乳腺癌患者恐惧疾病进展的现状及影响因素分析

Present situation on fear of disease progression for breast cancer patients and analysis on its influencing factors

目的调查乳腺癌患者恐惧疾病进展的现状及影响因素。方法采用便利抽样法,选取中国科学院大学附属肿瘤医院的192例乳腺癌患者为研究对象,采用一般资料调查表、癌症患者恐惧疾病进展简化量表、社会支持评定量表及医学应对方式问卷进行调查。结果乳腺癌患者恐惧疾病进展总分(31.07±9.81)分,社会支持总分(43.02±8.38)分,应对方式3个维度得分分别为面对(18.70±4.42)分,回避(16.84±3.65)分,屈服(9.83±3.06)分。多元逐步回归分析结果显示,乳腺癌患者年龄、主观支持、客观支持、社会支持利用度、回避应对和屈服应对6个变量进入回归方程,可解释总变异量的49.6%。结论乳腺癌患者恐惧疾病进展处于中等水平,年龄、主观支持、客观支持、社会支持利用度、回避应对和屈服应对是影响患者恐惧疾病进展的因素。

Objective To investigate the present situation on fear of disease progression for breast cancer patients and its influencing factors.Method Choose 192 breast cancer patients from Cancer Hospital Affiliated to the University of Chinese Academey of Sciences by convenient sampling and investigate them by general information questionnaire,Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Social Support Rate Scale(SSRS)and Medical Coping Modes Questionnaire(MCMQ).Result The total scores are(31.07±9.81)on FoP-Q-SF and(43.02±8.38)on SSRS.Scores on three dimensions of coping style are(18.70±4.42)on facing,(16.84±3.65)on avoiding and(9.83±3.06)on yielding.Multiple stepwise regression analysis shows that 6 variables of age,subjective support,objective support,social support availability,coping style of avoiding and yielding are in regression equation,which can explain 49.6%of total variation.Conclusion Fear of disease progression for breast cancer patients is in moderate level.Age,subjective support,objective support,social support availability,coping style of avoiding and yielding are influencing factors of fear of disease progression for breast cancer patients.