中青年肺癌患者恐惧疾病进展现状及其影响因素  

The status and influencing factors of fear of disease progression in young and middle-aged lung cancer patients

作　　者：朱胜男 赵炎勇 顾明杰 孙克玉[2] 丁静怡[3] 曹爱丽[4] 王瑞[2] Zhu Shengnan;Zhao Yanyong;Gu Mingjie;Sun Keyu;Ding Jingyi;Cao Aili;Wang Rui(Department of General Medicine,Minhang Hospital Affiliated to Fudan University,Shanghai 201199,China;Emergency Department,Minhang Hospital Affiliated to Fudan University,Shanghai 201199,China;Department of Respiratory Medicine,Minhang Hospital Affiliated to Fudan University,Shanghai 201199,China;Nursing Department,Minhang Hospital Affiliated to Fudan University,Shanghai 201199,China)

机构地区：[1]复旦大学附属闵行医院全科医学科,上海201199 [2]复旦大学附属闵行医院急诊科,上海201199 [3]复旦大学附属闵行医院呼吸科,上海201199 [4]复旦大学附属闵行医院护理部,上海201199

出　　处：《国际护理学杂志》2025年第5期769-774,共6页international journal of nursing

基　　金：国家临床重点专科建设项目:上海市闵行区中心医院(急危重症一体化诊疗能力提升建设)(Z155080000004)。

摘　　要：目的:探讨中青年肺癌患者恐惧疾病进展现状及其影响因素,为临床护理中青年肺癌患者提供参考。方法:选取2023年1~12月在复旦大学附属闵行医院住院治疗的肺癌患者240例,采用一般资料问卷与恐惧疾病进展简化量表(Fop-Q-SF)进行资料收集和分析。结果:240例中青年肺癌患者恐惧疾病进展总分为(37.79±9.70)分,多因素分析显示年龄、性别、家庭人均月收入、学历和是否放化疗为肺癌恐惧进展的影响因素(P<0.05)。结论:中青年肺癌恐惧疾病进展相对其他年龄段的患者群体处于较高水平且与多种因素相关,医护人员应针对年龄18~30岁、男性、家庭经济状况不佳、学历较高及接受放化疗的患者给予针对性的健康宣教和干预措施,增强患者的康复信心,降低对疾病进展的恐惧感。Objective To explore the status and influencing factors of fear of disease progression in young and middle-aged lung cancer patients,so as to provide reference for clinical nursing of young and middle-aged lung cancer patients.Methods A total of 240 patients with lung cancer who were hospitalized in Minhang Hospital Affiliated to Fudan University from January to December 2023 were selected,and the collected data were analyzed by using general information questionnaire and the Fear of Progression Questionnaire-Short Form(Fop-Q-SF).Results The total score of fear of disease progression in the 240 young and middle-aged lung cancer patients was(37.79±9.70)points.Multivariate analysis showed that age,gender,per capita monthly household income,education level,and whether receiving radiotherapy and chemotherapy were influencing factors of fear of disease progression in lung cancer.Conclusions The fear of lung cancer progression in young and middle-aged patients is at a higher level than that in other age groups and is related to multiple factors.Medical personnel should provide targeted health education and intervention measures for patients aged 18 to 30 years old,male,poor family economic status,higher education and receiving radiotherapy and chemotherapy,so as to enhance patients'confidence in recovery and reduce their fear of disease progression.

关 键 词：肺癌 中青年 恐惧 

分 类 号：R73[医药卫生—肿瘤]