康复期青年乳腺癌患者癌症复发恐惧影响因素调查

Investigation the influencing factors of fear of cancer recurrence in young breast cancer patients during rehabilitation

目的调查康复期青年乳腺癌患者癌症复发恐惧(FCR)的影响因素,讨论护理应对策略。方法选择医院2017年1月—2019年12月收治的180例康复期青年乳腺癌患者为研究对象,利用癌症恐惧疾病进展简化量表(FoP-Q-SF)调查FCR现况。将86例存在FCR的患者纳为病例组,无FCR的纳为对照组。收集相关数据进行统计学处理,确定FCR的独立影响因素,总结护理应对策略。结果单因素分析结果显示,康复期青年乳腺癌患者癌症复发恐惧的影响因素有年龄、家庭人均月收入、婚姻状况、医疗社会支持、自我效能、疾病分期、职业状态、疗效评价(P<0.05);多因素Logistic回归分析显示,康复期青年乳腺癌患者癌症复发恐惧的独立影响因素有年龄22~30岁、家庭人均月收入<3000元、未婚离异或丧偶、医疗社会支持一般、自我效能一般、疾病分期Ⅲ~Ⅳ期、无职状态、疗效评价(PD+SD)(P<0.05)。结论康复期青年乳腺癌患者FCR影响因素包括疾病分期、婚姻状况、自我效能等,护理人员应加强相关危险因素的防护意识,及早预防,以减轻癌症恐惧情绪,提高生命质量。

Objective To investigate the influencing factors of fear of cancer recurrence(FCR)in young breast cancer patients during rehabilitation,and discuss nursing coping strategies.Methods A total of 180 convalescent young breast cancer patients admitted to hospital from January 2017 to December 2019 were selected as the study objects,and the FCR status was investigated by using the cancer fear of progression questionnaire–short form(FoPQ-SF).We included 86 patients with FCR in a case group,and those without FCR were included in a control group.We collected relevant data for statistical processing,determined the independent influencing factors of FCR,and summarized nursing coping strategies.Results Univariate analysis showed that the factors affecting the fear of cancer recurrence in young breast cancer patients during the rehabilitation period included age,family monthly income,marital status,medical and social support,self-efficacy,disease staging,occupational status,and efficacy evaluation(P<0.05).Multivariate Logistic regression analysis showed that the independent influencing factors for the fear of cancer recurrence in young breast cancer patients during the rehabilitation period were 22-30 years old,family monthly income<RMB3000,unmarried divorced or widowed,general medical and social support,general self-efficacy,disease stageⅢ~Ⅳ,none Job status,evaluation of curative effect(PD+SD)(P<0.05).Conclusion The FCR influencing factors of young breast cancer patients during rehabilitation included disease stage,marital status,self-efficacy,etc.Nursing staff should strengthen the awareness of related risk factors and prevent them early to reduce cancer fear and improve the quality of life.