胃癌术后患者恐惧疾病进展程度的影响因素分析

摘要
图/表
参考文献(25)
相关文章 (15)

全文: PDF (601 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的观察胃癌术后患者恐惧疾病进展情况及其相关影响因素。方法选择2018年12月至2020年12月辽宁省朝阳市第二医院收治的105例接受腹腔镜胃癌根治术治疗的患者作为研究对象。于术后3个月时采用恐惧疾病进展简化量表（FoP-Q-SF）评估患者恐惧疾病进展程度，并根据患者恐惧疾病进展程度将患者分为高程度组与低程度组。设计患者基线资料调查表，比较两组基线资料，分析胃癌术后患者恐惧疾病进展情况及其相关影响因素。结果 105例胃癌术后患者中18例为高程度恐惧疾病进展，占17.14%。高程度组文化程度高中及以下占比高于低程度组，简明疾病认知问卷评分、一般自我效能感量表（GSES）评分、家庭关怀指数评分低于低程度组，差异有统计学意义（P ＜ 0.05）。logistic回归分析显示，疾病认知度高、GSES评分高、家庭关怀指数评分高是胃癌术后患者恐惧疾病进展的保护因素（OR ＜ 1，P ＜ 0.05）。结论胃癌术后患者恐惧疾病进展程度普遍较高，可能受患者疾病认知度、自我效能感、家庭关怀度的影响。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	段晓丹

关键词 ：胃癌, 腹腔镜胃癌根治术, 恐惧疾病进展, 家庭关怀度, 自我效能感

Abstract：Objective To observe the fear of disease progression in patients with gastric cancer after operation and its influencing factors. Methods A total of 105 patients who underwent laparoscopic radical gastrectomy for gastric cancer who were admitted to the Second Hospital of Chaoyang City, Liaoning Province from December 2018 to December 2020 were selected as the research objects. Three months after surgery, the Fear of Disease Progression Simplified Scale (FoP-Q-SF) was used to assess the degree of fear of disease progression, and the patients were divided into high-degree and low-degree groups according to the degree of fear of disease progression. The patient baseline data questionnaire was designed, the baseline data of the two groups was compared, and the fear of disease progression in patients after gastric cancer surgery and related influencing factors was analyzed. Results Among 105 patients with gastric cancer after surgery, a total of 18 had a high degree of fear of disease progression, accounting for 17.14%. The high-degree group had a higher education level than the low-degree group, and the brief illness perception questionaire score, general self efficacy scale (GSES) score, and family care index score were lower than the low-degree group, and the differences were statistically significant (P < 0.05). Logistic regression analysis showed that high disease awareness, high GSES score, and high family care index score were protective factors for fear of disease progression in patients after gastric cancer surgery (OR < 1, P < 0.05). Conclusion Patients after gastric cancer surgery are generally afraid of disease progression, which may be affected by the patient’s disease awareness, self-efficacy, and family care.

Key words： Gastric cancer Laparoscopic radical gastrectomy Fear of disease progression Degree of family care Self-efficacy

引用本文:

段晓丹. 胃癌术后患者恐惧疾病进展程度的影响因素分析[J]. 中国医药导报, 2021, 18(30): 72-75.
DUAN Xiaodan. Analysis on influencing factors of fear of disease progression in patients with gastric cancer after operation#br#. 中国医药导报, 2021, 18(30): 72-75.

链接本文:

