摘要
目的调查腺瘤性息肉患者疾病进展恐惧(FoP)现状,探讨其与患者自我感受负担和家庭坚韧力的关系。方法选择2023年12月至2024年12月空军军医大学唐都医院收治的190例腺瘤性息肉患者为研究对象。使用一般资料调查表、癌症患者疾病进展恐惧简化量表(FoP-Q-SF)、家庭坚韧性量表(FHI)和自我感受负担量表(SPBS)进行调查。Pearson相关性分析法分析FoP与自我感受负担和家庭坚韧力的关系,Logistic回归分析患者FoP的主要影响因素。结果本研究共纳入190例腺瘤性息肉患者,FoP-Q-SF总分为(29.09±3.95)分,其中41例(21.58%)患者评分≥34分,提示患者处于心理功能失调状态。不同教育程度、家庭月收入、病程、医疗费支付渠道、FHI评分和SPBS评分的患者FoP-Q-SF评分比较,差异均有统计学意义(P<0.05)。FHI评分与FoP-Q-SF总分呈负相关(r=-0.523),SPBS评分与FoP-Q-SF总分呈正相关(r=0.543)(均P<0.05)。受教育程度高中及以下或大专(OR=1.863,95%CI:1.128~3.076)、家庭月收入≤5000元(OR=1.808,95%CI:1.077~3.033)、医疗费支付渠道为自费(OR=2.162,95%CI:1.378~3.392)、FHI评分≤40分(OR=0.471,95%CI:0.234~0.951)和SPBS评分≥20分(OR=2.143,95%CI:1.591~2.886)均为腺瘤性息肉患者FoP的影响因素(P<0.05)。结论目前,腺瘤性息肉患者FoP水平相对较低,患者的FoP增加了患者自我感受负担,提高家庭坚韧力有利于降低患者FoP水平。
Objective To investigate the status quo of fear of progression(FoP)in patients with adenomatous polyps,and to explore its relationship with self-perceived burden and family hardiness.Methods A total of 190 patients with adenomatous polyps who were treated in Tangdu Hospital,Air Force Medical University from December 2023 to December 2024 were enrolled.The general information questionnaire,Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Family Hardiness Index(FHI)and Self-Perceived Burden Scale(SPBS)were used for assessment.Pearson correlation analysis was utilized to analyze the relationship between FoP and self-perceived burden as well as family hardiness.Logistic regression analysis was conducted to identify the main influencing factors of FoP.Results A total of 190 patients with adenomatous polyps were included.The total score of FoP-Q-SF was(29.09±3.95)points,with 41 patients(21.58%)scoring≥34 points,indicating psychological dysfunction.There were statistically significant differences in FoP-Q-SF scores among patients with different education levels,family monthly incomes,disease courses,medical payment methods,FHI scores and SPBS scores(P<0.05).FHI score was negatively correlated with FoP-Q-SF total score(r=–0.523),while SPBS score was positively correlated with FoP-Q-SF total score(r=0.543)(P<0.05).Education level of high school or below/junior college(OR=1.863,95%CI:1.128-3.076),family monthly income≤5000 yuan(OR=1.808,95%CI:1.077-3.033),out-of-pocket payment for medical expenses(OR=2.162,95%CI:1.378-3.392),FHI score≤40 points(OR=0.471,95%CI:0.234-0.951)and SPBS score≥20 points(OR=2.143,95%CI:1.591-2.886)were identified as influencing factors of FoP in patients with adenomatous polyps(P<0.05).Conclusion At present,patients with adenomatous polyps have a relatively low level of FoP.FoP increases patients'self-perceived burden,and improving family hardiness is beneffcial for reducing FoP level.
作者
周会平
张琳
ZHOU Huiping;ZHANG Lin(Department of Gastroenterology,Tangdu Hospital,Air Force Medical University,Xi'an 710038,China)
出处
《转化医学杂志》
2026年第1期117-122,共6页
Translational Medicine Journal
基金
陕西省创新能力支撑计划项目(2024CX-GXPT-44)。
