膀胱癌患者癌症复发恐惧现状及与生命质量的相关性研究

Study on the status of fear of cancer recurrence and its correlation with quality of life in patientswith bladder cancer

目的调查膀胱癌患者癌症复发恐惧的现状，探讨癌症复发恐惧与生命质量的相关性。方法采用方便抽样法选取2017年4-7月就诊的96例膀胱癌患者，应用一般资料调查表、中文版恐惧疾病进展简化量表、膀胱癌特异性量表进行调查分析。结果膀胱癌患者癌症复发恐惧总分为（28．76±10．33）分，其中28例患者出现癌症复发恐惧心理功能失调（总分934分），发生率为29．2％（28／96）；癌症复发恐惧总分在不同年龄上差异有统计学意义（F=3．109，P〈0．05），在其他社会人口学因素（性别、文化程度、收入）、疾病治疗相关因素上没有相关性（P，0．05）；癌症复发恐惧总分与生命质量总分呈高度负相关（r=-0．726，P〈0．01），生命质量中的躯体状况、社会家庭状况、情感状况、功能状况均与癌症复发恐惧呈负相关（r=-O．841--0．592，均P〈0．01）。结论膀胱癌患者癌症复发恐惧发生率较高，并从生理、心理、社会等方面影响膀胱癌患者的生命质量，护理人员应尽早发现患者存在的癌症复发恐惧，及时给予相应的干预措施，提高膀胱癌患者生命质量。

Objective To investigate the current status of fear of cancer recurrence in bladder cancer patients, and to explore the correlation between fear of recurrence and quality of life. Methods A total of 96 bladder cancer patients were recruited by convenience sampling method from April 2017 to July 2017. They were investigated through general information questionnaire, Chinese version of Fear of Progression Questionnaire Short Form and Functional Assessment of Cancer Therapy-Bladder cancer form respectively. Results The total score of fears of recurrence was 28.76± 10.33, the total score of quality of life was 123.66±20.63. A total of 28 patients had a dysfunctional level of fears of recurrence （total score 1〉 34）, the incidence was 29.2% （28/96）. There were significant differences in the total scores of fears of recurrence at different ages, fears of recurrence were not related to another sociodemographic factors （gender, educational attainment and income） or disease, treatment related factors. The total scores of fears of recurrence and the total score of quality of life showed a high degree of negative correlation （r=-0.726, P 〈 0.01）, the quality of life in physical, social and family, emotional, functional well being were negatively correlated with fears of recurrence （r=- 0.841-- 0.592 , P 〈 0.01）. Conclusions Bladder cancer patients have a higher incidence of fears of recurrence and had an impact on quality of life from the physical, psychological and social domains, nurses should perceive the fears of recurrence of patients as soon as possible and give corresponding intervention measures to improve the quality of life of bladder cancer oatients.