新诊断老年非小细胞肺癌术后病人复发恐惧现状及影响因素研究

Study on status quo and influencing factors of fear of recurrence in newly diagnosed elderly patients with non-small cell lung cancer after operation

目的:了解新诊断老年非小细胞肺癌术后病人的癌症复发恐惧(FCR)现状并分析其影响因素。方法:便利抽样法选取2020年6月—2021年8月在河南省某所三级甲等医院胸外科病房住院治疗的284例新诊断老年非小细胞肺癌术后病人为调查对象,采用一般资料调查表、恐惧疾病进展简化量表(FoP-Q-SF)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)和简易疾病认知问卷(BIPQ)对其进行问卷调查。结果:新诊断老年非小细胞肺癌术后病人FCR总分为(30.21±9.22)分,其中FCR评分≥34分的病人占36.97%(105/284)。Pearson相关分析结果显示,新诊断老年非小细胞肺癌术后病人FCR总分与主观支持、客观支持、支持利用度和积极应对维度得分呈负相关(r值分别为-0.148,-0.347,-0.228,-0.188,均P<0.05),与疾病认知总分呈正相关(r=0.512,P<0.001)。多元回归分析显示,新诊断老年非小细胞肺癌术后病人的居住环境、病理分期、主观支持、支持利用度和疾病认知是影响其复发恐惧水平的主要因素(P<0.05)。结论:新诊断老年非小细胞肺癌术后病人FCR处于中等水平,医护人员在实施健康宣教和干预措施时应综合考虑病人情况,及时有效地识别病人存在的心理问题,提供安全、专业、适宜的应对措施,促进其心理健康。

Objective:To investigate the status quo of fear of cancer recurrence(FCR)in newly diagnosed elderly patients with non-small cell lung cancer(NSCLC)after surgery and analyze its influencing factors.Methods:A total of 284 newly diagnosed elderly patients with non-small cell lung cancer were selected as the subjects by convenience sampling method who were hospitalized in the thoracic surgery ward in a tertiary grade A hospital in Henan province from June 2020 to August 2021.General data questionnaire,Fear of Progression Questionnaire-Short Form(FOP-Q-SF),Social Support Rating Scale(SSRS),Simplified Coping Style Questionnaire(SCSQ)and Brief Illness Perception Questionnaire(BIPQ)were used to investigate the patients.Results:The total score of FCR of newly diagnosed elderly patients with NSCLC was(30.21±9.22),and the patients with FCR score≥34 accounted for 36.97%.Pearson correlation analysis results showed that the total score of FCR of newly diagnosed elderly patients with NSCLC after surgery was negatively correlated with subjective support,objective support,degree of support utilization and positive coping dimensions(r value was-0.148,-0.347,-0.228,-0.188,all P<0.05).It was positively correlated with the total score of disease cognition(r=0.512,P<0.001).Multiple regression analysis showed that living environment,pathological stage,subjective support,degree of support utilization and disease cognition of newly diagnosed elderly patients with NSCLC after operation were the main factors affecting their fear of recurrence(P<0.05).Conclusions:FCR of newly diagnosed elderly patients with NSCLC after operation is at a moderate level.Medical staff should consider the patient′s condition comprehensively when implementing health education and intervention measures,timely and effectively identify the patients′psychological problems,and provide safe,professional and appropriate countermeasures to promote their mental health.