Exploring fear of cancer recurrence and related factors among nasopharyngeal carcinoma patients undergoing radiotherapy:A longitudinal study
10.3969/j.issn.1673-9701.2024.20.016
- VernacularTitle:鼻咽癌放疗患者复发恐惧水平变化及影响因素的研究
- Author:
Rong QI
1
;
Huanhuan YANG
;
Jing QIU
Author Information
1. 福建医科大学肿瘤临床医学院福建省肿瘤医院特需病房,福建福州 350014
- Keywords:
Nasopharyngeal cancer;
Radiation therapy;
Fear of recurrence;
Influencing factors
- From:
China Modern Doctor
2024;62(20):73-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the changes and influencing factors of recurrence fear level in nasopharyngeal carcinoma radiotherapy patients,and to provide a basis for developing targeted nursing interventions.Methods A prospective study was conducted from January 2022 to June 2023,using a general information questionnaire,the simplified fear of disease progression scale for cancer patients(FoP-Q-SF),the Chinese version of the fatigue scale(CFS),and the M D.Anderson symptom assessment scale(head and neck)(MDASI-H&N)at 1 day before radiotherapy,the 15th dose of radiotherapy,the end of radiotherapy,and 3 months after radiotherapy,Compare the differences in the results of four measurements and analyze their influencing factors.A total of 105 patients completed 4 evaluations,and at the 4 evaluation time points,the fear of cancer recurrence(FCR)scores of nasopharyngeal carcinoma radiotherapy patients were(34.71±7.18)points,(36.18±8.70)points,(26.95±6.29)points,and(25.21±5.90)points,respectively.The results of the generalized estimation equation analysis showed that gender,educational level,economic income,disease stage,fatigue level,and symptom distress were the factors affecting the level of recurrence fear in nasopharyngeal carcinoma radiotherapy patients(P＜0.05).Conclusion Nasopharyngeal cancer radiotherapy patients generally have a fear of recurrence,and the level of fear of recurrence shows dynamic changes.Clinical medical staff should timely evaluate the dynamic changes of fear of recurrence in patients,develop targeted intervention measures from different gender,education level,economic situation,disease stage,and other comprehensive aspects,implement precise and personalized dynamic management,in order to reduce the level of fear of recurrence in patients and improve their quality of life.
