胃癌术后患者恐惧疾病进展程度的影响因素分析

Analysis on influencing factors of fear of disease progression in patients with gastric cancer after operation

目的观察胃癌术后患者恐惧疾病进展情况及其相关影响因素。方法选择2018年12月至2020年12月辽宁省朝阳市第二医院收治的105例接受腹腔镜胃癌根治术治疗的患者作为研究对象。于术后3个月时采用恐惧疾病进展简化量表(FoP-Q-SF)评估患者恐惧疾病进展程度,并根据患者恐惧疾病进展程度将患者分为高程度组与低程度组。设计患者基线资料调查表,比较两组基线资料,分析胃癌术后患者恐惧疾病进展情况及其相关影响因素。结果 105例胃癌术后患者中18例为高程度恐惧疾病进展,占17.14%。高程度组文化程度高中及以下占比高于低程度组,简明疾病认知问卷评分、一般自我效能感量表(GSES)评分、家庭关怀指数评分低于低程度组,差异有统计学意义(P <0.05)。logistic回归分析显示,疾病认知度高、GSES评分高、家庭关怀指数评分高是胃癌术后患者恐惧疾病进展的保护因素(OR <1,P <0.05)。结论胃癌术后患者恐惧疾病进展程度普遍较高,可能受患者疾病认知度、自我效能感、家庭关怀度的影响。

Objective To observe the fear of disease progression in patients with gastric cancer after operation and its influencing factors.Methods A total of 105 patients who underwent laparoscopic radical gastrectomy for gastric cancer who were admitted to the Second Hospital of Chaoyang City,Liaoning Province from December 2018 to December 2020 were selected as the research objects.Three months after surgery,the Fear of Disease Progression Simplified Scale(FoP-Q-SF) was used to assess the degree of fear of disease progression,and the patients were divided into high-degree and low-degree groups according to the degree of fear of disease progression.The patient baseline data questionnaire was designed,the baseline data of the two groups was compared,and the fear of disease progression in patients after gastric cancer surgery and related influencing factors was analyzed.Results Among 105 patients with gastric cancer after surgery,a total of 18 had a high degree of fear of disease progression,accounting for 17.14%.The high-degree group had a higher education level than the low-degree group,and the brief illness perception questionaire score,general self efficacy scale(GSES) score,and family care index score were lower than the low-degree group,and the differences were statistically significant(P < 0.05).Logistic regression analysis showed that high disease awareness,high GSES score,and high family care index score were protective factors for fear of disease progression in patients after gastric cancer surgery(OR < 1,P < 0.05).Conclusion Patients after gastric cancer surgery are generally afraid of disease progression,which may be affected by the patient’s disease awareness,self-efficacy,and family care.