青年鼻咽癌患者疾病进展恐惧现状及其与放疗后症状困扰的相关性研究  

Fear of disease progression and its correlation with post-radiotherapy symptom distress in young patients with nasopharyngeal carcinoma

作　　者：杨玉颖 莫福琴[1] 黄晓琳[1] 陈冬兰[1] 王毅[1] YANG Yuying;MO Fuqin;HUANG Xiaolin;CHEN Donglan;WANG Yi(Otolaryngology head and neck surgery department,The First Affiliated Hospital of Guangxi Medical University,Nanning,530021,China)

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉头颈外科,南宁市530021

出　　处：《中国护理管理》2023年第1期126-130,共5页Chinese Nursing Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20201449)。

摘　　要：目的:调查青年鼻咽癌患者疾病进展恐惧现状,并分析其与放疗后症状困扰的相关性。方法:采用便利抽样法,选取2020年1月至2021年10月于广西某医院出院的104例青年鼻咽癌患者为调查对象。使用一般资料调查表、疾病进展恐惧简化量表、M.D.Anderson症状调查表-头颈部进行调查。结果:青年鼻咽癌患者的疾病进展恐惧简化量表总分为(37.48±10.12)分,M.D.Anderson症状调查表-头颈部总分为95.00(61.25,147.00)分;青年鼻咽癌患者疾病进展恐惧与疼痛、疲劳(乏力)、苦恼、感到悲伤难过、发音或讲话困难等放疗后症状呈正相关(P<0.05)。结论:青年鼻咽癌患者疾病进展恐惧达到高度恐惧水平,与放疗后部分症状有相关性。医务人员应重视青年鼻咽癌患者疾病进展恐惧现状,根据其特点及相关因素制定干预措施,以缓解青年鼻咽癌患者疾病进展恐惧程度。Objective:To investigate the disease progression fear in young patients with nasopharyngeal carcinoma and analyze its correlation with symptom distress after radiotherapy.Methods:Totally 104 young patients with nasopharyngeal carcinoma who discharged from a hospital in Guangxi province during January 2020 to October 2021 were included by convenience sampling.General information questionnaire,Fear of Progression Questionnaire-Short Form,The M.D.Anderson Symptom Inventory for Head&Neck were used for data collection.Results:The total score of Fear of Progression Questionnaire-Short Form in young patients with nasopharyngeal carcinoma was 37.48±10.12,the total score of M.D.Anderson Symptom Inventory for Head&Neck was 95.00(61.25,147.00).The score of fear of disease progression was positively correlated with pain,fatigue,distress,feeling sad,difficulty in pronunciation or speech(P<0.05).Conclusion:The fear of disease progression in young patients with nasopharyngeal carcinoma is at a high level,and it is associated with certain symptoms after radiotherapy.The disease progression fear in young patients with nasopharyngeal carcinoma needs more attention in clinic,and corresponding intervention measures according to its characteristics and the related factors are expected to alleviate the fear of disease progression.

关 键 词：青年 鼻咽癌 疾病进展 症状困扰 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]