新诊断肺癌行胸腔镜肺癌切除术后恐惧疾病进展现状及影响因素分析

Analysis of Status and Influencing Factors of Fear of Disease Progression after Thoracoscopic Lung Cancer Resection for Newly Diagnosed Lung Cancer

目的:探究新诊断肺癌行胸腔镜肺癌切除术后恐惧疾病进展现状,并分析其影响因素。方法:选择2021年4月—2023年4月南通市第三人民医院胸外科收治的150例新诊断肺癌行胸腔镜肺癌切除术后患者为研究对象,采用基础资料调查表、恐惧疾病进展简化量表(fear of progression questionnaire-short form,FoP-Q-SF)、简易疾病感知问卷(brief illness perception questionnaire,BIPQ)、社会支持评定量表(social support rating scale,SSRS)及一般自我效能量表(general self-efficacy scale,GSES)对其进行调查,并分析影响其恐惧疾病进展的因素。结果:150例新诊断肺癌行胸腔镜肺癌切除术后患者FoP-Q-SF总分为(30.60±9.05)分,其中FoP-Q-SF总分≥34分58例,占比38.67%,处于中等水平。不同年龄、居住地、文化水平、医疗付费方式、肿瘤分期的新诊断肺癌术后患者FoP-Q-SF总分相比,差异有统计学意义(P<0.05)。Pearson相关性分析显示,新诊断肺癌术后患者FoP-Q-SF总分与BIPQ评分呈正相关,与支持利用度、主观支持、客观支持维度得分及GSES评分呈负相关(P<0.05)。多元逐步回归分析显示,年龄、居住地、肿瘤分期、疾病感知、主观支持、自我效能感为新诊断肺癌术后患者恐惧疾病进展的影响因素(P<0.05)。结论:新诊断肺癌行胸腔镜肺癌切除术后恐惧疾病进展处于中等水平,且其影响因素较多,临床可依据因素进行相应干预以促进患者心理健康。

Objective:To explore the current state of fear of disease progression after thoracoscopic lung cancer resection for newly diagnosed lung cancer,and analyze its influencing factors.Method:A total of 150 newly diagnosed lung cancer patients who admitted to the Thoracic Surgery Department of Nantong Third Hospital Affiliated to Nantong University from April 2021 to April 2023 who underwent thoracoscopic lung cancer resection were selected as the research subjects,they were surveyed using basic data questionnaire,simplified fear of disease progression scale(FoP-Q-SF),simplified disease perception questionnaire(BIPQ),social support rating scale(SSRS)and general self-efficacy scale(GSES),and the factors that affect their fear of disease progression were analyzed.Result:The total FoP-Q-SF score of 150 newly diagnosed lung cancer patients who underwent thoracoscopic lung cancer resection was(30.60±9.05)points,of which 58 patients had a total FoP-Q-SF score of≥34 points,accounting for 38.67%,which was at a moderate level.There were statistically significant differences in total FoP-Q-SF scores among newly diagnosed lung cancer postoperative patients of different ages,places of residence,educational levels,medical payment methods and tumor staging(P<0.05).Pearson correlation analysis showed that the total FoP-Q-SF score of newly diagnosed lung cancer patients after surgery was positively correlated with the BIPQ score,but negatively correlated with support utilization,subjective support,objective support score,and GSES score(P<0.05).Multiple stepwise regression analysis showed that age,place of residence,tumor stage,disease perception,subjective support,and self-efficacy were the influencing factors for fear of disease progression in newly diagnosed lung cancer patients after surgery(P<0.05).Conclusion:The fear of disease progression after thoracoscopic lung cancer resection for newly diagnosed lung cancer is at a moderate level,and there are many influencing factors,clinical interventions can be made based on these factors to promote patients'mental health.