摘要
目的系统评价消化系统癌症术后患者癌症复发恐惧发生率及影响因素。方法计算机检索Cochrane Library、CINAHL Complete、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库等中英文数据库,检索从建库至2024年10月20日公开发表的关于消化系统癌症术后患者癌症复发恐惧发生率及影响因素的相关文献。采用Stata 16.0软件进行系统评价。结果共纳入28篇文献,共计6523例中国消化系统癌症术后患者。消化系统癌症术后患者癌症复发恐惧发生率为47.60%,亚组分析显示,罹患胃癌、肝癌、结直肠癌术后患者癌症复发恐惧发生率分别为32.76%、57.94%、56.73%,差异具有统计学意义(χ^(2)=170.12,P<0.001);在中国东北、华中、华东、华南、华北地区的消化系统癌症术后患者癌症复发恐惧发生率分别为42.00%、60.92%、40.86%、57.88%、51.27%,差异具有统计学意义(χ^(2)=25.19,P<0.001)。消化系统癌症术后患者癌症复发恐惧的主要影响因素包括癌症分期(r=0.22)、积极应对(r=-0.36)、消极应对(r=0.38)、焦虑抑郁(r=0.34)、疾病不确定感(r=0.25)、希望水平(r=-0.20)、自我效能(r=-0.30)、心理弹性(r=-0.45)。结论消化系统癌症术后患者复发恐惧发生率较高,且受不同癌症种类及地域的影响;癌症分期、应对方式、焦虑抑郁、疾病不确定感、希望水平、自我效能、心理弹性是消化系统癌症术后患者复发恐惧的主要影响因素。
Objective To systematically evaluate the incidence and influencing factors of fear of cancer recurrence(FCR)in postoperative patients with digestive system cancer.Methods Through computer retrieval of Chinese and English databases such as Cochrane Library,CINAHL Complete,PubMed,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP and CBM,the relevant literatures on the incidence and the influencing factors of FCR in postoperative patients with digestive system cancer were searched from inception to October 20,2024.Stata 16.0 software was used for systematic review.Results A total of 28 papers with 6523 Chinese postoperative patients with digestive system cancer were included in the analysis.The Meta-analysis showed that the incidence of FCR in postoperative patients with digestive system cancer was 47.60%.The subgroup analysis showed that the incidence of postoperative FCR in patients with colorectal cancer,hepatocellular carcinoma,and gastric cancer was 32.76%,57.94%,and 56.73%,respectively,which had statistically significant difference(2=170.12,P<0.001).The incidence of FCR in postoperative patients with digestive system cancer was 42.00%,60.92%,40.86%,57.88%,and 51.27%in northeast China,Central China,East China,South China,and North China,which had statistically significant difference(2=25.19,P<0.001).The main influencing factors included cancer stage(r=0.22),positive coping(r=-0.36),negative coping(r=0.38),anxiety and depression(r=0.34),illness uncertainty(r=0.25),hope level(r=-0.20),self-efficacy(r=-0.30),and psychological resilience(r=-0.45).Conclusion The incidence of FCR in patients with digestive system cancer after surgery is high which is affected by different cancer types and regions.Cancer stage,coping style,anxiety and depression,illness uncertainty,hope level,self-efficacy and psychological resilience are the main influencing factors.
作者
侯富文
赵媛媛
刘艳丽
李洋洋
胡重蝶
孙芳芳
陈倩倩
HOU Fuwen;ZHAO Yuanyuan;LIU Yanli;LI Yangyang;HU Chongdie;SUN Fangfang;CHEN Qianqian(School of Nursing,Shandong University of Traditional Chinese Medicine,Ji'nan 250355,China;Laser Beauty Center,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Ji'nan 250000,China;Nursing Department,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Ji'nan 250014,China;School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063000,China)
出处
《护理管理杂志》
2025年第5期433-438,共6页
Journal of Nursing Administration
关键词
消化系统
癌症
恐惧疾病进展
护理
影响因素
META分析
digestive system
cancer
fear of cancer recurrence
nursing
influencing factor
Meta analysis
