摘要
目的探讨腹腔镜胃癌根治术后患者的复发恐惧与焦虑、抑郁的关系。方法将2017年2月~2020年2月我院收治的178例胃癌患者作为研究对象,均采用腹腔镜胃癌根治术治疗,用病人恐惧疾病进展简化量表(FOP-Q-SF)调查患者的复发恐惧,用焦虑自评量表(SAS)以及抑郁自评量表(SDS)调查患者抑郁焦虑情况,采用多因素分析调查癌症复发恐惧的影响因素。结果 178例患者共回收有效问卷170份,回收率95.51%;170例患者FOP-Q-SF评分为(38.88±6.98)分,其中有复发恐惧122例;有或无复发恐惧的两组患者在SAS评分、SDS评分、肿瘤TNM分期、术式方面存在具有统计学意义的差异(P<0.05),在肿瘤部位方面差异无统计学意义(P>0.05);logistic回归显示:SAS评分> 53分、SDS评分> 50分、肿瘤TNM分期Ⅲa期、全胃切除是腹腔镜胃癌根治术后复发恐惧的危险因素。结论腹腔镜胃癌根治术后患者普遍存在复发恐惧,且受到焦虑抑郁情绪以及疾病特征的影响。
Objective To explore the relationship between fear of recurrence and anxiety/depression after laparoscopic radical resection of gastric cancer. Methods A total of 178 patients with gastric cancer in our hospital from February 2017 to February 2020 were selected as the study subjects,and all were treated with laparoscopic radical resection of gastric cancer. The patient fear-progressed disease scale(FOP-Q-SF),anxiety self-rating scale(SAS),depression self-rating scale(SDS),and the disease characteristics were investigated. The multivariate analysis were used to investigate the influencing factors of fear of cancer recurrence. Results A total of 170 effective questionnaires were recovered from 178 patients,with a recovery rate of 95.51%. The FOP-Q-SF score of 170 patients was(38.88±6.98)points,122 of them had fear of recurrence. There were significant difference on SAS scores,SDS scores,tumor TNM staging,and surgical procedure between the patients with or without fear of recurrence(P<0.05). There was no statistically significant difference in tumor location between the patients with or without fear of recurrence(P>0.05). Logistic regression analysis showed that SAS score>53 points,SDS score>50 points,tumor TNM stage Ⅲ a,total gastrectomy were risk factors for fear of recurrence after laparoscopic radical gastrectomy. Conclusion Fear of relapse is very common in patients undergoing laparoscopic gastric cancer radical resection,and affected by anxiety,depression,and disease characteristics.
作者
冯明明
孟犁南
FENG Mingming;MENG Linan(Nanyang Central Hospital,Nanyang 473009,China)
出处
《国际精神病学杂志》
2020年第6期1241-1243,共3页
Journal Of International Psychiatry
关键词
腹腔镜胃癌根治
复发恐惧
焦虑
抑郁
Laparoscopic radical cure for gastric cancer
Fear of recurrence
Anxiety
Depression
