口腔癌术后患者癌症复发恐惧与疾病感知、领悟社会支持的相关性研究  

Correlation among fear of cancer recurrence,illness perception and perceived social support in patients with oral cancer after surgery

作　　者：周青云 周利华[1] 汪秀平 蔡梦婷 Zhou Qingyun;Zhou Lihua;Wang Xiuping;Cai Mengting(School of Nursing,Anhui Medical University,Hefei 230601,China;Oral and Maxllofacial Surgery,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230002,China)

机构地区：[1]安徽医科大学护理学院,合肥230601 [2]中国科学技术大学附属第一医院口腔颌面外科,合肥230002

出　　处：《中华现代护理杂志》2023年第2期214-219,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨口腔癌术后患者癌症复发恐惧与疾病感知、领悟社会支持的相关性。方法本研究为横断面研究。采用便利抽样法, 选取2021年1—12月中国科学技术大学附属第一医院口腔外科收治的225例口腔癌患者为研究对象, 应用恐惧癌症复发量表(FCRI)、疾病感知问卷简化版(BIPQ)、中文版领悟社会支持量表(PSSS)对其进行调查。采用多重线性回归分析探讨口腔癌术后患者癌症复发恐惧与疾病感知、领悟社会支持的相关性。本研究共发放问卷225份, 回收有效问卷210份, 有效回收率为93.3%。结果 210例口腔癌术后患者FCRI得分为(96.58±13.80)分、BIPQ得分为(48.00±11.87)分、中文版PSSS得分为(41.85±12.50)分。多重线性回归分析结果显示, 年龄、婚姻状况、家庭人均月收入、手术方式、疾病感知及领悟社会支持是口腔癌术后患者癌症复发恐惧的影响因素(P<0.05)。结论口腔癌术后患者存在一定程度的癌症复发恐惧, 癌症复发恐惧与疾病感知、领悟社会支持相关。医护人员可通过改善患者的疾病感知, 提高其领悟社会支持水平, 以降低口腔癌术后患者的癌症复发恐惧水平。Objective To explore the correlation among fear of cancer recurrence,illness perception and perceived social support in patients with oral cancer after surgery.MethodsThis study was a crosssectional study.From January to December 2021,225 patients with oral cancer admitted to the Oral Surgery of the First Affliated Hospital of University of Science and Technology of China were selected as the study subject by convenient sampling.The Fear of Cancer Recurrence Inventory(FCRI),Brief Illness Perception Questionnaire(BIPQ)and Perceived Social Support Scale(PSSS)were used to investigate the patients.Pearson correlation was used to explore.Multiple linear regression was used to explore the correlation among fear of cancer recurrence and llness perception and perceived social support in patients with oral cancer after surgery.A total of 225 questionnaires were distributed,and 210 valid questionnaires were recovered,with a valid recovery rate of 93.3%.ResultsAmong 210 postoperative patients with oral cancer,the total scores of FCRI,BIPQ and Chinese version of PSSS were(96.58±13.80),(48.00±11.87)and(41.85±12.50)respectively.The multiple linear regression showed that age,marital status,per capita monthly income of families,operation methods,illness perception and perceived social support were the influencing factors of fear of cancer recurrence in patients with oral cancer after surgery(P<0.05).Conclusions Patients with oral cancer after surgery have a certain degree of fear of cancer recurrence,which is related to illness perception and perceived social support.Medical and nursing staff can improve patients'illness perception and their perceived social support,so as to reduce their fear of cancer recurrence after oral cancer surgery.

关 键 词：口腔肿瘤 癌症复发恐惧 疾病感知 社会支持 影响因素 

分 类 号：R473.73[医药卫生—护理学]