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结直肠癌化疗患者癌症复发恐惧现状及影响因素分析
引用本文:陈思思,姚海欣,陈瑜. 结直肠癌化疗患者癌症复发恐惧现状及影响因素分析[J]. 中华全科医学, 2022, 20(1): 148-151. DOI: 10.16766/j.cnki.issn.1674-4152.002299
作者姓名:陈思思  姚海欣  陈瑜
作者单位:温州医科大学附属第一医院消化内科,浙江 温州 325000
基金项目:浙江省医药卫生科技计划项目(2019KY455)。
摘    要:目的了解结直肠癌化疗患者癌症复发恐惧现状及影响因素,为制定干预措施提供理论依据。方法采用便利抽样法选取2020年7—12月在温州医科大学附属第一医院化疗的219例结直肠癌患者为研究对象。采用一般资料调查问卷、癌症复发恐惧量表、创伤后成长量表、家庭坚韧力量表进行问卷调查。采用SPSS 23.0统计学软件进行t检验、方差分析、Pearson相关分析和多元线性回归分析。结果结直肠癌化疗患者癌症复发恐惧得分为(101.11±18.92)分,创伤后成长得分为(60.70±9.13)分,家庭坚韧力得分为(56.49±7.82)分。不同年龄、学历、家庭人均收入、术后时间、疾病分期、并发症的结直肠癌化疗患者癌症复发恐惧得分差异均有统计学意义(均P<0.05)。Pearson相关分析结果显示,结直肠癌化疗患者创伤后成长、家庭坚韧力得分均与癌症复发恐惧得分呈负相关(r值分别为-0.325,-0.328),差异有统计学意义(均P<0.01)。多元线性回归分析结果显示,疾病分期、家庭坚韧力、创伤后成长、学历与患者癌症复发恐惧相关(β值分别为0.380、-0.232、-0.190、-0.216,均P...

关 键 词:结直肠癌  癌症复发恐惧  创伤后成长  家庭坚韧力
收稿时间:2021-03-26

Analysis on the current situation and influencing factors of fear of cancer recurrence in patients with colorectal cancer undergoing chemotherapy
CHEN Si-si,YAO Hai-xin,CHEN Yu. Analysis on the current situation and influencing factors of fear of cancer recurrence in patients with colorectal cancer undergoing chemotherapy[J]. Applied Journal Of General Practice, 2022, 20(1): 148-151. DOI: 10.16766/j.cnki.issn.1674-4152.002299
Authors:CHEN Si-si  YAO Hai-xin  CHEN Yu
Affiliation:Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China
Abstract:Objective To investigate the current situation and influencing factors of fear of cancer recurrence amongst patients with colorectal cancer undergoing chemotherapy and provide theoretical basis for the development of clinical intervention measures.Methods A total of 219 patients with colorectal cancer receiving chemotherapy in our hospital from July to December 2020 were selected as the research objects by convenience sampling.The general data questionnaire,the Fear of Cancer Recurrence Inventory,the Posttraumatic Growth Inventory and the Family Hardiness Index were used for the questionnaire survey.SPSS 23.0 software was used for t test,analysis of variance,Pearson correlation analysis and multiple linear regression analysis.Results The scores of fear of cancer recurrence,posttraumatic growth and family hardiness were(101.11±18.92)points,(60.70±9.13)points and(56.49±7.82)points,respectively,in patients undergoing colorectal cancer chemotherapy.Statistically significant differences in fear of cancer recurrence scores were found amongst patients undergoing chemotherapy for colorectal cancer with different ages,educational background,family per capita income,postoperative time,disease stage and complications(all P<0.05).Pearson correlation analysis showed that the scores of posttraumatic growth and family hardiness of patients undergoing chemotherapy for colorectal cancer were negatively correlated with the scores of fear of cancer recurrence(r=-0.325 and-0.328,respectively),with statistical significance(all P<0.01).Multiple linear regression analysis showed that disease stage,family hardiness,posttraumatic growth and level of education were correlated with patients'fear of cancer recurrence(βvalues were 0.380,-0.232,-0.190,-0.216,respectively),with statistical significance(all P<0.05).Conclusion The level of fear of cancer recurrence in patients undergoing chemotherapy for colorectal cancer is high,and intervention measures should be in accordance with patients'disease stage,family hardiness,posttraumatic growth and educational background to alleviate the fear of cancer recurrence and improve the quality of life of patients.
Keywords:Colorectal cancer  Fear of cancer recurrence  Posttraumatic growth  Family hardiness
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