结直肠癌患者疾病感知程度观察及其与复发恐惧的相关性研究

Observation of disease perception in patients with colorectal cancer and its correlation with fear of recurrence

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(3)
作者
作者单位

郑州大学第一附属医院外科门诊 ;

摘要
【摘要】 探讨结直肠癌患者产生复发恐惧心理的危险因素,同时分析结直肠癌患者疾病感知程度与复发恐惧心理的相关性。方法 选取我院112例结直肠癌患者为研究对象,依据官方癌症复发恐惧评分(FCRQ)分为复发恐惧组与无复发恐惧组。对比两组基础资料信息差异,明确结直肠癌患者发生复发恐惧的各项危险因素,观察结直肠癌患者BIPQ评分与FCRQ评分的相关性。结果 复发恐惧组年龄≥65岁、文化程度初中及以下、不在职、无医保、家庭收入<3000、病程≥6个月、肿瘤直径≥6cm、BIPQ评分≥35分患者显著多于无复发恐惧组,P<0.05。经多因素Logistic回归分析证实,证实年龄≥65岁、文化程度在初中及以下、非在职、无医保、家庭收入<3000元、病程≥6个月、肿瘤直径≥6cm、BIPQ评分≥35分为结直肠癌患者发生复发恐惧的危险因素,均有P<0.05。结直肠癌患者FCRQ评分与BIPQ评分呈正相关,r为0.17,有P<0.05。结论 结直肠癌患者BIPQ评分与FCRQ评分呈正相关,应当密切关注患者BIPQ评分,同时辅以相应的干预措施,以降低患者产生复发恐惧心理的概率。
Abstract
【Abstract】Objective To investigate the risk factors of recurrent fear in patients with colorectal cancer, and to analyze the correlation between the degree of disease perception and recurrent fear in patients with colorectal cancer.Methods 112 patients with colorectal cancer in our hospital were selected as research objects, and were divided into the fear of recurrence group and the fear of no recurrence group according to the official cancer recurrence fear score (FCRQ). The difference in basic data information between the two groups was compared to clarify various risk factors for colorectal cancer patients fear of recurrence, and the correlation between BIPQ score and FCRQ score in colorectal cancer patients was observed.Results Patients in the fear of recurrence group ≥65 years old, junior high school or below, not in employment, no medical insurance, family income < 3000, disease course ≥6 months, tumor diameter ≥6cm, and BIPQ score ≥35 were significantly more than those in the fear of recurrence group ,P < 0.05.Multivariate Logistic regression analysis confirmed that the risk factors for colorectal cancer patients with recurrence fear were age ≥65 years old, education level at junior high school or below, non-employment, no medical insurance, family income < 3000 yuan, disease course ≥6 months, tumor diameter ≥6cm, and BIPQ score ≥35, all with P < 0.05.FCRQ score of colorectal cancer patients was positively correlated with BIPQ score, r was 0.17, P < 0.05.Conclusion There was a positive correlation between BIPQ score and FCRQ score in colorectal cancer patients, so close attention should be paid to the BIPQ score of patients, and corresponding intervention measures should be taken to reduce the probability of recurrence of fear in patients
关键词
【关键词】结直肠癌;疾病感知;复发恐惧
KeyWord
【Key words】Colorectal cancer;Disease awareness;Fear of recurrence
基金项目
页码 525-527
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李书慧*. 结直肠癌患者疾病感知程度观察及其与复发恐惧的相关性研究 [J]. 国际精神病学杂志. 2021; 48; (3). 525 - 527.

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