鼻咽癌患者出院后恐惧疾病进展现状及影响因素分析

Analysis of the status quo and infl uencing factors of the phobic diseases in patients with nasopharyngeal carcinoma after discharge

目的分析鼻咽癌患者出院后恐惧疾病进展的现状及影响因素。方法选取2017年1—12月在医院治疗出院后满3年的鼻咽癌患者90例为研究对象,应用恐惧疾病进展简化量表(FOP-Q-SF)对患者的疾病恐惧复发进展现状进行调查,分析其密切影响因素。结果患者恐惧疾病进展总分为28.21±10.77分,处于中等程度恐惧。单因素及多元线性回归结果发现,患者恐惧疾病进展的影响因素包括情感疲乏评分、定期复诊,差异有统计学意义(P<0.05)。结论鼻咽癌患者出院后依然具有较高的恐惧疾病进展检出率,医护人员应对恐惧疾病进展的发生情况加以关注,结合具体的影响因素为患者提供有针对性的心理疏导,减轻其疾病复发恐惧感。

Objective To analyze the status and influencing factors of fear disease progression in patients with nasopharyngeal carcinoma after discharge.Methods A total of 90 patients with nasopharyngeal carcinoma who had been treated in the hospital for 3 years after discharge from January to December 2017 were selected as the research objects.The status of disease fear recurrence and progression was investigated by using the simplifi ed fear disease progression scale(FOP-Q-SF)and the closely influencing factors were analyzed.Results The total score of fear disease progression was 28.21±10.77 point,in the middle level of fear.Univariate and multiple linear regression results showed that the influencing factors of fear disease progression included emotional fatigue score and regular return visit,the difference was stasticauy significant(P<0.05).Conclusion Nasopharyngeal cancer patients still have a high rate of fear disease progression after discharge,medical staf f should pay attention to the occurrence of fear disease progression,combined with specific influencing factors to provide targeted psychological counseling for patients,reduce their fear of disease recurrence.