癌症复发恐惧在中青年淋巴瘤患者家庭功能与创伤后成长间的中介效应研究

The mediating effect of fear of cancer recurrence on the family function and post-traumatic growth of young and middle-aged lymphoma patients

目的:探讨癌症复发恐惧在中青年淋巴瘤患者家庭功能与创伤后成长间的中介作用。方法:采用自行设计一般资料调查表、创伤后成长量表、癌症患者恐惧疾病进展简化量表、家庭功能评定量表对280例淋巴瘤患者进行调查。结果:淋巴瘤患者创伤后成长总分为(69.69±17.75)分,与既往调查结果一致,个人力量条目均分最高;淋巴瘤患者恐惧疾病进展量表总分为(40.01±9.08)分,高于大肠癌、乳腺癌患者得分;淋巴瘤患者家庭功能总分为(134.61±22.11)分,家庭功能处于一般水平。创伤后成长、癌症复发恐惧、家庭功能三者两两之间存在相关性。癌症复发恐惧在创伤后成长与家庭功能间发挥中介作用,中介效应占总效应比为32.69%。结论:临床护理工作中,要重视家庭访视和居家护理的作用,提高家属对患者治疗康复护理的积极性和投入度,改善患者家庭功能,加强健康教育,分享成功抗癌经验,降低患者的癌症复发恐惧,提高患者创伤后成长水平。

Objective:To explore the mediating effect of fear of cancer recurrence on the family function and post-traumatic growth of young and middle-aged lymphoma patients.Methods:The self-designed general information questionnaire,Post-traumatic Growth Inventory,simplified scale for fear of disease progression for cancer patients,and Family Assessment Device were used to investigate 280 lymphoma patients.Results:The total post-traumatic growth score of lymphoma patients was(69.69±17.75),which was consistent with the previous survey results,and the average score of personal strength items was the highest;the total average score of the fear of disease progression scale for lymphoma patients was(40.01±9.08),the score was higher than that of patients with colorectal cancer and breast cancer;the total family function score of patients with lymphoma was(134.61±22.11),indicating that family function was at a normal level.There was a correlation among post-traumatic growth,fear of cancer recurrence,and family function.Fear of cancer recurrence played a mediating role between post-traumatic growth and family function,and the mediating effect accounted for 32.69% of the total effect.Conclusion:In clinical nursing work,it is necessary to strengthen the role of family visits and home care,increase the enthusiasm and investment of family members in the treatment and rehabilitation of patients,improve the family function of patients,strengthen health education,and share successful anti-cancer experiences,thud reducing the patient's fear of cancer recurrence and improving the level of patient's post-traumatic growth.