原发性乳腺癌患者复发恐惧及其影响因素研究*

目的: 探讨原发性乳腺癌患者复发恐惧现状及影响因素,为临床护理干预提供参考。方法: 采取便利抽样的方法,选取208例原发性乳腺癌术后患者,采用一般资料调查表、中国大五人格问卷简式版和癌症复发担忧量表进行调查。结果: 本研究原发性乳腺癌术后患者癌症复发担忧（Concern About Recurrence Scale,CARS）总得分为（80.63±18.513）分,不同年龄、居住地、文化水平、家庭人均收入、宗教信仰、TNM疾病分期患者CARS得分差异有统计学意义（P<0.05）。患者大五人格特征得分中宜人性得分最高,而外向性得分最低。多元线性回归分析结果显示,患者的年龄、居住地、文化水平、家庭人均收入有负向预测作用,而神经质人格具有正向预测作用（P<0.05）。结论: 原发性乳腺癌术后患者普遍存在不同程度的复发恐惧感,原发性乳腺癌术后患者神经质与复发恐惧呈正相关,宜人性、外向性、开放性、严谨性与复发恐惧呈负相关。建议医护人员根据患者不同特点,分析患者复发恐惧的来源,通过研究乳腺癌患者癌症复发担忧与人格特质的相关性,为临床制定更为科学的护理措施提供依据,从而帮助其减轻复发恐惧感。

Study on fear of recurrence and its influencing factors in patients with primary breast cancer

Objective: To explore the current situation and influencing factors of relapse fear in patients with primary breast cancer, and to provide reference for nursing intervention in the future. Methods: 208 patients with primary breast cancer after surgery were selected by convenience sampling. They were surveyed by the questionnaires included general information questionnaire, Chinese big five personality questionnaire and concern about recurrence scale(CARS). Results: The total score of CARS was 80.63±18.513, and there were statistically significant differences in CARS scores among patients of different ages, residence, educational level, family per capita income, religious belief and TNM disease stage(P<0.05).Among the five personality characteristics, the agreeableness score was the highest, and the extraversion score was the lowest.Multiple linear regression analysis showed that age, residence, educational level and family per capita income of patients had a negative predictive effect, while neurotic personality had a positive predictive effect(P<0.05). Conclusion: There are different degrees of fear of recurrence in patients with primary breast cancer after surgery. Neuroticism is positively correlated with fear of recurrence, and agreeableness, extraversion, openness and conscientiousness are negatively correlated with fear of recurrence.It is suggested that medical staff analyze the source of fear according to different characteristics of patients, and study the correlation between fear of recurrence of cancer and personality traits, so as to provide basis for clinical development of more scientific nursing measures.