肿瘤患者恐惧疾病进展现状及其相关影响因素分析

Analysis of the Status of Fear of Disease Progression in Tumor Patients and Its Related Influencing Factors

目的:探讨肿瘤患者恐惧疾病进展(fear of disease progression,FoP)现状及其相关影响因素。方法:选取2021年2月—2022年8月就诊于莆田学院附属医院的120例肿瘤患者,采用一般资料调查表、医学应对方式问卷(medical coping modes questionnaire,MCMQ)、癌症患者恐惧疾病进展简化量表(fear of progression questionnaire-short form,FoP-Q-SF)实施调查,分析肿瘤患者FoP水平及其相关影响因素。结果:120例肿瘤患者的FoP-Q-SF得分为(30.10±8.46)分,处于中度恐惧水平。年龄<60岁、女性、农村医保、居住农村、高中及以下学历及消极应对方式患者的FoP-Q-SF得分均高于年龄≥60岁、男性、职工或居民医保、居住城镇、大专及以上学历、积极应对的患者,差异有统计学意义(P<0.05);不同肿瘤类型、婚姻状况、工作状态、确诊时间患者的FoP-Q-SF得分对比,差异无统计学意义(P>0.05)。多元线性回归分析显示:性别、文化程度、居住地、医保类型、年龄、应对方式是肿瘤患者FoP水平的影响因素(P<0.05)。结论:肿瘤患者FoP处于中度水平,其受性别、文化程度、居住地、医保类型、年龄、应对方式多种因素影响,临床需加以重视。

Objective:To explore the status of fear of disease progression(FoP)in tumor patients and its related influencing factors.Method:A total of 120 tumor patients who visited the Affiliated Hospital of Putian University from February 2021 to August 2022 were selected.The survey was conducted using the general information questionnaire,the medical coping modes questionnaire(MCMQ),and the fear of progression questionnaire-short form(FoP-Q-SF)for tumor patients.The FoP levels and related influencing factors in tumor patients were analyzed.Result:The FoP-Q-SF score of 120 tumor patients was(30.10±8.46)points,indicating a moderate level of fear.The FoP-Q-SF scores of patients<60 years old,female patients,rural medical insurance patients,living in rural areas,high school education or below and negative coping style patients were higher than those of patients≥60 years old,male patients,employees or residents medical insurance patients,cities of residence,college education or above,and active coping patients,the differences were statistically significant(P<0.05).There were no significant differences in FoP-Q-SF scores in patients with different tumor types,marital status,working status and diagnosis time(P>0.05).Multiple linear regression analysis showed that gender,educational level,place of residence,type of medical insurance,age,and coping style were the influcing factors affecting FoP levels in tumor patients(P<0.05).Conclusion:Tumor patients with FoP are at a moderate level,which is influenced by various factors such as gender,educational level,place of residence,medical insurance type,age,and coping style.Clinical attention should be paid to this.