| Objective To explore the related factors and prognostic value of parenting anxiety in patients with gynecological malignant tumors. Methods A total of 162 patients with gynecological malignant tumors treated in the First Affiliated Hospital of Nanjing Medical University were selected by convenience sampling in April 2024. The General Information Questionnaire, Chinese Version of Parenting Anxiety Questionnaire, Family Cohesion and Adaptability Scale, Parenting Competence Scale, and Social Support Rating Scale were used for investigation. Pearson correlation was applied to examine the relationships between parenting anxiety and family cohesion/adaptability, parenting competence, and social support. Multiple linear stepwise regression was performed to identify the influencing factors of parenting anxiety. All 162 patients were followed up through outpatient visits or telephone calls until April 2025. Kaplan-Meier survival curves were used to analyze the impact of parenting anxiety on survival prognosis, with log-rank test for statistical significance. Results The total score of parenting anxiety in 162 patients was(42.55±7.24) points, including 5 patients with low anxiety, 73 with moderate anxiety, and 84 with high anxiety. Multiple linear regression analysis showed that tumor stage, treatment method, marital status, family cohesion and adaptability, parenting competence, number of minor children, and social support were independent influencing factors for parenting anxiety(all P<0.05). Survival analysis revealed that the survival rate of patients with high anxiety was 86.42%, which was significantly lower than the 96.10% of patients with low to moderate anxiety(P<0.05). Conclusion Marital status, tumor stage, treatment method, and other factors are associated with parenting anxiety in patients with gynecological malignant tumors. Targeted prevention and intervention measures should be implemented to alleviate parenting anxiety and improve survival prognosis. |
