摘要
目的探讨食管癌手术患者恐惧疾病进展(FOP)、家庭关怀感知和创伤后成长(PTG)的现状,以及FOP在家庭关怀感知与PTG间的中介作用。方法选取2019年1至12月中国科学院大学附属肿瘤医院胸部肿瘤外科收治的食管癌根治术后患者383例实施问卷调查。采用癌症患者恐惧疾病进展简化量表(FoP-Q-SF)、家庭关怀度指数问卷、创伤后成长量表(PTGI)对所有患者在出院前进行调查分析。结果食管癌手术患者FoP-Q-SF得分为(41.07±7.58)分,家庭关怀感知得分(6.41±2.44)分,PTGI得分中位数为60(52,71)分。受试者各变量的相关性分别为-0.523、0.353、-0.328(P<0.01)。Bootstrap法分析显示家庭关怀感知得分在FoP-Q-SF得分与PTGI得分间起到中介作用,占总效应的49.05%。结论FOP、家庭关怀感知对食管癌手术患者PTG有一定的预测作用,家庭关怀感知在食管癌手术患者FOP与PTG之间起到中介作用。
Objective To explore the effect of family care on the relationship between fear of progression(FoP)and posttraumatic growth(PTG)in esophageal cancer patients after esophagectomy.Methods A total of 383 esophageal cancer patients treated in Department of Thoracic Surgical Oncology,Cancer Hospital of the University of Chinese Academy of Sciences were enrolled in the study.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF),family APGAR index,Post-traumatic growth inventory(PTGI)were used for evaluation.Results The total score of family APGAR index in esophageal cancer patients was(6.41±2.44),which means family care is insufficient.The total score of FoP-Q-SF was(41.07±7.58),indicating a high level of fear of disease progression.The total score of PTGI was(57.3±22.43),which was at a medium level.The score of FoP-Q-SF in esophageal cancer patients was negatively correlated with that of family APGAR index and PTGI(β=-0.523,β=-0.328,P<0.01).There was also a positive correlation between the score of family APGAR index and that of PTGI(r=0.353,P<0.01).Bootstrap analysis showed that the total score of family APGAR index played a mediating role in the relationship between that of FoP-Q-SF and PTGI,accounting for 49.05%of the total effect.Conclusion Family care and fear of progression have a certain predictive effect on posttraumatic growth of esophageal cancer patients after esophagectomy.Family care mediates fear of progression and posttraumatic growth of esophageal cancer patients after esophagectomy.It's suggested that clinical health care workers should take effective measures to enhance family solicitude and alleviate the level of fear of progression to improve posttraumatic growth among esophageal cancer patients after esophagectomy.
作者
贾颖杰
刘鸿芹
张锐
JIA Yingjie;LIU Hongqin;ZHANG Rui(Department of Thoracic Surgical Oncology,Cancer Hospital of the University of Chinese Academy of Sciences(Zhejiang Cancer Hospital),Hangzhou 310022,China)
出处
《浙江医学》
CAS
2021年第16期1776-1780,共5页
Zhejiang Medical Journal
基金
浙江省医药卫生科技计划项目(2020KY072)。
关键词
食管肿瘤
家庭
恐惧
创伤和损伤
回归分析
Esophageal neoplasms
Family
Fear
Wounds and injuries
Regression analysis
