目的: 分析宫颈癌手术患者术后正念水平、疾病不确定感与复发恐惧的关系研究。方法: 回顾性分析2020年1月—2023年6月在中国人民解放军联勤保障部队第九〇八医院和江西省肿瘤医院接受宫颈癌手术患者193例临床资料,根据是否存在复发恐惧分为两组,复发恐惧组（n=103）为存在复发恐惧者,无恐惧组（n=90）为不存在术后复发恐惧患者。比较两组宫颈癌手术患者术后正念水平、疾病不确定感情况,并分析宫颈癌手术患者正念水平及疾病不确定感与复发恐惧的关系,采用Logisitic 回归分析影响宫颈癌患者复发恐惧的危险因素。结果: 复发恐惧组正念水平低于无恐惧组,疾病不确定感各维度评分高于无恐惧组;宫颈癌手术患者正念水平与复发恐惧程度呈负相关,疾病不确定感与复发恐惧程度呈正相关;Logisitic 回归分析显示,年龄、婚姻关系、文化程度、医疗支付类型、经济收入、癌症分期、疾病不确定感和正念水平是宫颈癌患者发生疾病复发恐惧的危险因素。结论: 接受宫颈癌手术患者复发恐惧与疾病不确定感与正相关,与患者正念水平呈负相关,且疾病不确定感和低正念水平是宫颈癌患者发生疾病复发恐惧的危险因素。
Abstract
Objective To analyze the relationship between mindfulness level, disease uncertainty and fear of cancer recurrence (FCR) in patients after cervical cancer surgery. Methods A retrospective analysis was performed on the clinical data of 193 patients who underwent cervical cancer surgery in 908th Hospital of PLA Joint Logistic Support Force and Jiangxi Cancer Hospital between January 2020 and June 2023. According to presence or absence of FCR, they were divided into FCR group (n=103) and non-FCR group (n=90). The postoperative mindfulness level and disease uncertainty were compared between the two groups. The relationship between mindfulness level, disease uncertainty and FCR was analyzed. The risk factors of FCR were analyzed by Logisitic regression analysis. Results The mindfulness level in FCR group was lower than that in non-FCR group, and scores of disease uncertainty were higher than those in non-FCR group. The mindfulness level was negatively correlated with FCR, while disease uncertainty was positively correlated with FCR. Logisitic regression analysis showed that age, marital relationship, education level, medical payment type, economic income, cancer staging, disease uncertainty and mindfulness level were risk factors of FCR in patients with cervical cancer. Conclusion FCR is positively correlated with disease uncertainty, while negatively correlated with mindfulness level in patients undergoing cervical cancer surgery. The disease uncertainty and mindfulness level are risk factors of FCR.
关键词
宫颈癌手术 /
复发恐惧 /
正念水平 /
疾病不确定感
Key words
cervical cancer surgery /
fear of cancer recurrence /
mindfulness level /
disease uncertainty
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基金
江西省卫生健康委科技项目“新媒体联合Teach back的健康教育在结肠镜检查肠道准备患者中的应用研究”（202311397）; 第九〇八医院苗子基金“微信网络平台联合Teach_back的健康教育模式在初产妇中的实证研究”（2022YNKT032）
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