Zhu Nai-Geng, Zhao Dong-Dong, Cui Heng, Sun Sheng-Hong
Department of Medical, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China.
World J Gastrointest Surg. 2025 Jul 27;17(7):106026. doi: 10.4240/wjgs.v17.i7.106026.
Fear of cancer recurrence (FCR) is a common psychological problem among patients with cancer, especially elderly patients. For patients with gastric cancer (GC) who have undergone treatments such as surgery, FCR may seriously affect their quality of life and psychological well-being.
To evaluate the FCR in elderly patients with GC undergoing laparoscopic radical surgery in Hefei City and to explore its related influencing factors.
In this study 264 elderly patients with GC who underwent laparoscopic radical surgery in four hospital districts of The First Affiliated Hospital of Anhui Medical University from June 2021 to January 2024 were recruited. Information on basic characteristics, disease characteristics, psychological status, and social support was collected by a questionnaire. In statistical analysis, the test and test were used to analyze the differences between groups. The influencing factors of FCR were analyzed by logistic regression. Based on these influencing factors, a nomogram model was initially constructed to identify patients with GC with high FCR risk.
Elderly patients with GC generally faced higher FCR levels after laparoscopic radical surgery. Among the 264 patients, 168 had clinical symptoms of FCR, and the prevalence rate was 63.64%. Further analysis showed that older age, high mental resilience, and sufficient social support were favorable factors for reducing FCR level, while heavier self-perceived burden, low education level, shorter duration of disease, larger tumor diameter, and more complications were associated with a higher FCR level.
This study demonstrated the significance of psychological interventions and social support strategies in reducing FCR among elderly patients with GC. In the future treatment protocols should be further optimized, and psychological and social support should be enhanced to improve the quality of life for this patient population.
癌症复发恐惧（FCR）是癌症患者中常见的心理问题，尤其是老年患者。对于接受过手术等治疗的胃癌（GC）患者，FCR可能严重影响其生活质量和心理健康。
评估合肥市接受腹腔镜根治性手术的老年GC患者的FCR情况，并探讨其相关影响因素。
本研究纳入了2021年6月至2024年1月在安徽医科大学第一附属医院四个院区接受腹腔镜根治性手术的264例老年GC患者。通过问卷调查收集基本特征、疾病特征、心理状态和社会支持等信息。在统计分析中，采用检验和检验分析组间差异。通过逻辑回归分析FCR的影响因素。基于这些影响因素，初步构建列线图模型以识别FCR风险高的GC患者。
老年GC患者在腹腔镜根治性手术后普遍面临较高的FCR水平。在264例患者中，168例有FCR的临床症状，患病率为63.64%。进一步分析表明，年龄较大、心理弹性高和社会支持充足是降低FCR水平的有利因素，而自我感知负担较重、教育水平低、病程短、肿瘤直径大及并发症多与较高的FCR水平相关。
本研究证明了心理干预和社会支持策略在降低老年GC患者FCR中的重要性。在未来应进一步优化治疗方案，并加强心理和社会支持，以提高该患者群体的生活质量。
