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| 肺癌患者癌症复发恐惧现况及影响因素 |
| Status and influencing factors of fear of cancer recurrence in lung cancer survivors |
| 投稿时间：2021-12-08 |
| DOI：10.3969/j.issn.1000-0399.2022.05.005 |
| 中文关键词: 肺癌 癌症复发恐惧 社会支持 |
| 英文关键词: Lung cancer Fear of cancer recurrence Social support |
| 基金项目:国家自然科学青年基金项目(项目编号:82004314) |
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| 中文摘要: |
| 目的 对肺癌患者癌症复发恐惧(FCR)现况进行调查,探究其影响因素。方法 采用一般资料调查表、恐惧疾病进展简化量表、医学应对问卷及社会支持量表对2021年1~10月安徽医科大学第一附属医院高新院区住院治疗的200例肺癌患者进行FCR调查,运用单因素、Spearman相关分析和多元逐步回归的统计学方法,分析肺癌患者FCR的影响因素。结果 ①本研究共纳入200例患者,肺癌患者FCR得分为(39.63±8.58)分,其中 ≥ 34分的有145例,占72.50%。②肺癌患者FCR的单因素分析结果显示,影响肺癌患者FCR得分的因素包括文化程度、工作状态、是否有肿瘤家族史、是否有症状困扰、性格倾向以及合并慢病。③Spearman相关分析结果显示,FCR与屈服和面对呈正相关,与回避呈负相关。主观得分与FCR呈负相关。④多元线性回归分析结果显示,影响肺癌患者FCR得分的因素包括文化程度、症状困扰、屈服的应对方式、主观支持(P均<0.05)。结论 肺癌患者FCR有着相对较高的发生率,医护工作者应该更加重视文化程度较低的肺癌患者的心理状况,提高患者对疾病的认知,采取积极应对方式,以此来降低FCR带来的不良影响,加速康复进程。 |
| 英文摘要: |
| Objective To investigate the current situation of fear of cancer recurrence in patients with lung cancer, and to study the correlation of its influencing factors. Methods A total of 200 lung cancer patients hospitalized in the First Affiliated Hospital of Anhui Medical University, Anhui province from January to October 2021 were investigated by general data questionnaire, simplified Fear Disease Progression Scale, medical coping questionnaire and social support scale, and the influencingfactors of fear of cancer recurrence in lung cancer patients were analyzed by multiple stepbystep regression.Results ①A total of 200 patients were included in this study, and the fear score of cancer recurrence in lung cancer patients was (39.63±8.58), of which 145 patients (72.50%) were more than or equal to 34. ②Univariate analysis of the fear of cancer recurrence in lung cancer patientsshowed that the factors affecting the fear of cancer recurrence in lung cancer patients included:education level, work status, family history of cancer, symptoms, personality tendencies and chronic disease. ③Spearman correlation analysis showed that FCR was positively correlated with yield and face, but negatively correlated with avoidance.Subjective score was negatively correlated with FCR. ④ Multiple linear regression analysis showed that the factors influencing the fear of cancer recurrence in lung cancer patients included educational level, symptom disturbance, personality tendency, coping style and subjective support, andthe above factors were independent influencing factors of the fear of cancer recurrence in lung cancer patients. Conclusions Lung cancer patients have a relatively high incidence of fear of cancer recurrence. Medical workers should pay more attention to the psychological status of lung cancer patients with low education level, improve patients' awareness of the disease, take active coping styles, and help them establish a social support system, in order to reduce the adverse effects of fear of cancer recurrence and speed up the recovery process. |
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