Objective:To explore the current situation of fear of cancer recurrence in young and middle-aged patients with cervical cancer,and to analyze its influencing factors,so as to provide reference for clinical targeted management and intervention of fear of cancer recurrence.Methods:Using the convenience method,228 patients with cervical cancer who were treated in a tertiary cancer hospital in Xinjiang from February to May 2023 were selected as the research objects.Questionnaires were conducted using the General Information Questionnaire,the Fearof Cancer Recurrence Inventory Short Form(FCRI-SF),the Metacognitions Questionnaire(MCQ-30),the M.D.Anderson Symptom Inventory(MDASI).Results:The FCRI-SF score was(14.52±5.62),and 57.02% of patients had a high level of fear of cancer recurrence.The results of univariate analysis showed that there were statistically significant differences in the scores of fear of cancer recurrence among patients with different age,education level,family per capita monthly income,and FIGO stage of cervical cancer(all P＜0.001).Correlation analysis showed that fear of cancer recurrence was positively correlated with symptom distress(r =0.384,P＜0.01)and metacognition(r =0.662,P＜0.01).Multiple linear regression analysis showed that age,education level,FIGO stage of cervical cancer,symptom distress and metacognition were the influencing factors of fear of cancer recurrence,which jointly explained 75.5% of the total variation of fear of cancer recurrence(P＜0.001).Conclusion:The fear of cancer recurrence in young and middle-aged patients with cervical cancer is not optimistic.We should focus on young patients with low education level and high disease stage,and consider formulating targeted interventions through symptom management and correcting the meta-cognition of maladjustment.
cervical cancerchemotherapyyoung and middle-agedfear of cancer recurrencemetacognitionsymptom disturbance
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