https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I30/72

[1] Kitadani J，Ojima T，Nakamura M，et al. Safety and feasibility of laparoscopic gastrectomy for remnant gastric cancer compared with open gastrectomy：Single-center experience [J]. Medicine，2021，100（4）：e23932.
[2] 邢季伟，孟宪璞，邢胜男，等.乳腺癌患者术后恐惧疾病进展的状况及影响因素分析[J].癌症进展，2018，16（2）：254-257.
[3] Koch L，Jansen L，Brenner H，et al. Fear of recurrence and disease progression in long-term （≥ 5 years） cancer survivors--a systematic review of quantitative studies [J]. Psychooncology，2013，22（1）：1-11.
[4] 陈孝平，汪建平，赵继宗.外科学[J].9版.北京：人民卫生出版社，2018：345-350.
[5] 中华医学会外科学分会腹腔镜与内镜外科学组，中国研究型医院学会机器人与腹腔镜外科专业委员会.腹腔镜胃癌手术操作指南（2016版）[J].中华消化外科杂志，2016，15（9）：851-857.
[6] 吴奇云，叶志霞，李丽，等.癌症患者恐惧疾病进展简化量表的汉化及信效度分析[J].中华护理杂志，2015，50（12）：1515-1519.
[7] 覃彦珠，江锦芳，刘鑫，等.妇科肿瘤患者恐惧疾病进展现状调查及其影响因素分析[J].广西医学，2019，41（9）：1180-1183.
[8] Broadbent E，Petrie KJ，Main J，et al. The Brief Illness Perception Questionnaire [J]. J Psychosom Res，2006，60（6）：631-637.
[9] 施俊琦，王垒.一般性自我效能量表的信效度检验[J].中国心理卫生杂志，2005，19（3）：191-193.
[10] 吕繁，刘松暖.家庭关怀度指数问卷测量脑血管病病人家庭功能的信度和效度研究[J].中国公共卫生，1999， 15（11）：987-988.
[11] 程洋，蒲丛珊，伊静，等.肝癌患者TACE术后恐惧疾病进展与社会支持和心理弹性的调查研究[J].重庆医学，2020，49（11）：1846-1849，1854.
[12] Chen G，Wu Q，Jiang H，et al. Fear of disease progression and psychological stress in cancer patients under the outbreak of COVID [J]. Psychooncol，2020，29（9）：1395-1398.
[13] 李冰，胡成文，韦琦，等.胃癌根治术后化疗患者恐惧疾病进展的影响因素分析[J].安徽医学，2020，41（3）：292-294.
[14] 张玉琴，王一晓，赵静，等.认知行为干预对胶质瘤患者恐惧疾病进展水平及负性情绪的影响[J].中华现代护理杂志，2018，24（1）：39-44.
[15] Loh KP，Magnuson A，Dale W，et al. Association of patient age，function and cognition with cancer treatment decisions：A University of Rochester NCORP study [J]. J Clin Oncol，2016，34（15）：10038.
[16] 代红伟，张洁，杨文郁，等.团体认知行为干预对胶质瘤患者自护能力、疾病进展恐惧及负面情绪的影响[J].国际精神病学杂志，2020，47（2）：396-399.
[17] Santos MD，Hardy-Léger I，Rigal O，et al. Cognitive rehabilitation program to improve cognition of cancer patients treated with chemotherapy：A 3-arm randomized trial [J]. Cancer，2020，126（24）：5328-5336.
[18] 廖春艳，崔飞博，樊慧，等.基于自我效能理论的健康教育干预对胃癌患者生活质量的影响[J].中国医药导报，2019，16（26）：156-159.
[19] Moreno PI，Ramirez AG，Miguel-Majors SS，et al. Satisfaction with cancer care，self-efficacy，and health-related quality of life in Latino cancer survivors [J]. Cancer，2018，124（8）：1770-1779.
[20] 程红萍，路清蒲，杨红梅.自我效能在食管癌化疗患者健康素养与生活质量间的中介效应及调节效应[J].中华现代护理杂志，2019，25（8）：1004-1007.
[21] Sato T，Fujisawa D，Arai D，et al. Trends of concerns from diagnosis in patients with advanced lung cancer and their family caregivers：A 2-year longitudinal study [J]. Palliat Med，2021，35（5）：943-951.
[22] Feliciano J，Chang A，Venkatraman D，et al. Lung cancer and family-centered concerns [J]. Support Care Cancer，2020，28（2）：497-505.
[23] 刘志超，曹家燕，陈昌连.以家庭为中心的健康教育在提高甲状腺癌术后患者甲状腺素服药依从性中的应用[J].解放军护理杂志，2017，34（7）：65-67，71.
[24] Salem H，Johansen C，Schmiegelow K，et al. Family-Oriented Support （FAMOS）：development and feasibility of a psychosocial intervention for families of childhood cancer survivors [J]. Acta Oncol，2017，56（2）：367-374.
[25] Swartzman S，Sani F，Munro AJ. The role of social support，family identification，and family constraints in predicting posttraumatic stress after cancer [J]. Psychooncol，2017，26（9）：1330-1335.