癌症复发恐惧心理现状调查及其影响因素分析  

Fear of Recurrence in Cancer Patients and Its Relevant Factors

作　　者：孙恒文[1] 杨艳珍[1] 刘婷[2] 张晶莹 潘燚[1] 曾子君[1] 叶云婕[1] 杨源 SUN Heng-wen;YANG Yan-zhen;LIU Ting;ZHANG Jing-ying;PAN Yi;ZENG Zi-jun;YE Yun-jie;YANG Yuan(Department of Radiotherapy,Cancer Center,Guangdong General Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,China;Department of Psychiatry and Psychology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广东省人民医院肿瘤中心放疗科广东省医学科学院,广州510080 [2]南方医科大学南方医院精神心理科,广州510515

出　　处：《循证医学》2018年第5期298-303,共6页The Journal of Evidence-Based Medicine

基　　金：南方医科大学南方医院院长基金资助项目(2017L001);广州市科技计划资助项目(201804010132)

摘　　要：目的了解癌症患者的恐惧心理状况并分析其影响因素。方法采用一般社会人口学问卷以及《恐惧疾病进展简化量表》、《抑郁症筛查量表》、《焦虑症筛查量表》对560例患者(80%乳腺癌、20%其他癌种:如结肠癌、肺癌等)进行调查。结果本研究共发放问卷568份,回收有效问卷560份,回收率为98.6%。患者复发恐惧心理平均得分(29.32±7.91)分,多元逐步回归分析结果显示:患者性格倾向、生活压力水平、焦虑得分、抑郁得分及童年重大疾病史为患者癌症复发恐惧心理的主要影响因素(adjusted R2=0.385,F=70.969,P<0.001)。结论偏消极心态、高生活压力水平、伴有焦虑或抑郁情绪及有童年重大疾病史的癌症人群更容易报告高恐惧水平。对于高评分特征的患者,医务人员应给予心理支持和心理干预以降低其恐惧水平,从而改善其生活质量。Objective To investigate the fears of cancer recurrence in cancer patients and to test its relevant influencing factors.Methods A total of 560 patients(80%breast cancer,20%other cancer,i.e.colorectal and lung cancer,etc)were recruited from Guangdong General Hospital and Southern Medical University Nanfang Hospital.Participants were asked to complete a demographic information sheet,the short form of Fear of Progression Questionnaire(FoP-Q-SF),the Patient Health Questionnaire(PHQ9)and the General Anxiety Disorder(GAD7).Results In total 568 patients were approached and 560 of them participated the study,respond rate 98.6%.Mean FoP value was(29.32±7.91).Stepwise linear regression showed that personality intendency,life stress level,scores of depression and anxiety,and childhood illness experience were main factors that influence individual FoP score(adjusted R2=0.385,F=70.969,P<0.001).Conclusion Patients were more likely to report high fears in recurrence if they were negative in personality,had high levels of life stress,had anxiety or depression symptoms,or had childhood illness experience.Further psychological intervention should be provided to those who report high recurrence fears.

关 键 词：癌症 复发恐惧 焦虑 抑郁 影响因素 

分 类 号：R73-31[医药卫生—肿瘤]