非小细胞肺癌患者癌症复发恐惧现状与影响因素分析  

Current status of cancer recurrence fear and analysis of influencing factorsin non-small cell lung cancer patients

作　　者：李元艳 董丽 许敏 LI Yuanyan;DONG Li;XU Min(Shanghe County People's Hospital,Jinan 251600,China)

机构地区：[1]商河县人民医院,山东济南251600

出　　处：《心理月刊》2025年第5期71-73,共3页

摘　　要：目的 分析非小细胞肺癌(NSCLC)患者癌症复发恐惧(FCR)现状与影响因素。方法 选取2022年9月~2024年8月商河县人民医院收治的350例NSCLC患者作为调查对象,对其进行一般调查量表、恐惧癌症复发量表-中文版(FCRI-CV)、简易疾病感知问卷(BIPQ)、社会支持度评定量表(SSRS)调查。评估NSCLC患者FCR现状,针对NSCLC患者FCR的影响因素进行单因素与多元线性回归分析。正态计量资料以t检验,经Pearson相关性分析FCR与疾病感知、社会支持度的相关性,以多元线性回归分析NSCLC患者FCR的影响因素。结果 NSCLC患者FCRI评分为93.12±9.74分,整体处于中度FCR水平。经Pearson相关性分析显示,FCRI-CV各维度评分、总分与BIPQ总分呈正相关,与SSRS总分呈负相关(P<0.05)。经单因素及多元线性回归分析显示,家庭月收入、教育程度、手术方式、肿瘤分期、社会支持度、疾病感知是NSCLC患者FCR的影响因素。结论 NSCLC患者的FCR处于中度水平,主要受教育程度、家庭月收入、肿瘤分期、手术方式、疾病感知、社会支持度的影响,临床应积极采取有效的心理疏导措施抑制FCR,保障患者的康复效果。Objective Exploring the current status and influencing factors of fear of cancer recurrence(FCR)in non-small cell lung cancer(NSCLC)patients.Methods A total of 350 NSCLC patients in Shanghe County People's Hospital from September 2022 to August 2024 were selected and surveyed using the general survey scale,fear of cancer recurrence inventory-Chinese version(FCRI-CV),brief illness perception questionnaire(BIPQ),and social support rating scale(SSRS).The t test was used for normal measurement data,Pearson correlation analysis was used to analyze the correlation between FCR and illness perception and social support,and analyze the influencing factors of FCR using multivariate linear analysis in NSCLC patients.Results The FCRI score of NSCLC patients was 93.12±9.74,indicating a moderate FCR level.Pearson showed that the dimensions and overall scores of FCRI-CV were negatively correlated with SSRS and positively correlated with BIPQ(P<0.05).Single factor and multiple linear regression analysis showed that education level,monthly household income,tumor stage,surgical approach,disease perception,and social support were the influencing factors of FCR in NSCLC patients.Conclusion The FCR of NSCLC patients is at a moderate level,mainly influenced by education level,monthly family income,tumor stage,surgical method,disease perception,and social support.Effective psychological counseling measures should be actively taken in clinical practice to suppress FCR and ensure the rehabilitation effect of patients.

关 键 词：非小细胞肺癌 癌症复发恐惧 疾病感知 社会支持度 

分 类 号：R734.2[医药卫生—肿瘤]