摘要
目的了解癌症患者疾病进展恐惧程度(Fo P)的现状,并分析其影响因素,为完善临床癌症患者个性化的护理提供参考。方法采用便利抽样法,选取2017年8月至2018年2月在广西医科大学第一附属医院肿瘤内科就诊的152例癌症患者,应用自行设计的一般资料调查表、疾病进展恐惧简化量表(Fo P-Q-SF)、医学应对问卷(MCMQ)进行调查。采用多元逐步回归模型分析影响癌症患者疾病进展恐惧的相关因素。结果本组152例癌症患者疾病进展恐惧的得分为(30.07±9.68)分,处于低等水平43例(28.3%),中等水平64例(42.1%),高等水平45例(29.6%);单因素分析结果显示,不同性别、年龄、居住地、医保类型和目前工作状态患者,疾病进展恐惧水平比较差异均有统计学意义(P<0.05);多元逐步回归分析结果显示,性别、年龄、居住地和医保类型是癌症患者疾病进展恐惧的影响因素(P<0.05);癌症患者应对方式的得分分别为面对(18.26±1.17)分,回避(14.80±1.76)分,屈服(11.98±1.13)分;疾病进展恐惧与回避呈显著正相关(r=0.223,P?0.01),与屈服呈负相关(r=-0.167,P?0.05),与面对无相关性(r=0.078,P>0.05)。结论癌症患者疾病进展恐惧处于中等水平,医护人员可根据癌症患者疾病进展恐惧程度及其影响因素为干预的实施拓展思路,以减轻患者恐惧心理,提高疗效及生活质量。
Objective To investigate the current status of fear of progression（Fo P） among cancer patients, to analyze its influencing factors, and to provide references for the improvement of personalized nursing care for clinical cancer patients. Methods Using the convenient sampling method, 152 cancer patients who were treated in the Department of oncology in the First Affiliated Hospital of Guangxi Medical University from August 2017 to February 2018 were investigated. The survey was conducted by using self-designed general information questionnaire, fear of progression questionnaire-short form（Fo P-Q-SF） and medical coping modes questionnaire（MCMQ）. Multivariate stepwise regression model was used to analyze the related factors influencing the Fo P in cancer patients. Results The score of Fop in all the 152 cancer patients was（30.07±9.68）, among which there were 43 patients（28.3%） with mild Fo P, 64 patients（42.1%） with moderate Fo P and 45 patients（29.6%） with severe Fo P. Univariate analysis showed that the difference was statistically significant（P0.05） in patients with different gender, age, place of residence, type of medical insurance and current working status. Multivariate stepwise regression analysis showed that the gender, age, place of residence and medical insurance type were the factors influencing cancer patients＇ fear of progression（P？0.05）. The scores of MCMQ of cancer patients were confrontation（18.26±1.17）, avoidance（14.80±1.76） and surrender（11.98±1.13）. There was a significant positive correlation between Fo P and avoidance（r=0.223, P？0.01）, significant negative correlation with surrender（r=-0.167, P ？ 0.05）, and no correlation with confrontation（r=0.078, P0.05）. Conclusion Cancer patients＇ Fo P is at a moderate level. Health care personnel can develop targeted interventions according to the cancer patients＇ Fo P and their influencing factors, so as to reduce the fear of patients, improve treatment effect and their quality of
作者
黄家莲
应燕萍
陆秋芳
陈美燕
HUANG Jia-lian;YING Yah-ping;LU Qiu-fang;CHEN Mei-yan(Department of Medical Oncology,the Fist Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,CHINA)
出处
《海南医学》
CAS
2018年第16期2266-2269,共4页
Hainan Medical Journal
关键词
癌症
疾病进展恐惧
影响因素
Cancer
Fear of progression
Influencing factors
