肺癌患者癌症复发恐惧现状调查及影响因素分析  

Investigation of the current situation and influencing factors of cancer recurrence fear in patients with lung cancer

作　　者：马千惠 关玉霞[2] 姜琳[1] 徐燕[1] 潘瑞丽[1] Ma Qianhui;Guan Yuxia;Jiang Lin;Xu Yan;Pan Ruili(Department of Respiratory and Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院呼吸与危重症医学科,100730 [2]中国医学科学院北京协和医学院北京协和医院肾内科,100730

出　　处：《北京医学》2022年第12期1075-1080,共6页Beijing Medical Journal

基　　金：国家自然科学基金(82003309)。

摘　　要：目的探讨肺癌患者癌症复发恐惧(fear of cancer recurrence,FCR)的现状及影响因素分析,为后续开展干预提供理论支持。方法选取2020年2月至2021年8月中国医学科学院北京协和医院呼吸内科肺癌诊治中心就诊的肺癌患者200例。应用横断面调查方法,采用恐惧疾病进展简化量表(fear of progression questionnaire-short form,FoP-Q-SF)、医学应对方式问卷(medical coping modes questionnaire,MCMQ)、生活质量以及自行设计患者人口学和疾病特征资料的调查表,对患者进行问卷调查。结果肺癌患者FCR总分为(25.08±10.21)分;不同性别、年龄、居住情况、家庭人均月收入、疾病负担、治疗方式和吸烟情况患者的FCR评分比较,差异均有统计学意义(P<0.05)。肺癌患者MCMQ总分[(49.57±3.86)分]与FCR评分呈负相关(r=-0.240,P<0.001),EORTC QLQ-C30总分[(70.58±24.76)分]与FCR评分呈负相关(r=-0.269,P<0.001);多重线性回归分析显示,居住情况、疾病负担、家庭人均月收入、MCMQ评分和EORTC QLQ-C30评分是肺癌患者FCR的独立影响因素(P均<0.05)。结论肺癌患者的FCR整体水平较低,居住情况、疾病负担、家庭人均月收入、医学应对和生活质量是FCR的独立影响因素。医护人员应动态综合评估肺癌患者的整体状态,明确影响FCR的关键因素,提供心理干预,进而提高患者的生存质量。Objective To investigate the current situation and related influencing factors of fear of cancer recurrence(FCR)in patients with lung cancer,and provide theoretical support for follow-up intervention.Methods From February 2020to August 2021,200 lung cancer patients were selected from the lung cancer diagnosis and treatment center of Department of Respiratory Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences.Using a crosssectional survey method,the fear of progression questionnaire-short form(FoP-Q-SF),medical coping modes questionnaire(MCMQ),quality of life,and self-designed questionnaires on patient demography and disease characteristics were used to conduct questionnaires on patients.Results The total score of FCR in patients with lung cancer was(25.08±10.21)points.The FCR scores of patients with different gender,age,living condistions,per captia monthly family income,disease burden,treatment methods and smoking conditions were compared,and the differences were statistically significant(P<0.05).The total score of MCMQ[(49.57±3.86)points]in lung cancer patients was negatively correlated with the FCR score(r=-0.240,P<0.001),and the total score of EORTC QLQ-C30 score[(70.58±24.76)points]was negatively correlated with FCR score(r=-0.269,P<0.001).Multiple linear regression analysis showed that living condition,disease burden,per capita monthly family income,MCMQ score and EORTC QLQ-C30 score were independent influencing factors for FCR of lung cancer patients(P<0.05).Conclusions The overall level of FCR in lung cancer patients is low,and living conditions,disease burden,per capita monthly family income,medical coping modes and quality of life are independent influencing factors of FCR.Medical staff should dynamically and comprehensively assess the overall status of lung cancer patients,identify the key factors affecting the FCR,and provide psychological interventions to improve the quality of life of patients.

关 键 词：肺癌 癌症复发恐惧 影响因素 

分 类 号：R734.2[医药卫生—肿瘤]