目的 探究鼻咽癌放疗患者复发恐惧水平的变化及其影响因素,为制定精准、个体化的护理措施提供依据.方法 采用前瞻性研究,选取2022年1月至2023年6月期间在笔者医院住院的鼻咽癌患者资料,采用一般资料调查表、癌症患者恐惧疾病进展简化量表(fear of progression questionnaire-short form,FoP-Q-SF)、中文版疲乏量表(cancer-related fatigue,CFS)、安德森症状评估量表(头颈)(M.D.Anderson symptom inventory-head and neck,MDASI-H&N)分别在放疗前1日、放疗第15次、放疗结束时、放疗结束后3个月对其进行调查,比较4次测量结果的差异并分析其影响因素.结果 共105例患者完成调查,在4个测评时间点,鼻咽癌放疗患者癌症复发恐惧得分分别为(34.71±7.18)分、(36.18±8.70)分、(26.95±6.29)分、(25.21±5.90)分.广义估计方程分析结果显示,性别、文化程度、经济收入、疾病分期、疲乏程度、症状困扰是影响鼻咽癌放疗患者复发恐惧水平的因素(P＜0.05).结论 鼻咽癌放疗患者普遍存在复发恐惧,且复发恐惧水平呈动态变化,临床医护人员应及时评估患者复发恐惧的变化情况,从不同性别、学历、经济情况、疾病分期等方面综合制定有针对性的干预措施,实施精准、个体化的动态管理,以降低患者复发恐惧水平,提高生活质量水平.
Exploring fear of cancer recurrence and related factors among nasopharyngeal carcinoma patients undergoing radiotherapy:A longitudinal study
Objective To explore the changes and influencing factors of recurrence fear level in nasopharyngeal carcinoma radiotherapy patients,and to provide a basis for developing targeted nursing interventions.Methods A prospective study was conducted from January 2022 to June 2023,using a general information questionnaire,the simplified fear of disease progression scale for cancer patients(FoP-Q-SF),the Chinese version of the fatigue scale(CFS),and the M D.Anderson symptom assessment scale(head and neck)(MDASI-H&N)at 1 day before radiotherapy,the 15th dose of radiotherapy,the end of radiotherapy,and 3 months after radiotherapy,Compare the differences in the results of four measurements and analyze their influencing factors.A total of 105 patients completed 4 evaluations,and at the 4 evaluation time points,the fear of cancer recurrence(FCR)scores of nasopharyngeal carcinoma radiotherapy patients were(34.71±7.18)points,(36.18±8.70)points,(26.95±6.29)points,and(25.21±5.90)points,respectively.The results of the generalized estimation equation analysis showed that gender,educational level,economic income,disease stage,fatigue level,and symptom distress were the factors affecting the level of recurrence fear in nasopharyngeal carcinoma radiotherapy patients(P＜0.05).Conclusion Nasopharyngeal cancer radiotherapy patients generally have a fear of recurrence,and the level of fear of recurrence shows dynamic changes.Clinical medical staff should timely evaluate the dynamic changes of fear of recurrence in patients,develop targeted intervention measures from different gender,education level,economic situation,disease stage,and other comprehensive aspects,implement precise and personalized dynamic management,in order to reduce the level of fear of recurrence in patients and improve their quality of life.
Nasopharyngeal cancerRadiation therapyFear of recurrenceInfluencing factors
万方数据
维普
