Relationship between the Fear of Cancer Recurrence and Quality of Life among Patients with Gynecology Cancer: Mediating Effect of Spouse Support
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摘要: 目的 了解妇科癌症患者癌症复发恐惧水平,并探讨癌症复发恐惧水平与夫妻支持和生活质量3者之间的关系以及夫妻支持在癌症复发恐惧和生活质量间的中介效应。 方法 采用便利抽样法选取2017年5月—2018年10月在江苏省某三甲医院住院治疗的187名妇科癌症患者为调查对象,采用癌症患者恐惧疾病进展简化量表、夫妻支持问卷、癌症质量功能评价系统共性模块对妇科癌症患者进行问卷调查。 结果 本次问卷调查的妇科癌症患者癌症复发恐惧得分为(37.02±8.52)分,其中生理健康维度得分为(19.53±4.01)分,社会家庭维度得分为(17.42±4.61)分;夫妻支持得分为(57.26±17.26)分,其中主观支持得分为(29.40±9.56)分,客观支持得分为(27.88±8.39)分;患者生活质量得分为(48.83±10.78)分。相关分析显示妇科癌症患者癌症复发恐惧及其各维度得分与夫妻支持及其各维度得分呈负相关(均P<0.05),与生活质量得分呈负相关(均P<0.01),夫妻支持及其各维度得分与生活质量得分呈正相关(均P<0.01);偏差矫正的百分位Bootstrap分析显示夫妻支持在癌症复发恐惧与生活质量之间具有部分中介效应(a×b=-0.230,95% CI=-0.346~-0.141)。 结论 妇科癌症患者癌症复发恐惧水平较高,癌症复发恐惧可以直接对妇科癌症患者的生活质量产生影响,也可以夫妻支持为中介间接影响患者的生活质量。Abstract: Objective To explore the relationship between the fear of cancer recurrence and quality of life, and mediating effect of spouse support on the relationship between the fear of cancer recurrence and quality of life among patients with gynecology cancer. Methods A Total of 187 pathologically diagnosed gynecology cancer patients were selected and assessed by using the questionnaires of self-developed sociodemographic data questionnaire, Chinese version of the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Spouse Support Inventor, and Functional Assessment of Cancer Therapy-Generic scale (FACT-G) between May 2017 and October 2018. Results For all the participants, the mean scores of FoP-Q-SF was 37.02±8.52, the mean score of physical health was (19.53±4.01), and the mean score of social and family was (17.42±4.61). The mean scores were (57.26±17.26), (29.40±9.56) and (27.88±8.39) for Spouse Support, subjective support and objective support, respectively. The mean score of FACT-G was (48.83±10.78). The results of correlation analysis revealed that the total score and all domain scores of FoP-Q-SF were negatively correlated with total score and domain scores of Spouse Support (all P<0.05) and total score of FACT-G (all P<0.01). The total score and all domain scores of Spouse Support were positively correlated with total score of FACT-G (all P<0.01). The analysis results by Bias Corrected Bootstrap showed that Spouse Support played a partial mediation effect between the fear of cancer recurrence and the quality of life [(a×b=-0.230, 95% CI:-0.346,-0.141]. Conclusion Patients with gynecology cancer have high degree of fear of cancer recurrence. Fear of cancer recurrence can directly influence the quality of life and indirectly influence the quality of life through Spouse Support.
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Key words:
- Gynecology cancer /
- Fear of cancer recurrence /
- Spouse support /
- Quality of life /
- Mediating effect
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