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作 者:吕尚婷 岳素玲 田恩霞 LYU Shangting;YUE Suling;TIAN Enxia(CaoXian People's Hospital,Health Management Center,Heze274400,China)
机构地区:[1]曹县人民医院健康管理中心,山东菏泽274400
出 处:《心理月刊》2025年第5期59-61,共3页
摘 要:目的 分析体检肺部磨玻璃肺结节(GGN)患者恐惧疾病进展(Fo P)的影响因素。方法 选取2022年9月~2024年8月于本院体检且诊断为GGN的患者110例,采用自行设计的一般调查量表、恐惧疾病进展简化量表(FoP-Q-SF)、中文版智谋量表(C-RS)、简易疾病感知问卷(BIPQ)进行调查。观察110例GGN患者的Fo P-Q-SF、C-RS、BIPQ评分,分析GGN患者的Fo P与智谋水平、疾病感知水平的相关性,并对GGN患者Fo P的影响因素进行单因素与多元线性回归分析。结果 110例GGN患者Fo P-Q-SF评分为35.00±5.54分,C-RS评分为64.58±6.00分,BIPQ评分为40.56±8.02分。经Pearson相关分析显示,110例GGN患者Fo P-Q-SF评分及各维度评分与智谋水平呈负相关性,与疾病感知水平呈正相关性,结果差异显著(P<0.05)。经单因素与多元线性回归分析显示,家庭人均月收入、婚姻状况、肺癌家族史、智谋水平、疾病感知水平是GGN患者Fo P的影响因素(P<0.05)。结论 体检GGN患者对于疾病进展存在恐惧感,主要与家庭人均月收入、婚姻状况、肺癌家族史、智谋水平、疾病感知水平有关,临床应根据影响因素采取针对性的心理干预策略,以便缓解患者的Fo P状态,保障其心理健康。Objective To analyze the influencing factors of fear of disease progression(FoP)in patients with ground glass pulmonary nodules(GGN)during physical examination.Methods A total of 110 patients diagnosed with GGN who underwent physical examination in our hospital from September 2022 to August 2024 were selected.A self-designed general survey scale,fear of disease progression simplified scale(FoP-Q-SF),Chinese version of the strategy scale(C-RS),and simplified disease perception questionnaire(BIPQ)were used to investigate their symptoms.Observe the FoP-Q-SF,C-RS,and BIPQ scores of 110 patients with GGN,analyze the correlation between FoP and disease perception and intelligence level in GGN patients,and conduct univariate and multivariate linear regression analysis on FoP status in GGN patients.Results The FoP-Q-SF score was 35.00±5.54,the C-RS score was 64.58±6.00,and the BIPQ score was 40.56±8.02 for 110 patients with GGN.Pearson correlation analysis showed that the FoP-Q-SF scores and various dimension scores of 110 GGN patients were negatively correlated with their intelligence level and positively correlated with their disease perception level,with significant differences(P<0.05).Single factor and multiple linear regression analysis showed that per capita monthly income,marital status,family history of lung cancer,intelligence level,and disease perception level were the influencing factors of FoP in GGN patients(P<0.05).Conclusion GGN patients have a fear of disease progression during physical examination,which is mainly related to their average monthly family income,marital status,family history of lung cancer,intelligence level,and disease perception level.Clinically,targeted psychological intervention strategies should be adopted based on influencing factors to alleviate patients'FoP status and ensure their mental health.
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