癌症焦虑量表在乳腺癌患者术后复发恐惧检测中的应用

目的：了解癌症焦虑量表（ CWS）评分与乳腺癌患者疾病指标的相关性，判断患者的肿瘤复发恐惧程度及分布特征。方法随机选取青岛大学附属医院乳腺病诊疗中心接受诊治的乳腺癌术后未复发患者85例，采用CWS ，以书信或电子邮件的形式进行调查。结果共发放问卷114份，其中85例完成CWS量表的填写，有效回收率74．6％。85例患者 CWS 得分8～22分，平均得分为（11．84±4．06）分；接受保乳手术与接受局部治疗＋全身性治疗患者焦虑程度高于改良手术和只接受局部治疗患者，组间比较差异有统计学意义（χ2值分别为9．071，16．406；P＜0．05）。结论 CWS量表可作为我国乳腺癌患者的肿瘤复发恐惧心理检测工具。对于CWS评分较高的患者，建议临床医疗及护理人员提供适合的心理干预和支持治疗以降低其肿瘤复发恐惧。

Application of Cancer Worry Scale detecting fear of recurrence in breast cancer patients

Objective To evaluate the correlation between Cancer Worry Scale （ CWS） scores and fear of cancer recurrence （ FCR） degree, so as to distribute characteristics of patients .Methods Totals of 85 female breast cancer patients were randomly selected from the breast center in Affiliated Hospital of Qingdao University , and conducted the survey of CWS scale by letter or Email .Results The recovery rate of the survey was 74.6%, the CWS score of patients was between 8 and 22, with average score of （11.84 ＆#177;4.06）.The CWS scores of patients with confirmed breast surgery and partial treatment plus systemic treatment were higher than that patients with improved surgery and only local treatment ,and the difference was statistically significant （χ2 =9.071,16.406, respectively;P〈0.05）.Conclusions The CWS is a reliable and valid questionnaire to assess fear of recurrence in breast cancer survivors .And clinical medical and nursing staff should provide appropriate psychological intervention and support treatment to reduce the tumor recurrence of breast cancer for patients with high CWS score .