口腔癌患者的癌症复发恐惧与其术后焦虑抑郁和希望水平的关系  

Relationship between fear of cancer recurrence and postoperativeanxiety-depression and hope levels in patients with oral cancer

作　　者：孙昭 张姣苹[1] 孙莉[1] SUN Zhao;ZHANG Jiaoping;SUN Li(Department of Stomatology,Affiliated Hangzhou First People's Hospital,Hangzhou 310003,China)

机构地区：[1]杭州市第一人民医院口腔科,浙江杭州310003

出　　处：《健康研究》2024年第1期42-46,共5页Health Research

基　　金：浙江省医药卫生科技计划项目(2023KY946)。

摘　　要：目的 了解口腔癌患者的癌症复发恐惧(fear of cancer recurrence, FCR)情况,探讨其与术后焦虑抑郁和希望水平的关系,为改善预后提供参考。方法 收集100例口腔癌患者的临床资料,应用癌症患者恐惧疾病进展简化量表(FoP-Q-SF)调查患者的FCR发生情况;采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、Herth希望量表(HHI)调查患者的焦虑、抑郁和希望水平,并分析其与FCR的关系。结果 本组患者中72例(72.0%)有FCR,FCR组患者SAS评分和SDS评分分别为(53.11±5.45)分、(51.76±6.21)分,均高于无FCR组;HHI评分为(27.53±3.47)分,低于无FCR组;差异均有统计学意义(均P<0.05)。单因素和Logstic回归分析结果显示,临床分期为Ⅲ/Ⅳ期、有焦虑、抑郁和低希望水平是口腔癌患者术后发生FCR的独立危险因素(均P<0.05)。结论 口腔癌患者术后大部分存在FCR,且与焦虑、抑郁和希望水平有关。Objective To investigate the fear of cancer recurrence(FCR)in oral cancer patients and its correlation with postoperative anxiety and depression,as well as hope levels for improving prognosis.Methods The study collected clinical data from 100 patients with oral cancer.The Fear of Disease Progression Simplified Scale for Cancer Patients(FoP-Q-SF)was used to investigate the occurrence of FCR in the patients.Additionally,the study used the Self-Assessment Scale for Anxiety(SAS),Self-Assessment Scale for Depression(SDS),and Herth Hopes Inventory(HHI)to investigate the levels of anxiety,depression,and hope of the patients and to analyze their relationship with FCR.Results Seventy-two of our patients(72.0%)had FCR,and the SAS score and SDS score of patients in the FCR group were(53.11±5.45)and(51.76±6.21),respectively,which were higher than those in the group with no FCR,and the HHI score was(27.53±3.47),which was lower than those in the group with no FCR;the differences were all statistically significant(all P<0.05).The results of univariate and Logstic regression analyses showed that clinical stageⅢ/Ⅳ,having anxiety,depression and low hope level were independent risk factors affecting postoperative FCR in oral cancer patients(all P<0.05).Conclusions Most patients with oral cancer are accompanied with postoperative FCR,which is related to anxiety,depression and hope level.

关 键 词：口腔癌 焦虑 抑郁 希望 癌症复发恐惧 

分 类 号：R473.73[医药卫生—护理学]