胃癌患者腹腔镜手术后反刍性沉思与复发恐惧的相关性分析  

Correlation Analysis of Rumination and Fear of Recurrence in Patients with Gastric Cancer after Laparoscopic Surgery

作　　者：李白 胥青芝 Li Bai;Xu Qingzhi(Physieal Examination Center,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院体检中心,北京市100020

出　　处：《中国病案》2025年第2期99-102,共4页Chinese Medical Record

摘　　要：目的 分析胃癌患者腹腔镜手术后反刍性沉思及复发恐惧的状况,以达到为临床患者心理护理提供理论依据。方法 采用便利抽样法,选取2023年8月1日-2024年2月29日某三级医院97例胃癌患者为研究对象,所有患者均接受腹腔镜手术治疗,采用中文版事件反刍性沉思量表、恐惧疾病进展简化量表评估患者术后反刍性沉思及复发恐惧状况,并分析两个量表间相关性。结果 97例胃癌腹腔镜手术后患者目的性/侵入性反刍性沉思、恐惧疾病进展简化量表评分分别为(16.73±3.52)分、(15.08±3.26)分、(35.98±4.31)分;经皮尔逊相关性分析,目的性反刍性沉思评分与恐惧疾病进展简化量表评分呈负相关(r<0,P<0.05);侵入性反刍性沉思评分与恐惧疾病进展简化量表评分呈正相关(r>0,P<0.05)。结论 胃癌患者腹腔镜手术后反刍性沉思与复发恐惧密切相关,其中目的性反刍性沉思可减轻复发恐惧感,侵入性反刍性沉思可加重复发恐惧感。Objective To analyze rumination and fear of recurrence in patients with gastric cancer after laparoscopic surgery,so as to provide theoretical basis for psychological nursing of clinical patients.Methods Convenience sampling method was used to select 97 patients with gastric cancer in a tertiary hospital from August 1st,2023 to February 29th,2024.All patients received laparoscopic surgery.The Chinese Version of Event Rumination Scale and simplified Fear of Disease Progression Scale were used to evaluate the status of rumination and fear of recurrence after surgery.The correlation between the two scales was analyzed.Results The scores of purposive/invasive rumination and fear of disease progression were(16.73±3.52),(15.08±3.26)and(35.98±4.31)respectively in 97 patients with gastric cancer after laparoscopic surgery.By Pearson correlation analysis,the score of purposive rumination was negatively correlated with the score of simplified fear disease Progression Scale(r<0,P<0.05).The score of invasive rumination was positively correlated with the score of the simplified Fear Disease Progression Scale(r>0,P<0.05).Conclusions Rumination was closely related to fear of recurrence in patients with gastric cancer after laparoscopic surgery.Purposeful rumination could reduce the fear of recurrence,and invasive rumination could increase the fear of recurrence.

关 键 词：胃癌 腹腔镜手术 反刍性沉思 复发恐惧 

分 类 号：R473.73[医药卫生—护理学]