非小细胞肺癌患者癌症复发恐惧与社会支持状况分析

Analysis of fear of cancer recurrence and social status support in patients with non-small cell lung cancer

目的观察非小细胞肺癌(NSCLC)患者癌症复发恐惧(FCR)及社会支持状况,并分析二者关系。方法前瞻性选取2017年1月-2019年6月山东省青岛市市立医院(以下简称“我院”)收治81例NSCLC患者为研究对象,参照癌症复发恐惧量表(FCRI)评估患者入院时FCR情况并分组,将FCRI评分≤84分患者纳为轻度组(46例);FCRI评分>84分患者纳为中重度组(35例);参照社会支持评定量表(SSRS)评估患者社会支持状况;通过我院自制调查问卷记录患者基线资料,重点比较社会支持情况,分析NSCLC患者社会支持与FCR的关系。结果中重度组临床Ⅲ期~Ⅳ期、心理状态较差占比均高于轻度组,SSRS评分低于轻度组(P<0.05);多因素回归模型结果显示,心理状态差[OR=3.130(95%CI:1.229~7.972),P=0.017]、SSRS评分低[OR=0.331(95%CI:0.150~0.731,P=0.006]是NSCLC患者FCR程度加重的影响因素。相关性检验结果显示,NSCLC患者FCR评分与社会支持呈负相关(r=-0.804,P<0.05)。结论NSCLC患者普遍存在较严重的FCR,可能受患者的社会支持水平影响,因此临床应重视NSCLC患者的社会支持干预,可能对减轻患者FCR程度有积极意义。

Objective To observe fear of cancer recurrence(FCR)and social support status in patients with non-small cell lung cancer(NSCLC),and analyze their relationship.Methods A prospective study of 81 NSCLC patients admitted to Qingdao Municipal Hospital of Shandong Province(hereinafter referred to as“our hospital”)from January 2017 to June 2019 was conducted.According to the fear of cancer recurence inventory(FCRI),the patients’FCR status on admission was assessed and grouped.Patients with FCRI score≤84 points were enrolled as the mild group(46 cases),and patients with FCRI score>84 points were enrolled as the moderate to severe group(35 cases).The social support status of patients was assessed according to the social support rating scale(SSRS).The baseline data of patients were recorded by self-made questionnaire of our hospital,and the social support situation was compared with emphasis,and the relationship between social support and FCR in NSCLC patients was analyzed.Results The proportion of clinical stageⅢ-Ⅳand poor mental status of patients in the moderate to severe group was higher than that of the mild group,and the SSRS score was lower than that of the mild group(P<0.05).The results of multivariate regression model showed that poor mental state(OR=3.130[95%CI:1.229-7.972],P=0.017)and low SSRS score(OR=0.331[95%CI:0.150-0.731],P=0.006)were the influencing factors for aggravation of FCR degree in NSCLC patients.Correlation test results showed that FCR score of NSCLC patients was negatively correlated with social support(r=-0.804,P<0.05).Conclusion NSCLC patients generally have severe FCR,which may be affected by the level of social support of patients.Therefore,clinical attention should be paid to the social support intervention of NSCLC patients,which may be of positive significance to reduce the degree of FCR in patients.