman after breast cancer surgery and there were no significant differences between them. Analysis of the anxiety level (GAD-7) confirms that women after breast cancer treatment were more exposed to a feeling of generalised anxiety disorder, i.e. 8.67 vs. 6.73, 4.5 (p = 0.001). The results of WHO-5 index were significantly higher in the A and B groups comparing to healthy control, i.e. 13.27 vs. 14.18; 10.10 (p < 0.001), but the obtained results still indicate the low self-esteem of the study group. Women after breast cancer surgery who regularly participated in aquatic exercise were engaged in more vigorous physical activity compared to the other groups, i.e. 1049.33 vs. 521.33; 860.00 MET min/week (p = 0.001).Regardless of the type of physical activity, 6 months aquatic and land exercise contributed to improved mental well-being and ensured adequate levels of moderate physical activity of woman after BC surgery. Regular physical activity is crucial in the rehabilitation after mastectomy and can be an effective treatment to achieve beneficial mental outcomes.© 2023. The Author(s).