口腔癌手术患者复发恐惧水平及其相关影响因素分析

Analysis of recurrent fear level and related influencing factors in patients undergoing oral cancer surgery

目的观察口腔癌手术患者癌症复发恐惧(FCR)水平,并分析其相关影响因素。方法选取2020年2月-2022年8月南昌大学第二附属医院收治的73例口腔癌手术患者进行研究,采用恐惧疾病进展简化量表(FoP-Q-SF)评估患者术后FCR水平,并自制一般资料调查问卷,记录患者主要资料,经线性回归分析口腔癌手术患者FCR水平的相关影响因素。结果73例口腔癌患者经评估,术后FoP-Q-SF评分平均为(30.65±4.58)分;不同文化程度、术前疼痛度、社会支持、应对方式资料的患者FoP-Q-SF评分比较,有统计学差异(P<0.05);其他不同资料特征的患者FoP-Q-SF评分比较,无统计学差异(P>0.05);经线性回归分析,结果显示,文化程度为小学或初中、中重度术前疼痛、社会支持低水平、消极应对方式均为口腔癌手术患者FCR水平的影响因素(P<0.05)。结论口腔癌手术患者FCR水平较高,可能受患者文化程度、术前疼痛度、社会支持及应对方式等因素影响。

Object ive To observe the fear of cancer recurrence(FCR)in patients undergoing oral cancer surgery and analyze its related factors.Methods A total of 73 patients with oral cancer surgery admitted to the Second Afiliated Hospital of Nanchang University from February 2020 to August 2022 were selected for this study.The level of postoperative FCR was evaluated using the Simplified Fear of Disease Progression Scale(FoP-Q-SF),and the general data questionnaire was made and the main data of the patients were recorded.The correlation factors of FCR levelin patients undergoing oral cancer surgery were analyzed by linear regression.Results The average FoP-Q-SF score of 73 patients with oral cancer was(30.65±4.58).There were statistical differences in FoP-Q-SF scores among patients with different education levels,preoperative pain,social support and coping styles(P<0.05).There was no significant difference in FoPQ-SF scores among other patients with different data characteristics(P>0.05).Through linear regression analysis,the results showed that primary or middle school education,moderate to severe preoperative pain,low level of social support and negative coping style were all influencing factors for FCR level of patients undergoing oral cancer surgery(P<0.05).Conclusion The level of FCR in patients undergoing oral cancer surgery is higher,which may be affected by the educational level of patients,preoperative pain,social support and coping style.