以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (20): 8-12.doi: 10.16460/j.issn1008-9969.2024.20.008

Previous Articles     Next Articles

Current status of fear of cancer recurrence in young and middle-aged patients with cervical cancer after surgery and its influencing factors: a 228-case study

LI Yue-ge1, KONG Han1, CAO Ding1, LI Jia-xin1, SHANG Ya-meng1, CHANG Shu-ying2   

  1. 1. School of Nursing and Health, Henan University, Kaifeng 475004, China;
    2. Dept. of Gynecologic Oncology, Henan Provincial People's Hospital, Zhengzhou 450003, China
  • Received:2024-03-11 Online:2024-10-25 Published:2024-11-07

PDF (PC)

11

Like

Abstract: Objective To investigate the current situation of fear of cancer recurrence in young and middle-aged patients with cervical cancer after surgery, and to analyze its influencing factors. Methods A total of 228 middle-aged and young patients with cervical cancer after surgery were selected from May 2023 to September 2023 in Gynecology Oncology Department of a tertiary grade-A hospital in Zhengzhou. The General Information Questionnaire, Simplified Fear of Disease Progression Scale, Simplified Disease Perception Questionnaire and the second version of Acceptance and Action Questionnaire were used to conduct an investigation. Multiple linear regression was used to analyze the factors affecting the fear of cancer recurrence in young and middle-aged cervical cancer patients after surgery. Results The total score of fear of cancer recurrence was 35.39±5.75. Multiple linear regression analysis showed that age, disease stage, disease perception and empirical avoidance entered the regression equation (P<0.05), accounting for 37.1% of the total variance. Conclusion In this group, the fear of cancer recurrence in young and middle-aged patients after cervical cancer surgery is at a medium and low level, and age, pathological stage, disease perception and empirical avoidance are the main influencing factors for the fear of cancer recurrence, suggesting that medical staff should pay attention to younger patients and those with advanced cervical cancer. Multi-faceted social and emotional support, group psychological intervention, patients' emotional and psychological state, disease-related knowledge education, patients' negative disease perception, and empirical avoidance coping should be taken into consideration.

Key words: young and middle-aged, cervical cancer patient, fear of cancer recurrence, disease perception, empirical avoidance

CLC Number: 

