胃肠间质瘤患者医学应对方式现状及影响因素研究  

Study on the current status and influencing factors of medical coping strategies in patients with gastrointestinal stromal tumors

作　　者：郝迎春 夏义文 李沣员 徐皓 侯慧 HAO Yingchun;XIA Yiwen;LI Fengyuan;XU Hao;HOU Hui(Department of General Surgery,Second Ward of Gastric Surgery of The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,P.R.China)

机构地区：[1]南京医科大学第一附属医院普外胃外科二病区,南京210029

出　　处：《中国普外基础与临床杂志》2025年第3期325-331,共7页Chinese Journal of Bases and Clinics In General Surgery

基　　金：南京医科大学部省共建肿瘤个体化医学协同创新中心恒瑞医药临床研究基金(项目编号:JZ214490202106009)。

摘　　要：目的探讨胃肠间质瘤(gastrointestinal stromal tumors,GIST)患者的医学应对方式现状及影响因素。方法采用便利抽样法,选取2022年9月至2024年5月期间于南京医科大学第一附属医院就诊的181例GIST患者作为研究对象,采用恐惧疾病进展简化量表(fear of progression questionnaire,FoP)、疾病感知量表(brief illness perception questionnaire,BIPQ)、社会支持评定量表(social support rating scale,SSRS)、医学应对方式问卷(medical coping modes questionnaire,MCMQ)进行调查。采用多重线性逐步回归探究3种医学应对方式的影响因素。结果多因素分析结果显示,GIST未转移(P=0.016)、支持利用度高(P=0.006)者面对应对方式得分较高;受教育水平高(P=0.016)、主观支持水平高(P=0.002)者的回避应对方式得分较高;生理健康恐惧得分低(P=0.003)、受教育水平高(P=0.010)、主观支持水平高(P=0.027)者的屈服应对方式得分较高。结论GIST患者医学应对方式影响因素较为复杂,受到社会支持、疾病恐惧、肿瘤转移、受教育水平的综合影响,应为患者提供全面的GIST知识和信息,帮助患者树立正确的健康信念和态度。Objective To investigate the current status and influencing factors of medical coping strategies in patients with gastrointestinal stromal tumors(GIST).Methods A convenience sampling method was used to select 181 GIST patients who visited the First Affiliated Hospital of Nanjing Medical University from September 2022 to May 2024.The fear of progression questionnaire(FoP),brief illness perception questionnaire(BIPQ),social support rating scale(SSRS),and medical coping modes questionnaire(MCMQ)were administered for data collection.Multiple linear stepwise regression analysis was conducted to explore the influencing factors of the three types of medical coping strategies.Results Multivariate linear stepwise regression analysis showed that patients without tumor metastasis(P=0.016)and high support utilization(P=0.006)had higher score of confrontation coping.Patients with high education level(P=0.016)and subjective support(P=0.002)had higher score of avoidance coping.Patients with lower fear of physical health deterioration(P=0.003),high education level(P=0.010)and subjective support(P=0.027)had higher score of submission coping.Conclusions The influencing factors of medical coping strategies in GIST patients are complex,involving social support,disease-related fear,tumor metastasis,and education level.Providing comprehensive GIST-related knowledge and information to patients may help establish correct health beliefs and attitudes.

关 键 词：胃肠间质瘤 医学应对方式 社会支持 疾病恐惧 

分 类 号：R73[医药卫生—肿瘤]