结直肠癌患者及其照顾者癌症复发恐惧水平及影响因素分析

Analysis on the Fear Level and Influencing Factors for Recurrence of Cancer in Colorectal Cancer Patients and Their Caregivers

目的:调查结直肠癌患者及照顾者癌症复发恐惧(FCR)水平,分析其影响因素。方法:2022年4月1日~10月31日采用便利抽样法选取山东省某三级甲等医院肿瘤治疗中心的234例结直肠癌患者及照顾者作为研究对象,采用一般资料调查表、恐惧疾病进展简化量表、照顾者恐惧疾病进展简化量表、家庭弹性评定量表中文简化版、领悟社会支持量表进行调查;采用单因素分析探讨不同人口学特征和疾病相关因素对结直肠癌患者FCR的影响,采用Pearson相关分析探讨照顾者FCR、家庭弹性、领悟社会支持与患者FCR的相关性,采用线性回归分析影响结直肠癌患者FCR的因素。结果:患者FCR得分为(33.11±8.09)分,照顾者FCR得分为(35.76±8.18)分,患者及照顾者经历高水平FCR的占比分别是47.4%和61.5%;单因素分析结果显示,患者FCR在居住地、医保方式、受教育程度、职业状态方面比较差异有统计学意义(P<0.05);患者FCR与照顾者FCR呈正相关(r=0.336,P<0.01),与家庭弹性呈负相关(r=-0.185,P<0.01),与领悟社会支持呈负相关(r=-0.221,P<0.01);多元线性回归分析显示,照顾者FCR、家庭弹性、领悟社会支持是结直肠癌患者FCR的影响因素(P<0.05)。结论:结直肠癌患者FCR水平较高,减轻照顾者FCR、增强家庭弹性和社会支持,可以有效降低结直肠癌患者FCR水平。

Objective:To investigate the fear on cancer recurrence(FCR)in the colorectal cancer patients and their caregivers,and analyze its influencing factors.Methods:During April 1 to October 31,2022,the convenience sampling method was used to select 234 cases of colorectal cancer patients and their caregivers as the research objects from a certain tertiary first-class hospital cancer center in Shandong province,the general data questionnaire,fear on disease progression scale,caregivers fear on disease progression simplification scale,family resilience rating scale Chinese simplified version,and understanding social support questionnaire survey were used for investigation.The single factor analysis was used to discuss different demographic characteristics and related factors in patients with colorectal cancer disease FCR,the effect of using Pearson correlation analysis to investigate the caregivers FCR,family elasticity,and understanding the correlation between social support and patients FCR,using linear regression analysis on the influencing factors of colorectal cancer patients FCR.Results:The FCR scores were(33.11±8.09)points in the patients,the FCR scores were(35.76±8.18)points in the caregivers,the experiencing of high levels of FCR were 47.4%and 61.5%in this group of patients and their caregivers.Single factor analysis showed that according to the results of this group of patients with FCR in place of residence,ways of health care,level of education,and occupational status comparative,the difference was statistically significant(P<0.05).FCR in this group of patients and caregivers FCR were positively correlated(r=0.336,P<0.01),and family elastic had significant negative correlation(r=0.185,P<0.01),and negatively correlated to the understanding of social support(r=-0.221,P<0.01).Multivariate linear regression analysis showed that caregivers FCR,family elasticity,and understanding of social support were the influencing factors for FCR in colorectal cancer patients(P<0.05).Conclusion:Patients with colorectal cancer have higher FCR levels,therefore reduce caregivers FCR and increase the elasticity of the family and social support,can effectively reduce the FCR levels in patients with colorectal cancer.