宫颈癌术后化疗期癌症复发恐惧现状及影响因素调查

nvestigation on the Status Quo and Influencing Factors of Cancer Recurrence in Postoperative Chemotherapy for Cervical Cancer

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

郑州大学第五附属医院 ;

摘要
研究宫颈癌术后化疗期癌症复发恐惧现状及影响因素。方法 选择2016年12月-2018年12月我院于我院治疗的114例宫颈癌患者,均采用根治手术联合化疗治疗,采用疾病进展恐惧简化量表(FoP-Q-SF)评价患者癌症复发恐惧现状并与常模值比较。调查患者性别、婚姻、家庭人均收入等资料,比较不同特征FoP-Q-SF评分差异并经多元线性回归分析调查癌症复发恐惧的影响因素。结果 114例宫颈癌患者术后化疗期FoP-Q-SF评分为(38.65±8.32),显著高于常模值(18.65±4.01),差异具有统计学意义(P<0.05);不同年龄、宫颈癌FIGO分期、应对方式、家庭人均年收入、医疗费用支付方式、婚姻、学历、自我效能FoP-Q-SF评分差异具有统计学意义(P<0.05),不同职业状态、子女情况、化疗不良反应FoP-Q-SF评分差异无统计学意义(P>0.05);多元线性回归分析显示,年龄、FIGO分期、应对方式、家庭人均年收入、医疗费用支付方式是宫颈癌术后化疗期癌症复发恐惧的影响因素(P<0.05)。结论 宫颈癌术后化疗期癌症复发恐惧程度较高,受到年龄、病情、应对方式、经济状况等多种因素影响,临床应针对高危患者展开针对性干预措施以缓解复发恐惧。
Abstract
Objective To study the status quo and influencing factors of cancer recurrence in postoperative chemotherapy for cervical cancer. Methods A total of 114 patients with cervical cancer who were treated in our hospital from December 2016 to December 2018 were selected. They were treated with radical surgery combined with chemotherapy. The disease progression fear simplification scale (FoP-Q-SF) was used to assess current situation of cancer recurrence fear in patients and compared with norm values. The patient gender, marriage, and family income per capita were investigated. The differences in FoP-Q-SF scores of different characteristics were compared and the factors affecting the fear of cancer recurrence were investigated by multiple linear regression analysis. Results The FoP-Q-SF score of 114 patients with cervical cancer in postoperative chemotherapy was (38.65±8.32), which was significantly higher than the norm (18.65±4.01). The difference was statistically significant (P<0.05). There were significant differences between different ages, FIGO staging of cervical cancer, coping style, per capita annual income of family, mode of payment of medical expenses, marriage, education, and self-efficacy of FoP-Q-SF scores (P<0.05). There were no significant differences in FoP-Q-SF scores between different occupational status, childrens status, and chemotherapy adverse reactions (P>0.05). Multiple linear regression analysis showed that age, FIGO stage, coping style, family per capita annual income, and medical expenses payment methods were the influencing factors of cancer recurrence fear in postoperative chemotherapy of cervical cancer (P<0.05). Conclusion Cervical cancer has a high degree of fear of cancer recurrence after chemotherapy, and is affected by various factors such as age, condition, coping style, and economic status. Clinically targeted interventions should be conducted for high-risk patients to alleviate the fear of recurrence.
关键词
宫颈癌;化疗期;癌症复发恐惧:影响因
KeyWord
Cervical Cancer; Chemotherapy Period; Cancer Recurrence Fear: Influencing Factors
基金项目
页码 899-901
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孟芳*. 宫颈癌术后化疗期癌症复发恐惧现状及影响因素调查 [J]. 国际精神病学杂志. 2019; 46; (5). 899 - 901.

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