膀胱癌术后患者恐惧疾病进展现状及影响因素研究  

The level and factors associated with fear of progression in patients after bladder cancer surgery

作　　者：王小平[1] 何芳[2] 祝凡[1] 邓明[1] 何苑熙[1] Wang Xiaoping;He Fang;Zhu Fan;Deng Ming;He Yuanxi(Department of Kidney Disease and Urology,Mianyang Central Hospital,Mianyang 621000, China)

机构地区：[1]绵阳市中心医院肾病泌尿病区,四川绵阳621000 [2]绵阳市中心医院护理部,四川绵阳621000

出　　处：《护理学杂志》2019年第2期52-55,共4页Journal of Nursing Science

摘　　要：目的了解膀胱癌术后膀胱灌注化疗患者恐惧疾病进展现状并分析影响因素,为心理护理提供参考。方法采用一般情况调查表、恐惧疾病进展简化量表、简易疾病感知问卷对110例膀胱癌术后首次膀胱灌注化疗患者进行问卷调查。结果患者恐惧疾病进展总分(25.31±5.35)分,7.27%的患者出现心理功能失调;多元回归分析显示,疾病感知、肿瘤复发、肿瘤组织学分级、性别、年龄是膀胱癌术后膀胱灌注化疗患者恐惧疾病进展的影响因素(P<0.05,P<0.01)。结论膀胱癌术后膀胱灌注化疗患者存在疾病进展恐惧,需重点关注女性、复发及高组织学分级患者,可通过改善疾病感知以降低患者的恐惧疾病进展水平。Objective To investigate the level and factors associated with fear of progression in patients receiving intravesical instillation therapy after bladder cancer surgery,and to provide reference for psychological care.Methods A total of 110 patients with nonmuscle invasive bladder cancer were surveyed by using a self-designed demographic data questionnaire,the Fear of Progression Questionnaire-Short Form(FoPQ-SF)and Brief Illness Perception Questionnaire(BIPQ)at the first intravesical instillation therapy after surgery.Results The score of fear of progression was 25.31±5.35 and 7.27% of patients scored greater than 34 points indicating psychological dysfunction.Multiple linear regression analysis showed that illness perception,neoplasm recurrence,tumor grading,gender and age were influencing factors of patients′fear of progression(P<0.05,P<0.01).Conclusion Patients receiving intravesical instillation therapy after bladder cancer surgery do have fear of progression.More attention should be paid to those who are female and have cancer relapse and those who have high histological grading.Improvement of illness perception can alleviate fear of progression.

关 键 词：膀胱癌 膀胱灌注化疗 恐惧疾病进展 疾病感知 影响因素 

分 类 号：R473.6[医药卫生—护理学] R737.14[医药卫生—临床医学]