老年前列腺癌根治术后患者恐惧疾病进展潜在剖面研究和影响因素分析

Latent profile study of fear of disease progression in elderly patients after radical prostatectomy and analysis of its influencing factor

中文关键词: 老年  前列腺癌  剖面分析  恐惧疾病进展  影响因素  社会支持  应对方式

英文关键词: elderly  prostate cancer  latent profile analysis  fear of disease progression  influencing factor  social sup-port  coping style

中文摘要:

      目的 探讨老年前列腺癌患者根治术后恐惧疾病进展的潜在剖面及其影响因素.方法 选取2019年6月—2024年6月在上海市奉贤区中心医院行前列腺癌根治术的老年患者为研究对象.使用恐惧疾病进展简化量表(FoP-Q-SF)评估患者的恐惧疾病进展,使用社会支持评定量表和医学应对问卷(中文版)评估社会支持及医学应对方式等情况.对患者恐惧疾病进展进行潜在剖面分析,并通过单因素分析和多因素Logistic回归分析方法探讨其影响因素.结果 本研究共纳入167例老年前列腺癌患者,平均年龄(72.1±5.3)岁,中位FoP-Q-SF得分30分(20～41分).潜在剖面分析结果显示,76例患者为"低恐惧型"[(FoP-Q-SF得分为(19.70±4.72)分]),91例患者为"高恐惧型"[(FoP-Q-SF得分为(40.02±8.05)分)].其独立影响因素包括社会支持度低、采用回避应对方式,而面对的医学应对方式是高恐惧型的保护性因素.结论 老年前列腺癌患者恐惧疾病进展呈现显著个体差异性.医护人员应重点加强患者的社会支持,积极引导患者采用面对的医学应对方式,以帮助患者减轻对疾病进展的恐惧.

英文摘要:

      Objective To explore the latent profiles of fear of disease progression and its influencing factors in elderly patients after radical prostatectomy.Methods Elderly patients who underwent radical prostatectomy in Central Hospital of Fengxian District,Shanghai,between June 2019 and June 2024 were enrolled.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)was used to assess fear of disease progression.The Social Support Rating Scale(SSRS)and the Medical Coping Modes Questionnaire(Chinese Version)were used to evaluate social support and medical coping styles,respectively.A latent profile analysis(LPA)was conducted on patients' fear of disease progression.Univariate analysis and multivariate Lo-gistic regression were used to identify influencing factors.Results A total of 167 elderly prostate cancer patients were includ-ed,with a mean age of(72.1±5.3)years and a median FoP-Q-SF score of 30(IQR 20-41).The LPA results showed that 76 patients were classified as"low fear type"[FoP-Q-SF score was(19.70±4.72)],and 91 ones were classified as"high fear type"[FoP-Q-SF score was(40.02±8.05)].The independent influencing factors for the"high fear type"included low so-cial support and the adoption of avoidance coping styles,while the face-to-face medical coping style was a protective factor.Conclusion There are significant individual differences in the fear of disease progression among elderly prostate cancer pa-tients.Medical staff should focus on strengthening patients' social support and actively guide them to adopt face-to-face medical coping strategies to help alleviate their fear of disease progression.