  • R473.73
[1] Lebel S, Ozakinci G, Humphris G, et al.From normal response to clinical problem: definition and clinical features of fear of cancer recurrence[J].Support Care Cancer,2016, 24(8): 3265-3268.DOI:10.1007/s00520-016-3272-5.
[2] Simard S, Thewes B, Humphris G, et al.Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies[J].J Cancer Surviv,2013, 7(3):300-322.DOI:10.1007/s11764-013-0272-z.
[3] Crist JV, Grunfeld EA.Factors reported to influence fear of recurrence in cancer patients: a systematic review[J]. Psychooncology,2013, 22(5): 978-986.DOI:10.1002/pon.3114.
[4] 黄云萌, 刘于, 汪秧秧, 等.自我调节常识模型在慢性病管理中的研究进展[J].中华护理杂志,2023, 58(18): 2293-2298. DOI: 10.3761/j.issn.0254-1769.2023.18.018.
[5] 中国抗癌协会妇科肿瘤专业委员会.子宫颈癌诊断与治疗指南(2021版)[J].中国癌症杂志,2021,31(6):474-489.DOI: 10.19401/j.cnki.1007-3639.2021.06.06.
[6] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010, 45(4):378-380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.
[7] Mehnert A, Herschbach P, Berg P, et al.[Fear of progression in breast cancer patients—validation of the short form of the Fear of Progression Questionnaire(FoP-Q-SF)][J].Z Psychosom Med Psychother,2006, 52(3):274-288.DOI:10.131.9/zptm.2006.52.3.274.
[8] 吴奇云, 叶志霞, 李丽, 等.癌症患者恐惧疾病进展简化量表的汉化及信效度分析[J].中华护理杂志,2015, 50(12): 1515-1519. DOI: 10.3761/j.issn.0254-1769.2015.12.021.
[9] 张爱萍, 段素伟.社会疏离在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介效应[J].护理学报, 2022, 29(13): 66-70. DOI: 10.16460/j.issn.1008-9969.2022.12.066.
[10] Broadbent E, Petrie KJ, Main J, et al.The Brief Illness Perception Questionnaire[J].J Psychosom Res,2006, 60(6): 631-637.DOI: 10.13406/j.cnki.cyxb.000482.
[11] 孙伟铭, 楼青, 袁也丰, 等.简易版疾病认知问卷中文版在躯体化障碍患者中的应用[J].重庆医科大学学报,2015, 40(8):1138-1142. DOI: 10.13406/j.cnki.cyxb.000482.
[12] Bond FW, Hayes SC, Baer RA, et al.Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: a revised measure of psychological inflexibility and experiential avoidance[J]. Behav Ther,2011, 42(4): 676-688.DOI: 10.1016/j.beth.2011.03.007.
[13] 曹静, 吉阳, 祝卓宏.接纳与行动问卷第二版中文版测评大学生的信效度[J].中国心理卫生杂志,2013,27(11):873-877. DOI: 10.3969/j.issn.1000-6729.2013.11.01.
[14] 黄修妤, 苏汐锡, 郑晓燕, 等.口腔癌术前患者疼痛自我效能在经验性回避与疼痛的中介效应[J].护理学报,2023, 30(15):64-68.DOI:10.16460/j.issn.1008-9969.2023.15.064.
[15] 杨梅, 肖静, 蔡辉.多元分析中的多重共线性及其处理方法[J].中国卫生统计,2012, 29(4): 620-624.
[16] 姚敏, 周昔红, 夏春芳,等.宫颈癌患者恐惧疾病进展及影响因素研究[J].中华护理杂志,2022,57(18):2232-2239. DOI: 10.3761/j.issn.0254-1769.2022.18.009.
[17] 赖小玲, 黎淑仪.治疗后宫颈癌患者复发恐惧现状及影响因素分析[J].护理学杂志,2019, 34(7):69-72. DOI: 10.3870/j.issn.1001-4152.2019.07.069.
[18] Schapira L, Zheng Y, Gelber SI, et al.Trajectories of fear of cancer recurrence in young breast cancer survivors[J].Cancer,2022, 128(2): 335-343.DOI:10.1002/cncr.33921.
[19] Quinn MA, Benedet JL, Odicino F, et al.Carcinoma of the cervix uteri. FIGO 26th annual report on the results of treatment in gynecological cancer[J].Int J Gynaecol Obstet,2006, 95(Suppl 1):43-103. DOI:101016/S0020-7292(06)60030-1.
[20] Horwood M, Loades ME, Kosir U, et al.Illness perceptions, fear of cancer recurrence, and mental health in teenage and young adult cancer survivors[J].J Pediatr Hematol Oncol Nurs,2024,41(1):44-55.DOI:10.1177/27527530231190378.
[21] Leventhal H, Leventhal EA, Contrada RJ, et al.Self-regulation, health, and behavior: a perceptual-cognitive approach[J]. Psychol Health,1998, 13(4): 717-733.
[22] 林韦彤, 刘立芳, 万晶晶, 等.肾移植受者恐惧疾病进展现状及影响因素研究[J].中华护理杂志,2022,57(1):73-78. DOI: 10.3761/j.issn.0254-1769.2022.01.011.
[23] Fardell J E, Thewes B, Turner J, et al.Fear of cancer recurrence: a theoretical review and novel cognitive processing formulation[J].J cancer Surviv,2016, 10(4):663-673.DOI:10.1007/s11764-015-0512-5.
[24] Liao KY, Yeung NCY, Wong CCY, et al.Fear of cancer recurrence and physical well-being among Chinese cancer survivors: the role of conscientiousness, positive reappraisal and hopelessness[J].Support Care Cancer,2017,25(4):1141-1149.DOI:10.1007/s00520-016-3504-8.
