Department of Operation, Affiliated Hospital of Hebei University, Baoding, China.
Department of Radiation Oncology, Affiliated Hospital of Hebei University, Baoding, China.
Int J Clin Pract. 2022 Dec 6;2022:2794408. doi: 10.1155/2022/2794408. eCollection 2022.
This study aimed to investigate the fear of cancer recurrence (FCR) in breast cancer patients and develop a structural equation model of influencing factors to help formulate clinical intervention strategies.
A convenience sample of 325 patients was surveyed using a general and disease-related data questionnaire, which combined the Fear of Progression Questionnaire-Short Form, Mishel Uncertainty in Illness Scale, Perceived Social Support Scale, and Medical Coping Modes Questionnaire.
The total score of FCR in breast cancer patients was 35.06 ± 10.83, and 53.8% of patients reached the clinical level. The structural equation model demonstrated that illness uncertainty had a direct positive impact on FCR ( = 0.275, < 0.05), and it could have an indirect impact through social support and resignation coping methods ( = 0.254, < 0.05).
The fear of cancer recurrence in breast cancer patients needs further understanding. Medical staff can reduce or buffer FCR in breast cancer patients by strengthening positive influences, such as social support, or weakening negative influences, such as illness uncertainty and resignation coping.
本研究旨在调查乳腺癌患者对癌症复发的恐惧（FCR），并建立影响因素的结构方程模型，以帮助制定临床干预策略。
采用一般资料和疾病相关资料问卷对 325 例患者进行便利抽样调查，问卷结合了进展恐惧问卷-短式、Mishel 疾病不确定感量表、领悟社会支持量表和医学应对方式问卷。
乳腺癌患者的 FCR 总分为 35.06±10.83，53.8%的患者达到临床水平。结构方程模型显示，疾病不确定感对 FCR 有直接的正向影响（ = 0.275， < 0.05），也可以通过社会支持和屈服应对方式间接影响（ = 0.254， < 0.05）。
需要进一步了解乳腺癌患者对癌症复发的恐惧。医护人员可以通过加强社会支持等积极影响，或削弱疾病不确定感和屈服应对等消极影响，来减轻或缓冲乳腺癌患者的 FCR。
