原发性肝癌术后病人恐惧疾病进展现状与影响因素分析

Status quo of fear of progression in postoperative liver cancer patients and its influencing factors

目的:调查肝癌术后病人恐惧疾病进展现状,分析其影响因素。方法:采用便利抽样法,选取广州市某三级甲等肿瘤医院原发性肝癌术后病人,采用一般资料调查问卷、汉化版恐惧疾病进展简化量表(FoP-Q-SF)、一般自我效能感量表(GSES)、综合性医院焦虑抑郁量表(HADS)对其进行问卷调查。采用多重线性回归,分析原发性肝癌术后病人恐惧疾病进展的影响因素。结果:原发性肝癌术后病人恐惧疾病进展的得分为(36.01±10.86)分,自我效能感总分为(2.54±0.65)分,焦虑水平得分为(9.07±3.84)分,抑郁水平得分为(7.39±4.18)分。多重线性回归分析结果显示,焦虑、肿瘤家族史、自我效能感、心理辅导需求、抑郁是原发性肝癌术后病人恐惧疾病进展的主要影响因素(P<0.05)。结论:原发性肝癌术后病人对于疾病进展的恐惧普遍存在,且与病人焦虑、肿瘤家族史、心理辅导需求、抑郁呈正相关,而与病人自我效能感呈负相关。建议医护人员根据病人不同特点,鼓励病人采取积极的自我管理方式,减轻焦虑、抑郁,降低病人对于疾病进展的恐惧水平。

Objective:To investigate the status quo of fear of progression of postoperative liver cancer patients and analyze its influencing factors.Methods:With convenient sampling method,a total of 175 postoperative liver cancer patients treated in third grade A cancer hospital in Guangzhou were surveyed by using a self-designed general information questionnaire,Fear of Progression Questionnaire Short Form(FoP-Q-SF),General Self-Efficacy Scale(GSES),Hospital Anxiety and Depression Scale(HADS).Multivariate linear regression was used to analyze the factors influencing the fear of progression of the postoperative liver cancer patients.Results:The score of fear of progression of postoperative liver cancer patients was(36.01±10.86),the score of self-efficacy was(2.54±0.65),the score of anxiety was(9.07±3.84),and the score of depression was(7.39±4.18).Multiple regression analysis showed that the influencing factors of fear of progression in the postoperative liver cancer patients were anxiety,family tumor history,self-efficacy,psychological counseling needs,and depression(P<0.05).Conclusions:Fear of progression was common in patients with primary liver cancer after surgery,and was positively correlated with anxiety,family tumor history,psychological counseling needs,and depression,while negatively correlated with self-efficacy.It was suggested that according to the different characteristics of patients,medical staff should encourage patients to take active self-management to reduce anxiety and depression,and relieve the patients′fear level of disease progression.