Current situation and influencing factors of fear in middle-aged and elderly bladder cancer patients with first bladder irrigation
10.3760/cma.j.cn115682-20200414-02706
- VernacularTitle:首次膀胱灌注的中老年膀胱癌患者恐惧情绪现状及影响因素分析
- Author:
Yuan YUAN
1
;
Jing YUAN
;
Yun WANG
;
Linlin SHI
;
Beiyun ZHAO
;
Xiaotong ZHOU
;
Xulin HE
Author Information
1. 上海市第十人民医院泌尿二区 200072
- Keywords:
Urinary bladder neoplasm;
Bladder irrigation;
Fear of disease progression;
Ill perception;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2020;26(34):4819-4824
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the fear of disease progression in middle-aged and elderly patients with bladder cancer after bladder irrigation for the first time, and analyze its influencing factors.Methods:From August 2018 to December 2019, 145 non-muscular invasive bladder cancer patients with bladder infusion chemotherapy who underwent transurethral resection of bladder cancer in the Department of Urology, Shanghai Tenth People's Hospital, were selected as the research object. The General Information Questionnaire, Fear of Progression Questionnaire-Short Form (FoP-Q-SF) and the Brief Illness Perception Questionnaire (BIPQ) were used to conduct a questionnaire survey to analyze the fear of middle-aged and elderly patients with bladder cancer and its influencing factors.Results:Among 145 middle-aged and elderly patients with bladder irrigation, the total score of fear of disease progression was (28.32±7.34) , the scores of physiological health dimension and social family dimension were (18.24±4.32) and (10.11±5.46) respectively, and the total score of ill perception was (44.12±10.65) . The total score of the fear of disease progression of patients was positively correlated with the total score of ill perception ( r=0.61, P<0.01) . Univariate analysis showed that there were statistical differences in the scores of fear of disease progression among middle-aged and elderly bladder irrigation patients with different ages, personal monthly incomes, religious beliefs, tumor lesions, tumor tissue grade, tumor disease progression or recurrence ( P<0.05) . Regression analysis showed that the independent influencing factors of the fear of disease progression in middle-aged and elderly patients with bladder irrigation included the religious belief, tumor tissue grade, tumor disease progression or recurrence with a statistical difference ( P<0.01) . Conclusions:Clinical medical and nursing staff should pay attention to the fear of disease progression in middle-aged and elderly patients with bladder perfusion, especially those with high grade tumor tissues, who are in the advanced stage of tumor, and have no good psychological suggestion. At the same time, we can reduce their fear of disease progression by improving disease perception.
