Current situation and influencing factors of recurrence fear in younger aged patients with advanced lung cancer
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摘要:
目的 对低龄化晚期肺癌患者复发恐惧现状进行调查，并分析其影响因素，为改善患者整体生活质量提供理论依据。 方法 采用随机抽样法选取邯郸市中心医院2022年10月—2023年10月收治的120例低龄化晚期肺癌患者，对其复发恐惧现状进行调查，并分析影响患者复发恐惧的相关因素，采用Pearson相关性分析研究患者复发恐惧与安宁疗护需求的相关性，采用多元线性回归分析研究患者复发恐惧的影响因素。 结果 低龄化晚期肺癌患者癌症复发恐惧量表(FCRI-CV)得分为79~131(97.72±13.49)分。初中及以下文化程度及家庭支持情况较差患者，FCRI-CV量表得分高于高中及以上及家庭支持情况良好患者(P＜0.05)。患者安宁疗护需求评价量表总分为69~122(92.37±8.89)分。Pearson相关性分析显示，FCRI-CV量表各维度评分及总分均与安宁疗护需求评价量表总分呈正相关关系(P＜0.05)。多元线性回归分析显示，文化程度、家庭支持情况及安宁疗护需求均为低龄化晚期肺癌患者复发恐惧的影响因素(P＜0.05)。 结论 低龄化晚期肺癌患者癌症复发恐惧处于较高水平，文化程度、家庭支持情况及安宁疗护需求均为患者复发恐惧的影响因素。 Abstract:Objective To analyze the current situation of recurrence fear in younger aged patients with advanced lung cancer, and to analyze its influencing factors, so as to provide theoretical basis for improving the overall quality of life of patients. Methods A total of 120 younger aged patients with advanced lung cancer admitted to Handan Central Hospital from October 2022 to October 2023 were selected by random sampling method to investigate their recurrence fear. The relevant factors affecting patients ' fear of recurrence were analyzed. Pearson correlation was used to analyze the correlation between recurrence fear and hospice care demand. Multiple linear regression was used to analyze the influencing factors for patients ' recurrence fear. Results The scores of the fear of cancer recurrence inventory-Chinese version (FCRI-CV) for younger aged patients with advanced lung cancer ranged from 79 to 131 (97.72±13.49) points. The scores of FCRI-CV were higher in patients with junior high school or below and poor family support than in those with senior high school or above and good family support (P < 0.05). The total scores of the hospice needs assessment scale ranged from 69 to 122 (92.37±8.89) points. Pearson correlation analysis showed that the score and total score of each dimension of FCRI-CV were positively correlated with the total score of hospice needs assessment scale (P < 0.05). Multiple linear regression analysis showed that education level, family support and hospice care demand were all influencing factors for recurrence fear in younger aged patients with advanced lung cancer (P < 0.05). Conclusion The fear of cancer recurrence in younger aged patients with advanced lung cancer is at a high level, and the education level, family support and the need for hospice care are all influential factors for the fear of recurrence. -
Key words:
- Advanced lung cancer /
- Younger age /
- Fear of recurrence /
- Influencing factors
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表 1 低龄化晚期肺癌患者FCRI-CV量表得分情况(x±s，分)
Table 1. FCRI-CV scores in younger patients with advanced lung cancer (x±s, points)
维度 条目数 得分 严重程度 9 24.33±3.07 触发因素 8 20.89±2.84 心理痛苦 4 11.03±1.07 应对策略 9 23.47±3.78 功能障碍 6 18.89±2.44 洞察力 3 8.86±1.01 寻求安慰 3 7.45±1.18 总分 97.72±13.49 
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表 2 不同临床资料低龄化晚期肺癌患者FCRI-CV量表得分比较(x±s，分)
Table 2. Comparison of FCRI-CV scores in younger patients with advanced lung cancer across different clinical variables (x±s, points)
项目 例数 FCRI-CV量表得分 统计量 P值 性别 1.692a 0.093 男性 71 95.98±12.33 女性 49 100.24±15.17 年龄 0.609a 0.544 ＜30岁 33 98.94±13.33 ≥30岁 87 97.26±13.55 家庭人均月收入/元 0.270b 0.764 < 3 000 29 99.33±10.56 3 000~5 000 38 97.45±11.08 >5 000 53 97.03±16.82 文化程度 2.118a 0.036 初中及以下 41 101.34±13.45 高中及以上 79 95.84±13.51 病理类型 0.011b 0.989 鳞癌 69 97.61±12.44 腺癌 33 98.04±12.79 其他 18 97.56±18.80 婚姻状况 1.219a 0.225 未婚/离异/丧偶 63 99.15±14.07 已婚 57 96.14±12.85 工作状态 1.076a 0.284 在职 68 98.88±14.33 离职 52 96.20±12.39 家庭支持情况 3.332a 0.001 良好 71 94.31±13.74 较差 49 102.66±13.13 注：a为t值，b为F值。
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表 3 低龄化晚期肺癌患者安宁疗护需求评价量表得分(x±s，分)
Table 3. Hospice needs assessment scale scores in younger patients with advanced lung cancer (x±s, points)
维度 条目数 得分 生理需求 7 24.88±1.31 心理需求 6 22.01±1.02 社会支持需求 4 14.45±1.67 信息需求 3 9.84±1.03 环境需求 5 15.45±2.22 疾病相关知识需求 3 10.34±1.07 总分 92.37±8.89
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表 4 低龄化晚期肺癌患者复发恐惧与安宁疗护需求相关性
Table 4. Correlation between recurrence fear and hospice care demand in younger patients with advanced lung cancer
FCRI-CV量表维度 安宁疗护需求评价量表 r值 P值 严重程度 0.602 ＜0.001 触发因素 0.489 ＜0.001 心理痛苦 0.501 ＜0.001 应对策略 0.448 ＜0.001 功能障碍 0.579 ＜0.001 洞察力 0.477 ＜0.001 寻求安慰 0.501 ＜0.001 总分 0.562 ＜0.001
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表 5 变量赋值情况
Table 5. Variable assignment
变量 赋值方法 文化程度 初中及以下=1，高中及以上=2 家庭支持情况 较差=1，良好=2 安宁疗护需求得分 以实际值赋值
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表 6 低龄化晚期肺癌患者复发恐惧影响因素的多元线性回归分析
Table 6. Multivariate linear regression analysis of factors influencing recurrence fear in younger patients with advanced lung cancer
变量 B SE B' t值 P值 文化程度 -0.401 0.047 -0.381 -15.605 < 0.001 家庭支持情况 -0.289 0.107 -0.204 -2.399 < 0.001 安宁疗护需求 0.331 0.095 0.284 26.741 < 0.001
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