目的 调查中青年宫颈癌术后患者癌症复发恐惧现状,并分析其影响因素。方法 采用便利抽样法,于2023年5—9月在河南省郑州市某三级甲等医院妇科肿瘤科选取228例中青年宫颈癌术后患者作为研究对象,采用一般资料调查表、恐惧疾病进展简化量表、简易疾病感知问卷、接纳与行动问卷第2版进行调查。采用多重线性回归分析中青年宫颈癌术后患者癌症复发恐惧的影响因素。结果 本组中青年宫颈癌术后患者癌症复发恐惧总分为（35.39±5.75）分;多重线性回归分析结果显示,年龄、疾病分期、疾病感知、经验性回避进入回归方程（P<0.05）,共解释总变异量的37.1%。结论 本组中青年宫颈癌术后患者癌症复发恐惧处于中等偏低水平,年龄、病理分期、疾病感知、经验性回避是中青年宫颈癌术后患者癌症复发恐惧的主要影响因素,提示医护人员应重点关注年龄较小、疾病处于晚期的中青年宫颈癌术后患者,提供多方位的社会和情感支持,积极开展团体心理干预,关注患者的情绪和心理状态,普及疾病相关知识,改善其负性疾病感知,减少经验性回避应对。
Abstract
Objective To investigate the current situation of fear of cancer recurrence in young and middle-aged patients with cervical cancer after surgery, and to analyze its influencing factors. Methods A total of 228 middle-aged and young patients with cervical cancer after surgery were selected from May 2023 to September 2023 in Gynecology Oncology Department of a tertiary grade-A hospital in Zhengzhou. The General Information Questionnaire, Simplified Fear of Disease Progression Scale, Simplified Disease Perception Questionnaire and the second version of Acceptance and Action Questionnaire were used to conduct an investigation. Multiple linear regression was used to analyze the factors affecting the fear of cancer recurrence in young and middle-aged cervical cancer patients after surgery. Results The total score of fear of cancer recurrence was 35.39±5.75. Multiple linear regression analysis showed that age, disease stage, disease perception and empirical avoidance entered the regression equation (P<0.05), accounting for 37.1% of the total variance. Conclusion In this group, the fear of cancer recurrence in young and middle-aged patients after cervical cancer surgery is at a medium and low level, and age, pathological stage, disease perception and empirical avoidance are the main influencing factors for the fear of cancer recurrence, suggesting that medical staff should pay attention to younger patients and those with advanced cervical cancer. Multi-faceted social and emotional support, group psychological intervention, patients' emotional and psychological state, disease-related knowledge education, patients' negative disease perception, and empirical avoidance coping should be taken into consideration.
关键词
中青年 /
宫颈癌患者 /
癌症复发恐惧 /
疾病感知 /
经验性回避
Key words
young and middle-aged /
cervical cancer patient /
fear of cancer recurrence /
disease perception /
empirical avoidance
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