行腹腔镜根治术胃癌患者恐惧疾病进展现状调查及其危险因素分析  

Investigation on the status quo and risk factors of fear disease in gastric cancer patients undergoing laparoscopic radical resection

作　　者：祝真真 胡中婷 曹帧 ZHU Zhenzhen;HU Zhongting;CAO Zhen(Department of General Surgery,Zhongda Hospital Affiliated to Southeast University,Nanjing 210000,China)

机构地区：[1]东南大学附属中大医院普外科,江苏南京210000

出　　处：《心理月刊》2025年第4期204-206,共3页

摘　　要：目的探讨胃癌行腹腔镜根治术患者术后恐惧疾病进展程度及其危险因素。方法选取2021年2月~2024年5月东南大学附属中大医院收治的125例胃癌患者,使用恐惧疾病进展简化量表(FoP-Q-SF)评价恐惧疾病进展程度。收集患者一般资料,对一般资料进行单因素分析,再对有统计学差异的因素使用多元线性回归进行多因素分析。结果125例胃癌患者FoP-Q-SF中的生理健康评分18.30±0.19分、社会家庭评分17.28±3.11分、总分35.65±4.10分;单因素分析显示,两组疾病认知水平、TNM分期、家庭人均月收入、社会支持、家庭关怀指数、自我效能感、负性情绪比较,差异有统计学意义(P<0.05);多元线性回归分析显示,疾病认知水平、TNM分期、家庭人均月收入、社会支持、家庭关怀指数、自我效能感、负性情绪是影响胃癌行腹腔镜根治术患者术后恐惧疾病进展程度的影响因素(P<0.05)。结论胃癌行腹腔镜根治术患者术后恐惧疾病进展程度相对严重,疾病认知水平、TNM分期、家庭人均月收入、社会支持、家庭关怀指数、自我效能感、负性情绪等有关。Objective To investigate the progression of fear disease and its risk factors in patients with gastric cancer undergoing laparoscopic radical surgery.Methods 125 patients with gastric cancer admitted to Zhongda Hospital Affiliated to Southeast University from February 2021 to May 2024 were selected to evaluate the progression of fear disease using Simplified fear disease Progression Scale(FoP-Q-SF).General data of patients were collected.Univariate analysis was performed for general data,and multivariate linear regression analysis was used for factors with statistical differences.Results The FoP-Q-SF scores of 125 patients with gastric cancer were 18.30±0.19 points,17.28±3.11 points and 35.65±4.10 points.Univariate analysis showed that there were statistically significant differences in disease cognition level,TNM stage,per capita monthly family income,social support,family caring index,self-efficacy and negative emotion between the two groups(P<0.05).Multiple linear regression analysis showed that disease cognition level,TNM stage,family per capita monthly income,social support,family care index,self-efficacy and negative emotion were the influencing factors on the progression of fear disease in patients undergoing laparoscopic radical gastrectomy for gastric cancer(P<0.05).Conclusion The degree of fear disease progression after laparoscopic radical gastrectomy is relatively serious,which is related to disease cognition level,TNM stage,family per capita monthly income,social support,family caring index,self-efficacy and negative emotion.

关 键 词：胃癌 腹腔镜根治术后 恐惧疾病进展程度 危险因素 

分 类 号：R47[医药卫生—护理学]