晚期癌症患者配偶恐惧疾病进展的现状及影响因素分析

doi:10.16460/j.issn1008-9969.2019.14.005

摘要/Abstract

摘要： 目的调查晚期癌症患者配偶恐惧疾病进展的现状,分析其影响因素。方法采用便利抽样法,选取天津市某三级甲等肿瘤医院晚期癌症患者配偶,采用一般资料调查问卷、配偶恐惧疾病进展量表、希望水平量表、应对方式问卷进行调查。采用多元线性回归,分析晚期癌症患者配偶恐惧疾病进展的影响因素。结果晚期癌症患者配偶恐惧疾病进展的得分为（39.87±8.52分,配偶的恐惧疾病进展总分及各维度均与希望水平呈负相关,与消极应对方式呈正相关;多元线性回归分析结果显示,配偶的年龄、患者的自理程度、希望水平、消极应对方式是晚期癌症患者配偶恐惧疾病进展的的主要影响因素（P<0.05。结论晚期癌症患者配偶存在较为严重的恐惧疾病进展的心理问题,医护人员应重视癌症患者配偶的心理状况,采取有效的措施,促进其身心健康,并及时给予配偶良好的社会支持、帮助配偶正确应对疾病,提高患者的希望水平,缓解癌症患者配偶的恐惧心理。

关键词: 晚期癌症, 配偶, 恐惧疾病进展, 希望水平, 应对方式

Abstract: Objective To investigate the status of fear of progression (FoP among spouses of advance cancer patients and analyze its influencing factors. Methods With convenient sampling method, 120 spouses of advanced cancer patients treated in tertiary grade A cancer hospital in Tianjin were surveyed by using a self-designed general information questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF , Herth Hope Index( HHI and Coping Modes Questionnaire. Multivariate linear regression was used to analyze the factors influencing the FoP in the spouse of advanced cancer patients. Results The FoP score of spouses of advance cancer patients was 39.87±8.52; the total score and the scores of the dimensions of the FoP of spouses are negatively correlated with the hope level and positively correlated with the negative coping style. Multiple regression analysis showed that the infuencing factors of level of FoP in the spouses of advanced cancer patients were age, self-care abilit of the patients, the level of hope and negative coping style（P<0.05. Conclusion There is great FoP in spouses of patients with advanced cancer. Medical personnel should pay attention to the psychological status of the spouses and take effective measurses to promote their physical and mental health. More social support, positive coping style and improved level of hope will benefit alleviating the fear of spouses of cancer patients.

Key words: advanced cancer, spouse, fear of progression, level of hope, coping style

中图分类号:

R471

李佳倩, 朱冰洁, 李梦媛, 阎玲. 晚期癌症患者配偶恐惧疾病进展的现状及影响因素分析[J]. 护理学报, 2019, 26(14): 5-9.

LI Jia-qia, ZHU Bing-jie, LI Meng-yuan, YAN Ling. Status Quo of Fear of Progression in Spouses of Advanced Cancer Patients and Its Correlation Factors[J]. Journal of Nursing, 2019, 26(14): 5-9.

参考文献

[1]张明君,康璇,赖巧蓉,等.晚期癌症患者主要照顾者照顾负荷及影响因素分析[J].护理学报,2017,24(17):39-42.DOI:10.16460/j.issn1008-9969.2017.17.039
[2]张丽燕,陆宇晗.365例晚期癌症患者照顾者心理韧性现状及影响因素分析[J].护理学报,2018,25(14):44-48.DOI:10.16460/j.issn1008-9969.2018.14.044.
[3]Parker P A, Davis J W, Latini D M, et al.Relationship Between Illness Uncertainty, Anxiety, Fear of Progression and Quality of Life in Men with Favourable-risk Prostate Cancer Undergoing Active Surveillance[J]. BJU Int, 2016,117(3):469-477.DOI:10.1111/bju.13099.
[4]Mclean L M, Jones J M.A Review of Distress and Its Management in Couples Facing End-of-life Cancer[J]. Psycho-Oncology,2010,16(7):603-616.DOI:10.1002/pon.1196.
[5]Zimmermann T, Herschbach P, Wessarges M, et al.Fear of Progression in Partners of Chronically Ill Patients[J].Behav Med,2011,37(3):95-104.DOI:10.1080/08964289.2011.605399.
[6]吴奇云.原发性肝癌患者及其配偶对疾病进展恐惧的现状调查及研究[D].上海:第二军医大学,2016.
[7]Arnau R C,Martinez P, De Guzman I N, et al. A Spanish-Language Version of the Herth Hope Scale: Development and Psychometric Evaluation in a Peruvian Sample[J]. Educ Psychol Meas,2010,70(5):808-824.DOI:10.1177/0013164409355701.
[8]王艳华.中文版Herth希望量表用于癌症病人的可行性研究[J].护理研究,2010,24(1).DOI:10.3969/j.issn.1009-6493.2010.01.008.
[9]Lazarus R S, Delongis A, Folkman S, et al.Stress and Adaptational Outcomes. The Problem of Confounded Measures[J].Am PsychoL, 1985, 40(7):770-785.DOI:10.1037/0003-066X.40.7.770.
[10]解亚宁.简易应对方式量表信度和效度的初步研究[J].中国临床心理学杂志, 1998(2):53-54.DOI:10.16128/j.cnki.1005-3611.1998.02.018.
[11]方积乾,郝元涛.生存质量研究的设计与实施[J].中国肿瘤,2001,10(2):69-71. DOI:10.3969/j.issn.1004-0242.2001.02.004.
[12]段会霞,耿莉,李振.160例消化道恶性肿瘤患者配偶创伤后成长现状及影响因素分析[J].护理学报,2018,25(19):40-44.DOI:10.16460/j.issn1008-9969.2018.19.040.
[13]金丽萍,张绮.家庭式病房晚期癌症患者配偶照护感受的质性研究[J].解放军护理杂志,2016,33(20:20-23;47. DOI:10.3969/j.issn.1008-9993.2016.20.005.
[14]倪倩倩,周利华,王维利,等.妇科癌症患者配偶心理困扰与自我表露、亲密关系的调查分析[J].中华护理杂志,2016,51(5):529-533.DOI:10.3761/j.issn.0254-1769.2016.05.003.
[15]阳一芳,蒋维连.理性情绪疗法对癌症患者配偶焦虑和抑郁情绪的影响[J].护理实践与研究, 2015(3):143-144. DOI:10.3969/j.issn.1672-9676.2015.03.077
[16]Dawson G, Madsen L T, Dains J E.Interventions to Manage Uncertainty and Fear of Recurrence in Female Breast Cancer Survivors: A Review of the Literature[J].Clin J Oncol Nurs, 2016,20(6):E155-E161.DOI:10.1188/16.CJON.E155-E161.
[17]Freeman-Gibb L A, Janz N K, Katapodi M C, et al. The Relationship Between Illness Representations, Risk Perception and Fear of Cancer Recurrence in Breast Cancer Survivors[J]. Psycho-Oncology, 2017,26(9):1270-1277.DOI:10.1002/pon.4143.
[18]焦杰,杨丽,罗志芹,等.晚期癌症患者主要照顾者希望水平与人格特征、照顾负担的相关性研究[J].中国实用护理杂志,2017,33(23):1766-1770.DOI:10.3760/cma.j.issn. 1672-7088.2017.23.002.
[19]杨芷,姜喆,史铁英,等.宁养院晚期癌症患者照顾者照顾反应与应对方式的相关性研究[J].护理学报,2015,22(15):40-43.DOI:10.16460/j.issn1008-9969.2015.15.040.

