家庭功能对癌症恐惧复发严重程度的影响：黎巴嫩女性乳腺癌幸存者样本的横断面研究。
The influence of family functioning on the severity of fear of cancer recurrence: A cross-sectional study in a sample of breast cancer survivors of Lebanese women.
机构信息
Haigazian University, Social & Behavioral Science Department, Lebanon; Lebanese American University, Department of Psychology, School of Arts and Sciences, Lebanon; Holy Spirit University of Kaslik, School of Arts and Sciences, Department of Psychology, Lebanon.
Holy Spirit University of Kaslik, School of Arts and Sciences, Department of Psychology, Lebanon; Saint Joseph University of Beirut, Faculty of Humanities, Department of Psychology, Lebanon.
出版信息
Eur J Oncol Nurs. 2022 Oct;60:102169. doi: 10.1016/j.ejon.2022.102169. Epub 2022 Jul 2.
OBJECTIVE
To explore the links between family functioning-in terms of cohesion, flexibility, and communication-and the fear of cancer recurrence (FCR) in a sample of breast cancer survivors of Lebanese women.
METHODS
This was a cross-sectional study among 62 Lebanese adult women (mean age: 51.0 ± 8.29 years; years since diagnosis: 7.19 ± 7.06) in remission, included via convenience and snowball sampling. A multicomponent questionnaire, encompassing socio-demographic and medical questions, the "Family Adaptability and Cohesion Evaluation Scale," the "Family communication scale," and the "Family satisfaction scale" (FACES IV) and the short version of the "Fear of Cancer Recurrence Inventory" (FCRI-SF), was used. Descriptive, bivariate, and multivariate analyses were conducted. A p-value<0.01 was used to indicate statistical significance.
RESULTS
On average, FCR was clinically non-significant (12.31 ± 7.76). The sample had a low disengagement (20.01 ± 4.83), very low enmeshment (19.68 ± 4.57), very low rigid operation (21.7 ± 4.26), very low chaotic functioning (16.43 ± 4.48), high family communication level (38.78 ± 7.96), connected balanced cohesion (28.18 ± 5.47), very flexible balanced flexibility (26.81 ± 4.56), and low level of family satisfaction (34.53 ± 8.04). A very low chaotic functioning in the family (B = -11.37, Beta = -0.49, 99%CI = -19.54, -3.19), very high and low communication (B = -6.04, Beta = -0.33, 99%CI = -11.42, -0.67; B = -11.85, Beta = -0.46, 99%CI = -20.13, -3.58, respectively), very flexible balanced flexibility (B = -10.36, Beta = -0.67, 99%CI = -15.77, -4.94) and younger age (B = -0.31, Beta = -0.37, 99%CI = -0.59, -0.04) predicted a lower FCR score.
CONCLUSION
Balanced flexibility and the quality of communication within the family were associated with a decreased FCR, while chaotic family functioning increased FCR severity. Cohesion, disengagement, enmeshment, and family satisfaction did not impact the severity of FCR.
目的
探讨黎巴嫩女性乳腺癌幸存者样本中家庭功能（凝聚力、灵活性和沟通）与癌症复发恐惧（FCR）之间的联系。
方法
这是一项横断面研究，纳入了 62 名黎巴嫩成年女性（平均年龄：51.0±8.29 岁；诊断后年限：7.19±7.06 年），通过便利抽样和滚雪球抽样进行招募。使用了一份多部分问卷，包括社会人口学和医学问题、“家庭适应和凝聚力评估量表”、“家庭沟通量表”、“家庭满意度量表”（FACES IV）和“癌症复发恐惧量表”（FCRI-SF）的简短版本。进行了描述性、双变量和多变量分析。p 值<0.01 表示具有统计学意义。
结果
平均而言，FCR 临床意义不显著（12.31±7.76）。该样本的脱离程度较低（20.01±4.83），纠缠程度极低（19.68±4.57），僵化运作程度极低（21.7±4.26），混乱功能程度极低（16.43±4.48），家庭沟通水平较高（38.78±7.96），连接平衡凝聚力（28.18±5.47），非常灵活的平衡灵活性（26.81±4.56），家庭满意度水平较低（34.53±8.04）。家庭中非常低的混乱功能（B=-11.37，Beta=-0.49，99%CI=-19.54，-3.19）、非常高和低的沟通（B=-6.04，Beta=-0.33，99%CI=-11.42，-0.67；B=-11.85，Beta=-0.46，99%CI=-20.13，-3.58）、非常灵活的平衡灵活性（B=-10.36，Beta=-0.67，99%CI=-15.77，-4.94）和年龄较小（B=-0.31，Beta=-0.37，99%CI=-0.59，-0.04）与较低的 FCR 评分相关。
结论
家庭内的平衡灵活性和沟通质量与降低 FCR 相关，而家庭的混乱功能则增加了 FCR 的严重程度。凝聚力、脱离、纠缠和家庭满意度并不影响 FCR 的严重程度。
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