老年前列腺癌术后患者恐惧疾病进展影响因素分析

Influencing factors of fear of progression among postoperative elderly patients with prostatic cancer

目的探讨老年前列腺癌术后患者恐惧疾病进展的影响因素。方法采用目的抽样法，选取2016年12月-2017年12月唐山市人民医院泌尿外科手术治疗的老年前列腺癌患者404例为研究对象。采用恐惧疾病进展简化量表（FoPQ—SF）、出院准备度量表（RHD）、中文版安德森症状评估量表、家庭亲密度和适应性量表（FACESII）对其进行调查。采用二分类Logistic回归分析老年前列腺癌术后患者恐惧疾病进展的影响因素。结果根据FoPQ—SF将404例老年前列腺癌患者分为两组，将FoPQ-SF≤34分的202例患者设为对照组，FoPQ—SF〉34分的202例患者设为病例组。两组患者年龄、家庭支持、临床分期、Gleason评分、症状困扰、出院准备度差异有统计学意义（χ2值分别为10．164、24．762、21．083、21．052、21．915、25．783；P〈0．05）。Logistic回归分析显示年龄、家庭支持、出院准备度、症状困扰、Gleason评分是老年列腺癌术后患者恐惧疾病进展的影响因素（尸〈0．05）。结论老年前列腺癌术后患者恐惧疾病进展受多种因素影响，提高患者出院准备度，将有利于降低患者恐惧疾病进展。

Objective To explore the influencing factors of fear of progression among postoperative elderly patients with prostatic cancer. Methods From December 2016 to December 2017, we selected 404 elderly prostatic cancer patients with surgical treatment of Urinary Surgery in Tangshan People＇s Hospital as subjects by purposive sampling. AU of the patients were investigated with the Fear of Progression Questionnaire- Short Form （FoPQ-SF）, Readiness for Hospital Discharge （RHD）, the Chinese Version of the M. D. Anderson Symptom Inventory and Family Adaptability and Cohesion Scale Ⅱ （FACES Ⅱ ）. Binary Logistic regression was used to analyze the influencing factors of fear of progression among postoperative elderly patients with prostatic cancer. Results The total of 404 elderly prostatic cancer patients were divided into two groups according to FoPQ-SF, 202 patients with the score of FoPQ-SF less than or equal to 34 in control group and 202 patients with the score of FoPQ-SF more than 34 in case group. There were statistical differences in ages, family support, clinical stages, scores of Gleason, symptom distress and readiness for hospital discharge of patients between two groups （χ2=10.164, 24.762, 21.083, 21.052, 21.915, 25.783; P 〈 0.05）. Logistic regression analysis showed that the influencing factors of fear of progression among postoperative elderly patients with prostatic cancer included ages, family support, readiness for hospital discharge, symptom distress and scores of Gleason （P 〈 0.05）. Conclusions Fear of progression among postoperative elderly patients with prostatic cancer is affected by many factors. Improving patients＇ readiness for hospital discharge will help to lower the fear of progression of patients.