晚期癌症患者配偶恐惧疾病进展的现状及影响因素分析

doi:10.16460/j.issn1008-9969.2019.14.005

摘要/Abstract

摘要： 目的调查晚期癌症患者配偶恐惧疾病进展的现状,分析其影响因素。方法采用便利抽样法,选取天津市某三级甲等肿瘤医院晚期癌症患者配偶,采用一般资料调查问卷、配偶恐惧疾病进展量表、希望水平量表、应对方式问卷进行调查。采用多元线性回归,分析晚期癌症患者配偶恐惧疾病进展的影响因素。结果晚期癌症患者配偶恐惧疾病进展的得分为（39.87±8.52分,配偶的恐惧疾病进展总分及各维度均与希望水平呈负相关,与消极应对方式呈正相关;多元线性回归分析结果显示,配偶的年龄、患者的自理程度、希望水平、消极应对方式是晚期癌症患者配偶恐惧疾病进展的的主要影响因素（P<0.05。结论晚期癌症患者配偶存在较为严重的恐惧疾病进展的心理问题,医护人员应重视癌症患者配偶的心理状况,采取有效的措施,促进其身心健康,并及时给予配偶良好的社会支持、帮助配偶正确应对疾病,提高患者的希望水平,缓解癌症患者配偶的恐惧心理。

关键词: 晚期癌症, 配偶, 恐惧疾病进展, 希望水平, 应对方式

Abstract: Objective To investigate the status of fear of progression (FoP among spouses of advance cancer patients and analyze its influencing factors. Methods With convenient sampling method, 120 spouses of advanced cancer patients treated in tertiary grade A cancer hospital in Tianjin were surveyed by using a self-designed general information questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF , Herth Hope Index( HHI and Coping Modes Questionnaire. Multivariate linear regression was used to analyze the factors influencing the FoP in the spouse of advanced cancer patients. Results The FoP score of spouses of advance cancer patients was 39.87±8.52; the total score and the scores of the dimensions of the FoP of spouses are negatively correlated with the hope level and positively correlated with the negative coping style. Multiple regression analysis showed that the infuencing factors of level of FoP in the spouses of advanced cancer patients were age, self-care abilit of the patients, the level of hope and negative coping style（P<0.05. Conclusion There is great FoP in spouses of patients with advanced cancer. Medical personnel should pay attention to the psychological status of the spouses and take effective measurses to promote their physical and mental health. More social support, positive coping style and improved level of hope will benefit alleviating the fear of spouses of cancer patients.

Key words: advanced cancer, spouse, fear of progression, level of hope, coping style

中图分类号:

R471

李佳倩, 朱冰洁, 李梦媛, 阎玲. 晚期癌症患者配偶恐惧疾病进展的现状及影响因素分析[J]. 护理学报, 2019, 26(14): 5-9.

LI Jia-qia, ZHU Bing-jie, LI Meng-yuan, YAN Ling. Status Quo of Fear of Progression in Spouses of Advanced Cancer Patients and Its Correlation Factors[J]. Journal of Nursing, 2019, 26(14): 5-9.

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