胃癌术后化疗患者应对方式与恐惧疾病进展的相关性研究

Correlation between coping style and fear of disease progression in postoperative chemotherapy patients with gastric cancer

目的探讨应对方式与恐惧疾病进展的相关性。方法采用横断面调查法,选取2018年12月至2020年12月邯郸市3所三级甲等医院肿瘤内科、胃肠外科住院的胃癌术后化疗患者388例作为调查对象。采用一般资料调查表、恐惧疾病进展量表、医学应对方式问卷进行问卷调查。结果患者恐惧疾病进展得分为(26.61±9.33)分,处于中等偏下水平。应对方式中的面对维度与恐惧疾病进展总分、生理健康维度、社会家庭维度呈负相关(-0.527、-0.521、-0.573,P<0.05)。回避维度、屈服维度与恐惧疾病进展总分、生理健康维度、社会家庭维度均呈正相关(0.502、0.507、0.562;0.490、0.581、0.599;P<0.05)。多元逐步回归分析结果显示:年龄、家庭月收入、胃癌分期、性别、应对方式是恐惧疾病进展的影响因素。结论胃癌术后化疗患者的应对方式对恐惧疾病进展具有一定的预测价值。

Objective To explore the correlation between coping style and fear of disease progression.Methods From October 2018 to December 2020,using the cross-sectional survey method 388 patients with postoperative chemotherapy for gastric cancer were selected as the survey objects,who hospitalized in the Department of oncology and gastrointestinal surgery of three class III class A hospitals in Handan.General information questionnaire,fear of disease progression scale and medical coping style questionnaire were used.Results The score of fear of disease progression was(26.61±9.33),which was at the lower middle level.The facing dimension of coping style was negatively correlated with the total score of fear of disease progression.(-0.527、-0.521、-0.573,P<0.05).The avoidance dimension and yield dimension were positively correlated with the total score of fear of disease progression,physical health dimension and social family dimension(0.502、0.507、0.562;0.490、0.581、0.599;P<0.05).The results of multiple stepwise regression showed that age,family monthly income,gastric cancer stage,gender and coping style were the influencing factors of fear of disease progression.Conclusion The coping style of postoperative chemotherapy patients with gastric cancer has a certain predictive value for the progress of fear disease.