消化道早癌患者内镜黏膜下剥离术后恐惧疾病进展与生活质量的纵向研究  

Longitudinal research on fear of progression and quality of life in patients with early digestive tract cancer after endoscopic submucosal dissection

作　　者：祝米花 孙铮 张晴晴 林海帆 邓爱清 周伊娜 ZHU Mihua;SUN Zheng;ZHANG Qingqing;LIN Haifan;DENG Aiqing;ZHOU Yina(Digestive Endoscopy Room,Xiamen Haicang Hospital,Fujian,Xiamen 361026,China;School of Nursing,Shandong First Medical University,Shandong,Taian 271016,China;Haemodialysis Unit,the First Affiliated Hospital of Xiamen University,Fujian,Xiamen 361001,China)

机构地区：[1]厦门市海沧医院消化内镜室,福建厦门361026 [2]山东第一医科大学护理学院,山东泰安271016 [3]厦门大学附属第一医院血透室,福建厦门361001

出　　处：《中国医药科学》2024年第24期144-147,共4页China Medicine And Pharmacy

基　　金：福建省厦门市科技计划项目(3502Z202374067)。

摘　　要：目的 探讨消化道早癌患者内镜黏膜下剥离术后不同时段恐惧疾病进展和生活质量变化及相关性。方法 回顾性分析厦门市海沧医院2021年8月至2023年8月302例消化道早癌患者,采用一般情况调查表、恐惧疾病进展简化量表(FoP-Q-SF)和癌症患者生活质量核心量表(QLQ-C30)对内镜黏膜下剥离术后患者1、6、12个月进行调查分析。结果 消化道早癌患者ESD后1、6、12个月恐惧疾病进展总分和生活质量得分差异有统计学意义(F=192.648、61.412,均P <0.001)。患者ESD后1、6、12个月恐惧疾病进展与生活质量呈负相关(r=-0.406、-0.190、-0.593,均P <0.01)。结论 消化道早癌患者内镜黏膜下剥离术后恐惧疾病进展得分处于中等水平,护理人员应根据患者得分的变化特点,采用有针对性的护理干预措施,以提高患者生活质量。Objective To investigate the correlation between fear of progression and quality of life changes in patients with early digestive tract cancer at different times after endoscopic submucosal dissection(ESD).Methods A total of 302patients with early digestive tract cancer admitted to Xiamen Haicang Hospital from August 2021 to August 2023 were retrospectively analyzed.A survey and analysis were conducted on patients undergoing ESD after 1,6,and 12 months by general situation questionnaire,fear of progression questionnaire-short form(FoP-Q-SF) and cancer quality of life questionnaire(QLQ-C30).Results There were statistically significant differences in the total scores of fear of progression and quality of life in patients with early digestive tract cancer at 1 month,6 months and 12 months after ESD(F=192.648,61.412,all P < 0.001).1 month,6 months and 12 months after ESD,the fear of progression was negatively correlated with the quality of life(r=-0.406,-0.190,-0.593,all P < 0.01).Conclusion The score of fear of progression of patients with early digestive tract cancer after ESD is in the middle level.Nurses should adopt targeted nursing intervention measures according to the changing characteristics of patients' scores to improve the quality of life of patients.

关 键 词：消化道早癌 内镜黏膜下剥离术 恐惧疾病进展 生活质量 纵向研究 

分 类 号：R735[医药卫生—肿瘤]