Relationship between Family Caring Degree,Fear of Disease Progression,Self-perceived Burden and Depression,Anxiety and Stress in Gynecological Cancer Patients
Objective:To explore the relationship between family caring degree,fear of disease progression,self-perceived burden and depression,anxiety and stress in gynecological cancer patients.Method:A total of 146 patients with gynecologic tumors admitted to the Department of Obstetrics and Gynecology of Xiamen University Affiliated Xiang'an Hospital from June 2021 to June 2023 were retrospectively selected.General data of patients were collected.The degree of family care,fear of disease progression,self-perceived burden and depression,anxiety and stress situation of all patients were investigated.The degree of family care,fear of disease progression,self-perceived burden and depression,anxiety and stress condition of all patients were analyzed.The correlation among family APGAR index(APGAR)and the fear of progression questionnaire-short form(FoP-Q-SF),self-perceived burden scale for cancer patients(SPBS-CP)scores and depression anxiety stress scale(DASS-21)score was analyzed.The model of mediating effect was established.Result:The average APGAR total score of 146 patients was(7.32±1.62)points.The average FoP-Q-SF total score was(42.17±4.21)points.The average SPBS-CP total score was(87.67±4.57)points.The average DASS-21 total score was(18.36±2.97)points.The total score of DASS-21,depression,anxiety and stress score were significantly negatively correlated with the total score of APGAR,family cooperation,maturity,emotion,intimacy and fitness scores of all patients(P<0.01).The total score of DASS-21,depression,anxiety and stress score were significantly positively correlated with the total score of FoP-Q-SF,physical health and social and family scores of all patients(P<0.01).The total score of DASS-21,depression,anxiety and stress score of all patients were significantly positively correlated with the total score of SPBS-CP,care burden,economic burden,family burden,psychological/emotional burden and treatment burden(P<0.01).Bootstrap was used to test the mediating effect model of family caring degree,fear of disease progression and self-perceived burden on depression,anxiety and stress in gynecological tumor patients.With 95%confidence interval,the results showed that the total indirect effect was 41.57%.The indirect effect of family care→fear of disease progression→depression,anxiety and stress was 0.35×0.30=0.105,and the mediating effect accounted for 20.88%.The indirect effect of family care→self-perceived burden→depression,anxiety and stress was 0.26×0.29=0.075,and the mediating effect accounted for 14.92%;the indirect effect of family care→fear of disease progression→self-perceived burden→depression,anxiety and stress was 0.35×0.29×0.29=0.029,and the mediating effect accounted for 5.77%.Conclusion:The depression,anxiety and stress condition of patients with gynecological tumors are related to the degree of family care,the degree of fear of disease progression and the self-perceived burden of patients.By increasing the level of family care for patients,reducing their fear of illness and self perceived burden other aspects,depression,anxiety and stress mood can be reduced,thereby enhancing their treatment enthusiasm.
Family care levelFear of disease progressionSelf perceptionGynecological tumorsDepression,anxiety and stress
万方数据
维普
