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| Analysis of fear of cancer recurrence and social status support in patients with non-small cell lung cancer |
| LI Shunshun CHEN Yang WANG Lili▲ |
| Department of Clinical Psychology, Qingdao Municipal Hospital, Shandong Province, Qingdao 266034, China |
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Abstract Objective To observe fear of cancer recurrence (FCR) and social support status in patients with non-small cell lung cancer (NSCLC), and analyze their relationship. Methods A prospective study of 81 NSCLC patients admitted to Qingdao Municipal Hospital of Shandong Province (hereinafter referred to as “our hospital”) from January 2017 to June 2019 was conducted. According to the fear of cancer recurence inventory (FCRI), the patients’ FCR status on admission was assessed and grouped. Patients with FCRI score ≤84 points were enrolled as the mild group (46 cases), and patients with FCRI score ＞84 points were enrolled as the moderate to severe group (35 cases). The social support status of patients was assessed according to the social support rating scale (SSRS). The baseline data of patients were recorded by self-made questionnaire of our hospital, and the social support situation was compared with emphasis, and the relationship between social support and FCR in NSCLC patients was analyzed. Results The proportion of clinical stage Ⅲ-Ⅳ and poor mental status of patients in the moderate to severe group was higher than that of the mild group, and the SSRS score was lower than that of the mild group (P ＜ 0.05). The results of multivariate regression model showed that poor mental state (OR = 3.130 [95%CI: 1.229-7.972], P = 0.017) and low SSRS score (OR = 0.331 [95%CI: 0.150-0.731], P = 0.006) were the influencing factors for aggravation of FCR degree in NSCLC patients. Correlation test results showed that FCR score of NSCLC patients was negatively correlated with social support (r = -0.804, P ＜ 0.05). Conclusion NSCLC patients generally have severe FCR, which may be affected by the level of social support of patients. Therefore, clinical attention should be paid to the social support intervention of NSCLC patients, which may be of positive significance to reduce the degree of FCR in patients.
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