肺癌幸存者癌症恐惧疾病进展与癌症死亡焦虑、癌症自我效能感的关系研究

The relationship among cancer fear disease progression,cancer death anxiety and cancer self-efficacy in lung cancer survivors

目的探讨肺癌幸存者癌症恐惧疾病进展现状,并分析与癌症死亡焦虑、癌症自我效能感的相关性。方法采用一般资料问卷、癌症恐惧疾病进展简化量表、癌症死亡焦虑量表及癌症自我效能感量表对240例住院肺癌幸存者进行调查。结果240例肺癌幸存者癌症恐惧疾病进展得分为(39.78±7.56)分,其中≥34分幸存者180例(75.00%);癌症死亡焦虑量表得分为(10.20±3.23)分,其各维度得分及总分与癌症恐惧疾病进展得分均呈正相关(P<0.01);癌症自我效能感量表得分为(89.04±22.77)分,其各维度得分及总分与癌症恐惧疾病进展得分均呈负相关(P<0.01)。多元线性回归分析结果显示,治疗方式、自觉疾病严重程度、病程、癌症死亡焦虑及癌症自我效能感是癌症恐惧疾病进展的影响因素(P<0.01)。结论肺癌幸存者癌症恐惧疾病进展水平较高,护理人员应高度重视幸存者的心理状况,实施有效的心理干预,降低其癌症死亡焦虑水平,提高癌症自我效能感,积极引导幸存者正确面对疾病,降低其癌症自我效能感对癌症恐惧疾病影响程度。

Objective To explore the status quo of cancer fear disease in lung cancer survivors,and analyze the correlation with cancer death anxiety,cancer self-efficacy.Methods The general information questionnaire,Cancer Fear of Disease Progression Simplified Scale(CFDPSC),Cancer Death Anxiety Scale(CDAS)and Cancer Self-Efficacy Scale(CSES)were used to investigate 240 hospitalized lung cancer survivors.Results The CFDPSC score of 240 lung cancer survivors was(39.78±7.56),including 180 patients(75.00%)with≥34 points.The CDAS score was(10.20±3.23),and the scores of all dimensions and total score were positively correlated with the CFDPSC score(P<0.01).The CSES score was(89.04±22.77),and the scores of all dimensions and total score were negatively correlated with the CFDPSC score(P<0.01).The results of multiple stepwise linear regression analysis showed that treatment modality,self-perceived severity of illness,duration of illness,death anxiety and self-efficacy were factors influencing of fear disease progression(P<0.01).Conclusion Lung cancer survivors have a high CFDPSC level.Nursing staff should pay more attention to the psychological condition of patients,implement effective psychological interventions to reduce the level of death anxiety,improve self-efficacy,and actively guide patients to face the disease correctly,in order to reduce their CFDPSC level.