胃肠道癌症病人复发恐惧现状及影响因素分析  

Status quo and influencing factors of recurrence fear in patients with gastrointestinal cancer

作　　者：颜峰 王秀秀 高卫红 肖亚军 刘化侠 YAN Feng;WANG Xiuxiu;GAO Weihong;XIAO Yajun;LIU Huaxia(The Second Affiliated Hospital of Shandong First Medical University,Shandong 271000 China;不详)

机构地区：[1]山东第一医科大学第二附属医院,271000 [2]山东第一医科大学(山东省医学科学院),250117

出　　处：《全科护理》2023年第18期2472-2476,共5页Chinese General Practice Nursing

摘　　要：目的:描述胃肠道癌症病人癌症复发恐惧(FCR)的现状及其影响因素;探讨癌症复发恐惧与照护满意度、个性特征的相关性,为优质护理提供参考依据。方法:采用病人一般情况调查问卷、中文版癌症复发恐惧量表(FCRI-CV)、癌症照护满意度量表(SCA)、艾森克人格问卷简式量表中国版(EPQ-RSC)对246例胃肠道癌症病人进行调查分析。结果:病人FCR得分中度及以上占比80.5%;个性特征调查结果显示,本组病人性格类型以情绪不稳定型为主,4个类型FCR得分分别做两两比较,显示内向不稳定人格FCR得分最高,其次为外向不稳定,内向稳定人格FCR得分最低,差异有统计学意义(P<0.05)。Pearson相关分析结果表明,FCR总分与照护满意度总分呈负相关(r=-0.22,P<0.05),与个性特征中的内外向维度(Extraversion,E)呈负相关(r=-0.23,P<0.05),与神经质(Neuroticism,N)维度呈正相关(r=0.22,P<0.05)。多元线性回归方程显示,照护满意度总分、人格中的N量表得分、性别、自理能力、家庭收入是病人FCR的主要影响因素。结论:医务人员应加强对年轻女性、自理能力差、家庭收入低以及不稳定型人格病人的干预,提高照护满意度,从而降低其FCR水平。Objective:To investigate the status quo and influencing factors of fear of cancer recurrence(FCR)in patients with gastrointestinal cancer;to explore the correlation between FCR,nursing satisfaction,and personality characteristics,so as to provide the reference for high-quality nursing care.Methods:A total of 246 patients withgastrointestinal cancer were investigated with the General Information Questionnaire,the Fear of Cancer Recurrence Inventory Chinese Version(FCRI-CV),the Service Satisfaction Scale for Cancer Care(SCA),and Eysenck Personality Questionnaire Revised Short Scale Chinese Version(EPQ-RSC).Intestinal cancer patients were investigated and analyzed.Results:A total of 80.6%of the patients had moderate or above FCR scores.The EPQ-RSC results showed that the personality types of patients in this group were mainlyemotional instability.The four types of FCR scores were compared in pairs,showing that the FCR score of introverted instability personality was the highest,followed by extroverted instability,introverted stability,the difference was statistically significant(P<0.05).The results of Pearson correlation analysis showed that the total score of FCR was negatively correlated with the total score of nursing satisfaction(r=-0.22,P<0.05);negatively correlated with the extraversion(E)in personality traits(r=-0.23,P<0.05);positively correlated with neuroticism(N)dimension(r=0.22,P<0.05).The multiple linear regression equation showed that the total score of nursing satisfaction,the score of N scale in personality,gender,self-care ability,and family income were the main influencing factors of patients′FCR.Conclusions:Medical staff should strengthen the intervention of young women,poor self-care ability,low family income and unstable personality patients to improve the satisfaction of care,so as to reduce the level of FCR.

关 键 词：胃肠道癌症 癌症复发恐惧 照护满意度 个性特征 

分 类 号：R473.73[医药卫生—护理学]