肝癌腹腔镜根治术后患者癌症恐惧与应对方式的相关性分析

Correlation between cancer fear and coping style in patients after laparoscopic radical resection for liver cancer

目的探讨肝癌腹腔镜根治术后患者癌症恐惧与应对方式的相关性。方法采用便利抽样法,选取2017年2月—2020年10月浙江省肿瘤医院腹部外科收治的1320例肝癌腹腔镜根治术后患者作为研究对象。采用一般资料调查表、中文版恐惧疾病进展简化量表(FoP-Q-SF)和医学应对方式问卷(MCMQ)进行调查。采用Pearson相关分析法对患者癌症恐惧与应对方式的相关性进行分析。本研究共发放问卷1320份,回收有效问卷1308份,有效回收率为99.09%。结果1308例患者的中文版FoP-Q-SF总分为(36.51±6.23)分,56.65%(741/1308)的患者得分>34分。不同性别、年龄、婚姻状况、因疾病带来的经济压力、因肝癌住院次数及癌症家族史的肝癌腹腔镜根治术后患者中文版FoP-Q-SF得分比较,差异有统计学意义(P<0.01)。患者的MCMQ面对维度得分低于国内常模,回避、屈服维度得分高于国内常模,差异均有统计学意义(P<0.01)。患者的中文版FoP-Q-SF总分及各维度得分与MCMQ的面对维度得分呈负相关(P<0.01),与屈服、回避维度得分呈正相关(P<0.01)。结论超过半数的肝癌腹腔镜根治术后患者的癌症恐惧超过正常水平,且采取回避和屈服方式面对疾病的患者,其恐惧水平更高。护理人员应根据不同患者情绪水平给予针对性护理干预,并帮助患者建立积极的应对方式。

Objective To explore the correlation between cancer fear and coping style in patients after laparoscopic radical resection for liver cancer.Methods From February 2017 to October 2020,convenience sampling was used to select 1320 patients undergoing laparoscopic radical resection for liver cancer in the Department of Abdominal Surgery of Zhejiang Cancer Hospital as the research object.The general information questionnaire,Chinese version of the Short Form of the Fear of Progression Questionnaire(FoP-Q-SF)and the Medical Coping Modes Questionnaire(MCMQ)were used for the survey.Pearson correlation was used to analyze the correlation between patients'cancer fear and coping style.A total of 1320 questionnaires were distributed and 1308 valid questionnaires were returned with the valid response rate of 99.09%.Results Among 1308 patients,the total score of the Chinese version of FoP-Q-SF was(36.51±6.23),and 56.65%(741/1308)patients scored more than 34 points.There were statistically significant differences in the Chinese version of the FoP-Q-SF scores of patients with different gender,age,marital status,economic pressure caused by the disease,number of hospitalizations for liver cancer,and cancer family history after laparoscopic radical resection of liver cancer(P<0.01).The confrontation dimension scores of patients in MCMQ were lower than the domestic norm,and the avoidance and resignation dimension scores were higher than the domestic norm,and the differences were statistically significant(P<0.01).The total score and dimension scores of the Chinese version of FoP-Q-SF were negatively correlated with the confrontation dimension score of the MCMQ(P<0.01),and positively correlated with the resignation and avoidance dimension scores(P<0.01).Conclusions More than half of the cancer fear of patients after laparoscopic radical resection of liver cancer exceeds the normal level,and those who adopt avoidance and resignation methods to face the disease have a high level of fear.Nursing staff should provide targeted nursing interventions according to the emotional level of different patients,and help patients establish positive coping styles.