摘要
目的 探讨食管癌术后患者癌症复发的恐惧心理状态,并分析其复发恐惧心理的主要危险因素。方法 以便利抽样法选取2019年5月至2022年5月在江苏省淮安市第一人民医肿瘤内科行手术的食管癌患者110例,以疾病进展恐惧简化量表(Fo P-Q-SF)调查患者癌症复发恐惧心理,以多元逐步线性回归分析复发恐惧心理的主要危险因素。结果 110例患者中,Fo P-Q-SF评分15~50分;其中5例无明显癌症复发恐惧心理。单因素分析结果显示,两组文化程度、婚姻状态、在职情况、家庭月收入、TNM分期、癌症病灶个数、应对方式、医院焦虑抑郁量表(HADS)评分、社会支持量表(SSRS)评分、手术方式比较,差异有统计学意义(P<0.05)。多元逐步线性回归分析显示,消极应对方式、HADS评分11~21分、SSRS评分<20分为复发心理恐惧的危险因素(P<0.05)。结论 应对方式、负性心理及社会支持等均是食管癌术后患者癌症复发恐惧心理的重要危险因素,临床护理应重视上述指标,采取预防护理措施,缓解癌症复发恐惧心理。
Objective To explore the fear of cancer recurrence in patients with esophageal cancer after operation,and to analyze the main risk factors of recurrence fear.Methods A total of 110 patients with esophageal cancer who underwent surgery in the Department of Oncology of Huaian First People's Medical College Hospital,Jiangsu Province from May 2019to May 2022 were selected by convenience sampling method.The fear of cancer recurrence was investigated by fear of progression questionnaire-short form(Fo P-Q-SF),and the main risk factors of recurrence fear were analyzed by multiple stepwise linear regression.Results The Fo P-Q-SF scores of 110 patients ranged from 15 to 50 points.Among them,five cases had no obvious fear of cancer recurrence.Univariate analysis showed that there were statistically significant differences in education level,marital status,employment status,monthly family income,TNM stage,number of cancer lesions,coping style,hospital anxiety,and depression scale(HADS) score,social support rating scale(SSRS) score,and surgical method between the two groups(P<0.05).Multiple stepwise linear regression analysis showed that negative coping style,HADS score range of 11 to 21 points,SSRS score <20 points were the main risk factors for recurrent psychological fear(P<0.05).Conclusion Coping style,negative psychology,and social support are important risk factors of cancer recurrence fear in patients with esophageal cancer after surgery.Clinical nursing should pay attention to these indicators and take preventive nursing measures to alleviate cancer recurrence fear.
作者
张文
张咪
窦亚琴
ZHANG Wen;ZHANG Mi;DOU Yaqin(Department of Oncology,Huaian First People’s Hospital,Jiangsu Province,Huaian 223003,China)
出处
《中国医药导报》
CAS
2024年第6期70-73,共4页
China Medical Herald
基金
江苏省中医药局科技项目(YB201833)。
关键词
食管癌
手术
癌症复发恐惧心理
影响因素
Esophageal cancer
Operation
Fear of cancer recurrence
Influencing factor
