中晚期肺癌患者功能失调性疾病进展恐惧现状及影响因素分析  

Status and influencing factors of dysfunctional Fear of Progression in patients with advanced lung cancer

作　　者：杨丽敏 刘佳丽 刘琪 王亚兰[3] 俞娟[3] 覃惠英[2] YANG Limin;LIU Jiali;LIU Qi;WANG Yalan;YU Juan;QIN Huiying(School of Nursing,Sun Yat-sen University,Guangzhou,510080,China;不详)

机构地区：[1]中山大学护理学院,广州市510080 [2]中山大学肿瘤防治中心护理部 [3]中山大学肿瘤防治中心内科

出　　处：《中国护理管理》2023年第8期1153-1157,共5页Chinese Nursing Management

基　　金：广东省基础与应用基础研究基金面上项目(2021A1515010718)。

摘　　要：目的:调查中晚期肺癌患者的疾病进展恐惧现状,并分析其影响因素,以期为后续开展干预性研究提供理论依据。方法:通过便利抽样,调查广州市某三级甲等医院220例Ⅲb至Ⅳ期肺癌患者的疾病进展恐惧、症状体验、家庭支持和健康素养,采用二元Logistic回归分析影响因素。结果:中晚期肺癌患者功能失调性疾病进展恐惧的发生率为31.8%。Logistic回归分析显示,家庭月收入、首诊时临床分期、症状困扰程度、家庭支持、健康素养是中晚期肺癌患者功能失调性疾病进展恐惧的影响因素。结论:中晚期肺癌患者功能失调性疾病进展恐惧的发生率较高。护理人员可根据患者症状困扰、家庭支持和健康素养情况来制定干预措施,将疾病进展恐惧控制在正常水平。Objective:To investigate the current status and influencing factors of Fear of Progression(FoP)in patients with advanced lung cancer,in order to provide theoretical basis for subsequent interventional studies.Methods:FoP,symptom experience,family support and health literacy were investigated in 220 patients with stageⅢb toⅣlung cancer in a tertiary grade A hospital by convenience sampling.Binary Logistic regression was used to analyze the influencing factors.Results:The incidence of dysfunctional FoP was 31.8%.Logistic regression analysis showed that monthly household income,clinical stage at initial diagnosis,symptom distress,family support and health literacy were the influencing factors of dysfunctional FoP in patients with advanced lung cancer.Conclusion:Patients with advanced lung cancer have a high incidence of dysfunctional FoP.Clinical nurses should develop interventions based on symptom distress,family support,and health literacy to control the FoP at a normal level.

关 键 词：中晚期 肺癌 疾病进展恐惧 影响因素 护理 

分 类 号：R473.73[医药卫生—护理学] R197[医药卫生—临床医学]