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原发性肺癌患者癌症复发恐惧现状及其影响因素

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目的:分析原发性肺癌患者癌症复发恐惧(FCR)现状及其影响因素.方法:选取 2021 年 5 月至 2023 年 5 月该院收治的96例原发性肺癌患者进行横断面研究,以恐惧疾病进展简化量表(FoP-Q-SF)评估患者FCR现状,并收集患者基线资料进行单因素分析,采用多元线性回归分析原发性肺癌患者FCR的影响因素.结果:96例原发性肺癌患者FoP-Q-SF评分为24~48分,平均(34.89±2.36)分;不同体质量指数、职业、吸烟史、饮酒史、合并基础疾病、医疗保险、肿瘤分期的原发性肺癌患者FoP-Q-SF评分比较,差异均无统计学意义(P>0.05);不同年龄、性别、居住地、文化程度、家庭月收入、手术方式的原发性肺癌患者FoP-Q-SF评分比较,差异均有统计学意义(P<0.05);多元线性回归分析结果显示,年龄<50 岁、女性、居住在城市、文化程度高中及以下、家庭月收入<5000 元、开胸手术均为原发性肺癌患者FCR的危险因素(P<0.05).结论:年龄<50 岁、女性、居住在城市、文化程度高中及以下、家庭月收入<5000 元、开胸手术均为原发性肺癌患者FCR的危险因素.
Current situation and influencing factors of fear of cancer recurrence in patients with primary lung cancer
Objective:To analyze current situation and influencing factors of fear of cancer recurrence(FCR)in patients with primary lung cancer.Methods:A cross-sectional study was conducted on 96 patients with primary lung cancer admitted to this hospital from May 2021 to May 2023.The short form of the fear of progression questionnaire(FoP-Q-SF)was used to evaluate the FCR status of these patients,and the baseline data of patients were collected for univariate analysis.Multiple linear regression was used to analyze the influencing factors of FCR in the patients with primary lung cancer.Results:The FoP-Q-SF score of the 96 patients with primary lung cancer was 24-48 points,with an average of(34.89±2.36)points.There were no significant differences in the FoP-Q-SF scores among the patients with primary lung cancer with different body mass index,occupation,smoking history,drinking history,underlying diseases,medical insurance and tumor stage(P>0.05).There were statistically significant differences in the FoP-Q-SF scores among patients with primary lung cancer of different ages,genders,places of residence,educational levels,family monthly incomes,and surgical methods(P<0.05).The multiple linear regression analysis showed that age<50 years old,female,living in the city,high school education and below,family monthly income<5000 yuan,and thoracotomy were all risk factors for FCR in the patients with primary lung cancer(P<0.05).Conclusions:Age<50 years old,female,living in the city,high school education and below,family monthly income<5000 yuan,and thoracotomy are the risk factors for FCR in the patients with primary lung cancer.

Primary lung cancerFear of cancer recurrenceInfluencing factorUnderlying diseases

周妮

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郑州市第九人民医院心理科,河南 郑州 450000

原发性肺癌 癌症复发恐惧 影响因素 基础疾病

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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