[25] Hayes SC, Levin ME, Plumb-Vilardaga J, et al.Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy[J]. Behav Ther,2013, 44(2):180-198.DOI: 10.1016/j.beth.2009.08.002.
[26] Johns SA, Stutz PV, Talib TL, et al.Acceptance and commitment therapy for breast cancer survivors: with fear of cancer recurrence: a 3-arm pilot randomized controlled trial[J].Cancer,2020,126(1):211-218.DOI:10.1002/cncr.32518.
[27] 杨翠茹, 刘健, 刘露, 等.抑郁症患者认知融合和经验性回避与抑郁水平的关系[J].中国心理卫生杂志,2019,33(3):182-186.DOI: 10.3969/j.issn.1000-6729.2019.03.005.
[1] WU Qian, JIANG Yu, JIN Meng-jie, FAN En, SHI Li, WANG Mei-xin. Current status of social alienation of young patients with newly-treated pulmonary tuberculosis and its influencing factors: a 321-case study [J]. Journal of Nursing, 2024, 31(4): 65-69.
[2] ZHOU Gui-ling, XU Rong, BIAN Xu-na, ZHEN Wei. Development of Health Literacy Scale for middle-aged and young T2DM patients and its validation [J]. Journal of Nursing, 2023, 30(14): 73-78.
[3] ZHANG Yuan-xing, CHEN Lu, JI Cui-ling, WANG Fang, YUAN Ping, HE Man-lan. Influencing Factors and Pathway Analysis of Functional Exercise Adherence in Young and Middle-aged Patients with Hemorrhagic Stroke [J]. Journal of Nursing, 2022, 29(20): 6-10.
[4] CUI Juan, Sun Xiang-lian, YANG Ke, WANG Jie-min, LI Hong-li, YIN Chong-gao. Current Status of Body Image and Sexual Adjustment in Breast Cancer Patients and Its Influence Factors [J]. Journal of Nursing, 2021, 28(6): 1-5.
[5] LI Xi-zhen, CAO Mei-chang, DENG Ju-ying, ZENG Man-ping, OU Li-fang. Effect of Narrative Therapy on Fear of Cancer Recurrence and Level of Hope in Patients with Nasopharyngeal Carcinoma [J]. Journal of Nursing, 2020, 27(11): 71-74.
[6] HUANG Liu,HUANG Yan-lin,ZOU Bao-lin,LI Hao-yu. Effect of Cognitive Behavior Intervention on Young and Middle-aged Peritoneal Dialysis Patients [J]. , 2016, 23(19): 54-58.
[7] LI Ya-nan,SUN Zhi-ling,YAN La-mei,BAI Guang-fang. Influencing Factors of Therapeutic Adherence of Young and Middle-aged Hypertension Patients [J]. Journal of Nursing, 2014, (8): 1-4,5.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2024, 31(16): 50 -55 .
[2] . [J]. Journal of Nursing, 2024, 31(18): 12 -15 .
[3] HU Xing-juan, ZHANG Lun, GAO Yu-lin, GAO Chun-feng, CHEN Miao-yan, LI Xiao-jun, CHEN Xi-lin, HONG Du-yun, LIANG Ye-ji. Effect of generative artificial intelligence assisted blended teaching in teaching of infection prevention with intradermal needle for intern nursing students[J]. Journal of Nursing, 2024, 31(18): 21 -25 .
[4] . [J]. Journal of Nursing, 2024, 31(18): 26 -29 .
[5] . [J]. Journal of Nursing, 2024, 31(18): 30 -34 .
[6] SHI Chen, YAN Ze-lin, MA Jia-jun, LI Xin-xu, OU Chun-quan. Missing data in patient-reported outcomes in clinical studies and its solutions[J]. Journal of Nursing, 2024, 31(18): 35 -38 .
[7] CAO Chun-ju, WANG Wen, HUANG Mei-ying, HAN Bing, ZENG Mei, LUO Wen-jie, ZHANG Xiao-qin, HUANG Wei-ling, LI Wen-ying, SU Yun-tao, TANG Su-juan. Best evidence summary for management of pruritus in patients with cholestasis[J]. Journal of Nursing, 2024, 31(18): 39 -44 .
[8] YAO Yao, ZHANG Min, CHEN Yan, WANG Chun. Implementation difficulties of “Internet +” disability care service from perspective of user experience[J]. Journal of Nursing, 2024, 31(19): 1 -7 .
[9] LU Zhen-tao, SHI Fu-xia, WANG Yu-hui, GUO Jing. Clinical application rules of auricular point sticking for cancer-induced fatigue based on data mining[J]. Journal of Nursing, 2024, 31(19): 8 -11 .
[10] HAO Yang, QIN Yan-mei, MAO Mei-qi, ZHAO Ya-ning, LIU Yao, HAN Ying. Influencing factors of cognitive frailty in community-dwelling elderly individuals based on Bayesian network model[J]. Journal of Nursing, 2024, 31(19): 12 -18 .