青年乳腺癌患者癌症复发恐惧影响因素分析  

Analysis of infl uencing factors of fear of cancer recurrence in young breast cancer patients

作　　者：王静[1] 李菲菲[1] 郑璐璐 李丽霞 何卫芳[1] WANG Jing;LI Feifei;ZHENG Lulu;LI Lixia;HE Weifang(The First Affi liated Hospital of Zhengzhou University,Zhengzhou,454000,China)

机构地区：[1]郑州大学第一附属医院乳腺外二科,河南省郑州市454000

出　　处：《护理实践与研究》2022年第3期351-354,共4页Nursing Practice and Research

摘　　要：目的分析青年乳腺癌患者癌症复发恐惧影响因素,并讨论家庭干预措施。方法选取2019年9月—2020年11月医院接收的128例青年乳腺癌患者作为调查对象,采用一般资料调查问卷、癌症患者恐惧疾病进展简化量表(FoP-Q-SF)、疾病不确定感量表(MUIS)、汉密尔顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、领悟社会支持量表(PSSS)进行调查。根据患者有无癌症复发恐惧分为发生组和未发生组,并采用多因素Logistic回归分析青年乳腺癌患者癌症复发恐惧危险因素。结果经FoP-Q-SF调查显示,128例患者共有59例出现癌症复发恐惧。经单因素及多因素Logistic回归分析显示,文化程度低、已婚、家庭人均月收入低、焦虑抑郁、社会支持低是青年乳腺癌患者癌症复发恐惧的独立危险因素(P<0.05)。结论在青年乳腺癌患者中,癌症复发恐惧发生率较高,且文化程度低、已婚、家庭人均月收入低、焦虑抑郁、社会支持低是癌症复发恐惧的独立危险因素,临床应积极根据上述因素进行家庭干预,以降低癌症复发恐惧发生率。Objective To analyze the infl uencing factors of fear of cancer recurrence in young breast cancer patients and discuss the family intervention measures.Methods A total of 128 young breast cancer patients admitted in the hospital from September 2019 to November 2020 were selected as the investigation objects.General data questionnaire,simplified Fear of Progression Questionnaire(FOP-Q-SF),Misheluncerainty in Inillness Scale for Family Member(MUIS),Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Perceived Social Support Scale(PSSS)were used for investigation.According to whether the patients had fear of cancer recurrence,the patients were divided into the occurrence group and the non-occurrence group.Multivariate Logistic regression was used to analyze the risk factors of fear of cancer recurrence in young breast cancer patients.Results According to FoP-Q-SF survey,59 among128 patients had fear of cancer recurrence.Univariate and multivariate Logistic regression analysis showed that low education level,married,low family average income per month,anxiety and depression and low social support were independent risk factors klated to fear of cancer recurrence in young breast cancer patients(P<0.05).Conclusion In young breast cancer patients,the incidence of fear of cancer recurrence was high,low education level,married,low family average income per month,anxiety and depression,low social support were the independent risk factors for fear of cancer recurrence.Family intervention should be actively based on the above factors to reduce the incidence of fear of cancer recurrence.

关 键 词：青年乳腺癌 癌症复发恐惧 危险因素 家庭干预 

分 类 号：R473.6[医药卫生—护理学]