肺癌患者癌症复发恐惧现状及影响因素研究

Study on influencing factors of Fear of Cancer Recurrence in lung cancer patients

目的:调查肺癌患者癌症复发恐惧现状,并分析其影响因素。方法:采用一般资料调查表、恐惧疾病进展简化量表、一般自我效能量表(GSES)及简易疾病感知问卷(BIPQ)对2019年3-11月在江西省南昌市某3所三级甲等医院住院治疗的222例肺癌患者进行调查,运用多元逐步回归分析肺癌患者癌症复发恐惧的影响因素。结果:222例肺癌患者癌症复发恐惧得分为(40.27±7.80)分,≥34分者173例(77.93%),GSES得分为(21.33±4.39)分,BIPQ得分为(53.00±8.00)分。多元逐步回归分析显示,年龄、自我效能、病程、疾病认知和自觉症状严重程度是癌症复发恐惧的影响因素(P<0.05),共解释40.5%的总变异。结论:肺癌患者癌症复发恐惧状况不容乐观,发生率较高,临床工作者应重视肺癌患者的心理状况,采用针对性干预,增强患者自我效能感,改善患者的疾病认知,引导并鼓励其积极应对,以降低其癌症复发恐惧水平。

Objective:To investigate the current status of Fear of Cancer Recurrence in lung cancer patients,and analyze its influencing factors.Methods:A survey was conducted in 222 patients with lung cancer who were hospitalized in three tertiary Grade A hospitals in Nanchang during March to November,2019.The general data questionnaire,simplified scale for Fear of Progression Questionnaire-Short Form(FoP-Q-SF),General Self-Efficacy Scale(GSES),and Brief Illness Perception Questionnaire(BIPQ)were used in the survey.Multiple stepwise linear regression was used to analyze the influencing factors of lung cancer patients'Fear of Cancer Recurrence.Results:In 222 lung cancer patients,the score of FoP-Q-SF was(40.27±7.80),and 173 cases(77.93%)were≥34 points,the GSES score was(21.33±4.39),and the BIPQ score was(53.00±8.00).Multiple stepwise regression analysis showed that age,self-efficacy,disease duration,disease cognition,and consciousness of disease severity were the influencing factors of Fear of Cancer Recurrence(P<0.05),which explained 40.5%of the total variation.Conclusion:The Fear of Cancer Recurrence in lung cancer patients is not optimistic,and the incidence rate is high.Clinicians should pay attention to the psychological status of lung cancer patients,and adopt targeted interventions to enhance patients'self-efficacy and improve their disease awareness,guide and encourage them to actively respond to reduce the Fear of Cancer Recurrence level.