首页|宫颈癌患者癌症复发恐惧影响因素及与夫妻支持、健康素养的相关性

宫颈癌患者癌症复发恐惧影响因素及与夫妻支持、健康素养的相关性

扫码查看
目的:探究夫妻支持、健康素养与宫颈癌患者癌症复发恐惧的相关性,为临床护理提供参考.方法:采用一般资料调查表、夫妻支持问卷(CSQ)、慢性病病人健康素养调查量表(HeLMS)、恐惧疾病进展简化量表(FoPQSF)对2021年7月—2023年6月本院接受手术治疗的宫颈癌患者206例进行调查,使用Pearson回归分析CSQ评分、HeLMS评分与FoPQSF评分的相关性,以多元线性回归分析影响宫颈癌患者癌症复发恐惧的相关因素.结果:共发放调查问卷206份,有效回收189份,有效回收率为91.8%.调查的宫颈癌患者FoPQSF评分为39.52±6.74分,其中≥34 分 105 例(55.6%);CSQ 评分 68.61±10.59 分、HeLMS 评分 65.77±9.56 分,Pearson 回归分析 CSQ 评分、HeLMS评分与FoPQSF评分呈负相关性(P<0.001).多因素分析显示,年龄小、家庭人均月收入低、肿瘤分期高、CSQ评分低、HeLMS评分低均为宫颈癌患者癌症复发恐惧的影响因素(均P<0.001).结论:本次调查的宫颈癌患者癌症复发恐惧发生率及水平均较高,夫妻支持、健康素养与癌症复发恐惧呈负相关,临床应针对癌症复发恐惧影响因素采取护理干预措施,以减轻宫颈癌患者癌症复发恐惧心理,提高疾病治疗效果.
Influence factors of the fear of cancer recurrence of patients with cervical cancer and their correlation with the marital sup-port and health literacy
Objective:To explore the correlation between the marital support and health literacy of patients with cervi-cal cancer and their fear of cancer recurrence,and to provide reference for the clinical nursing of the patients.Methods:A total of 206 patients with cervical cancer who had undergone surgical treatment in hospital from July 2021 to June 2023 were investigated by the general information questionnaire,the couple support questionnaire(CSQ),the health literacy scale for patients with chronic diseases(HeLMS)and the fear of progression simplified scale(FoPQSF).Pear-son regression analysis was used to analyze the correlation between the scores of CSQ and HeLMS of the patients and their FoPQSF score.Multiple linear regression analysis was used to identify the related factors affecting the fear of cancer recurrence of the patients.Results:A total of 206 questionnaires were distributed,and 189 were effectively re-covered,with an effective recovery rate of 91.8%.The FoPQSF score of the patients with cervical cancer was 39.52±6.74 points,of which,the score of 105(55.6%)cases was ≥34 points.The scores of CSQ and HeLMS of the patients with cervical cancer were 68.6±10.59 points and 65.77±9.56 points.Pearson regression analysis showed that the CSQ score and HeLMS score of the patients with cervical cancer were negatively correlated with their FoPQSF score(P<0.001).Multivariate analysis showed that the young age,the low family per capita monthly income,the advanced tumor stage,and the low scores of CSQ and HeLMS of the patients with cervical cancer were all the factors influencing their cancer recurrence fear(all P<0.001).Conclusion:The incidence and the level of cancer recurrence fear of the patients with cervical cancer are all high.The marital support and the health literacy of patients with cervical cancer are negatively correlated with their fear of cancer recurrence.The nursing intervention measures should be taken according to these influencing factors of the cancer recurrence fear of the patients with cervical cancer in order to reduce their fear of cancer recurrence and improve their treatment effect.

Cervical cancerFear of cancer recurrenceMarital supportHealth literacyCorrelationInfluence factor

杨静、邱畅、高如、徐燕

展开 >

南京医科大学附属淮安第一医院(223300)

宫颈癌 癌症复发恐惧 夫妻支持 健康素养 相关性 影响因素

江苏省卫生健康委科研项目

M2020100

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(9)