乳腺癌术后患者癌症复发恐惧与疾病不确定感、社会支持的相关性  

Correlation among the Fear of Cancer Recurrence, Uncertainty in Illness and Social Support in Postoperative Patients with Breast Cancer

作　　者：叶春丽[1] 谢小玲[1] 罗美莲[1] 黄丽慧 徐小平 YE Chunli;XIE Xiaoling;LUO Meilian;HUANG Lihui;XU Xiaoping(Operating Room,Longgang Central Hospital of Shenzhen,Shenzhen 5181161,Guangdong Province,China;Thyroid and Breast Surgery,Longgang Central Hospital of Shenzhen)

机构地区：[1]深圳市龙岗中心医院手术室,广东深圳518116 [2]深圳市龙岗中心医院甲乳外科

出　　处：《解放军护理杂志》2019年第11期23-26,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨乳腺癌术后患者的癌症复发恐惧(fear of cancer recurrence,FCR)的现状,并分析其与疾病不确定感、社会支持的相关性。方法 2017年2月至2018年6月,采用便利抽样法选取深圳市3所三级甲等综合医院收治的180例乳腺癌术后患者为研究对象,采用一般资料问卷、疾病进展恐惧简化量表(fear of progression questionnaire-short form,FoP-Q-SF)、疾病不确定感量表(mishel uncertainty in illness scale,MUIS)、社会支持评定量表(social support rating scale,SSRS)对其进行调查。结果乳腺癌术后患者FoP-Q-SF的得分为(37.14±8.99)分,不同年龄、病理分期、治疗阶段患者FoP-Q-SF的得分差异均有统计学意义(均P<0.01);乳腺癌术后患者的FoP-Q-SF得分与MUIS各维度及总分呈正相关(均P<0.01),FoP-Q-SF得分与SSRS各维度及总分呈负相关(均P<0.01)。结论乳腺癌术后患者FCR水平较高,临床工作者应采取针对性的干预措施,帮助患者降低疾病不确定感,提升社会支持水平,进而降低FCR水平。Objective To investigate the fear of cancer recurrence(FCR) in postoperative patients with breast cancer, and to analyze its correlation with uncertainty in illness and social support.Methods By convenience sampling method,180 patients with breast cancer after the operation from February 2017 to June 2018 were selected and investigated with the general information questionnaire, the fear of progression questionnaire-short form(FoP-Q-SF), Mishel Uncertainty in illness Scale(MUIS),and Social Support Rating Scale(SSRS).Results The FoP-Q-SF scores of postoperative patients with breast cancer were(37.14±8.99). There were significant differences in FoP-Q-SF scores among patients with different ages, pathological stages, and treatment stages(all P<0.01). The FoP-Q-SF score was positively correlated with the MUIS dimensions and total scores(all P<0.01), and the FoP-Q-SF score was negatively correlated with SSRS dimensions and total scores(all P<0.01).Conclusions The FCR level of postoperative patients with breast cancer is high. Clinicians should take targeted interventions to help patients reduce their uncertainty of illness, improve their social support level, and thus reduce their FCR levels.

关 键 词：乳腺癌 癌症复发恐惧 疾病不确定感 社会支持 

分 类 号：R473.73[医药卫生—护理学]