相关文章 15

[1]	伊静, 董建俐, 程洋, 沙丽艳. 200例肝癌首次经动脉化疗栓塞术后患者心理痛苦现状及影响因素分析[J]. 护理学报, 2020, 27(11): 61-65.
[2]	李细珍, 曹美嫦, 邓菊英, 曾满萍, 欧利芳. 叙事疗法对鼻咽癌患者癌症复发恐惧与希望水平的影响[J]. 护理学报, 2020, 27(11): 71-74.
[3]	叶子文, 甄莉, 朱木兰, 胡婷, 王惠珍. 220例预防性肠造口患者病耻感现状及影响因素分析[J]. 护理学报, 2019, 26(3): 40-45.
[4]	解文君, 张帅, 刘毅, 张会娟, 刘贵英, 王蓓, 刘洁, 刘玉秋, 管伟. 领悟社会支持及应对方式在恶性血液病行造血干细胞移植患者心理弹性与创伤后成长间的中介效应[J]. 护理学报, 2019, 26(3): 73-78.
[5]	汤明文, 张燕红, 刘寿娟. 425例住院缓解期精神分裂症患者病耻感现状及影响因素分析[J]. 护理学报, 2019, 26(14): 43-46.
[6]	查梦培, 董立焕, 成杰, 唐启群, 王艳东, 郭宗海. 焦点解决短程治疗对脑出血患者焦虑抑郁及希望水平的影响[J]. 护理学报, 2019, 26(11): 20-23.
[7]	黎慧,印怡臻,王安妮,张静平. 职业倦怠在护士应对方式与共情能力间的中介作用分析[J]. 护理学报, 2018, 25(8): 5-8.
[8]	蔡建平,江子芳. 中文版癌症患者恐惧疾病进展简化量表应用于女性乳腺癌患者的信度效度检验[J]. 护理学报, 2018, 25(7): 5-8.
[9]	唐楠,赵延慧,张宏晨,史素杰,韩琳. 221名不孕症女患者治疗期间希望水平现状及影响因素分析[J]. 护理学报, 2018, 25(6): 28-32.
[10]	梁桂花,梁霞,王妃凤,戴梅花,符小敏,庞惠娟. 80例永久性结肠造口患者伤残接受度与希望水平相关性分析[J]. 护理学报, 2018, 25(4): 43-45.
[11]	杨冬菊,蒋晓莲. 83例维持性血液透析青中年患者自我感受负担与应对方式相关性分析与对策[J]. 护理学报, 2018, 25(3): 71-73.
[12]	段会霞, 耿莉, 李振. 160例消化道恶性肿瘤患者配偶创伤后成长现状及影响因素分析[J]. 护理学报, 2018, 25(19): 40-44.
[13]	马淑红, 李文丽, 王娟, 王新新, 刘洋. 163例女性不孕症患者配偶疾病家庭负担现状及影响因素分析[J]. 护理学报, 2018, 25(19): 51-55.
[14]	周筱春,赵凯怡,李霞,刘一苇,朱聪,陈翔. 认知行为干预对重型颅脑损伤患儿照顾者照顾负担及应对方式的影响[J]. 护理学报, 2018, 25(17): 50-54.
[15]	张丽燕,陆宇晗. 365例晚期癌症患者照顾者心理韧性现状及影响因素分析[J]. 护理学报, 2018, 25(14): 44-48.

Metrics

Viewed

Full text

Abstract

Cited

Shared