Department of Oncology, Cancer Center of the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Department of Medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
Ann Palliat Med. 2022 Jan;11(1):35-44. doi: 10.21037/apm-21-2821.
Lung cancer has the highest incidence rate and mortality rate of all malignancies. In recent years, the therapeutic effect of lung cancer has been greatly improved, but the fear of disease progression still directly affects the quality of life (QOL) of patients. The aim of this study was to evaluate the factors affecting the progression of fear of disease and its impact on the quality of life in patients with lung cancer.
From December 2019 to February 2020, 102 patients with lung cancer in the Department of Thoracic Oncology of a top three hospital were investigated by using the simplified fear of disease progression scale (FoP-Q-SF) and the quality-of-life scale for cancer patients (FACT-G). Data were collected and statistically analyzed by SPSS25.0 software.
A total of 110 questionnaires were distributed and 102 valid questionnaires were recovered, indicating a recovery rate of 92.7%. The results of multiple stepwise regression analyses showed that blood group, monthly income, and mood state were the influencing factors for the progression of phobic diseases in cancer patients (P<0.05), and the score of progression of phobic disease was negatively correlated with the quality-of-life score (r=-0.382).
The progress of phobic diseases in patients with lung cancer seriously affects their QOL, and further attention by medical staff in providing health education, psychological counseling, social support, and other measures is required.
肺癌是所有恶性肿瘤中发病率和死亡率最高的。近年来，肺癌的治疗效果有了很大提高，但对疾病进展的恐惧仍然直接影响患者的生活质量（QOL）。本研究旨在评估影响肺癌患者疾病进展恐惧的因素及其对生活质量的影响。
2019 年 12 月至 2020 年 2 月，采用简化的疾病进展恐惧量表（FoP-Q-SF）和癌症患者生活质量量表（FACT-G）对我院胸外科 102 例肺癌患者进行调查。使用 SPSS25.0 软件收集和统计分析数据。
共发放问卷 110 份，回收有效问卷 102 份，回收率为 92.7%。多步逐步回归分析结果表明，血型、月收入和情绪状态是癌症患者疾病进展恐惧的影响因素（P<0.05），疾病进展恐惧评分与生活质量评分呈负相关（r=-0.382）。
肺癌患者疾病进展恐惧的严重程度严重影响其生活质量，需要医务人员进一步关注，提供健康教育、心理咨询、社会支持等措施。
