宫颈癌术后化疗期癌症复发恐惧情绪及影响因素  

Investigation of the status and its influencing factors of cancer recurrence fear in postoperative chemotherapy patients with cervical cancer

作　　者：孟芳[1] 陈秀芹[1] 李巧云[1] 郭尚云 葛倩倩[1] MENG Fang;CHEN Xiuqin;LI Qiaoyun(Department of Obstetrics and Gynecology,Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450004,China)

机构地区：[1]郑州大学第五附属医院妇产科

出　　处：《国际精神病学杂志》2019年第5期899-901,共3页Journal Of International Psychiatry

摘　　要：目的研究宫颈癌患者术后化疗期癌症复发恐惧情绪及影响因素。方法选择2016年12月~2018年12月我院于我院治疗的114例宫颈癌患者,均采用根治手术联合化疗治疗,采用疾病进展恐惧简化量表(FoP-Q-SF)评价患者癌症复发恐惧现状并与常模值比较。调查患者性别、婚姻、家庭人均收入等资料,分析癌症复发恐惧的影响因素。结果 114例宫颈癌患者术后化疗期FoP-Q-SF评分为(38.65±8.32),显著高于常模值(18.65±4.01)(P<0.05);不同年龄、宫颈癌FIGO分期、应对方式、家庭人均年收入、医疗费用支付方式、婚姻、学历、自我效能的患者FoP-Q-SF评分差异明显(P<0.05),不同职业状态、子女情况、化疗不良反应的患者FoP-Q-SF评分无明显差异(P>0.05);多元线性回归分析显示,年龄、FIGO分期、应对方式、家庭人均年收入、医疗费用支付方式是宫颈癌术后化疗期癌症复发恐惧的影响因素(P<0.05)。结论宫颈癌术后化疗期癌症复发恐惧程度较高,受到年龄、病情、应对方式、经济状况等多种因素影响,临床应开展针对性干预措施。Objective To study the status and its influencing factors of cancer recurrence fear in postoperative chemotherapy patients with cervical cancer. Methods A total of 114 patients with cervical cancer in our hospital from December 2016 to December 2018 were selected. They were treated with radical surgery combined with chemotherapy. The disease progression fear simplification scale(FoP-Q-SF)was used to assess current situation of cancer recurrence fear in patients and its influencing factors were investigated. Results The FoP-Q-SF score of 114 patients with cervical cancer in postoperative chemotherapy was(38.65±8.32),which was significantly higher than the norm(18.65±4.01)(P<0.05). There were significant differences in FoP-Q-SF scores between the patients with different ages,FIGO staging of cervical cancer,coping style,per capita annual income of family,mode of payment of medical expenses,marriage,education,and self-efficacy(P<0.05). There were no significant differences in FoP-Q-SF scores between patients with different occupational status,children’s status,and chemotherapy adverse reactions(P>0.05). Multiple linear regression analysis showed that age,FIGO stage,coping style,family per capita annual income,and medical expenses payment methods were the influencing factors of cancer recurrence fear in postoperative chemotherapy patients with cervical cancer(P<0.05). Conclusion The postoperative chemotherapy patients with cervical cancer had high degree of fear of cancer recurrence,which were affected by various factors such as age,condition,coping style,and economic status.

关 键 词：宫颈癌 化疗期 癌症复发恐惧:影响因素 

分 类 号：R749.99[医药卫生—神经病学与精神病学]