目的:害怕复发(FoR)是癌症患者中普遍存在且困难的经历。大多数研究都集中在乳腺癌患者中的FER,较少关注口腔癌和口咽癌幸存者中FoR的表征水平和相关性。目的是通过评估全球恐惧和特定担忧的性质以及评估社会人口统计学和临床因素的作用来表征FER。幸存者护理过渡实践,生活方式因素,和FoR的抑郁症状。
方法:从两个癌症登记处招募的三百八十九名口腔和口咽幸存者完成了一项评估人口统计学的调查,癌症治疗,症状,酒精和烟草的使用,幸存者护理实践,抑郁症,还有FoR.
结果:40%报告全球FoR升高,死亡(46%)和健康担忧(40.3%)的比例相似。年轻,女性幸存者和经历更多身体和抑郁症状的幸存者报告了更多的全球恐惧和对复发对角色的影响的具体恐惧,健康,和身份,和对死亡的恐惧。抑郁占差异的很大百分比。较低的收入与更多的角色和身份/性担忧相关,经济困难与更多的角色担忧有关。
结论:FAR是口腔癌和口咽癌幸存者的一种相对常见的经历。它的许多相关性是可以改变的因素,可以用多焦点来解决,量身定制的生存护理干预措施。
结论:评估和解决抑郁症状,财务问题,存活前几年的预期身体症状可能会影响口腔癌和口咽癌幸存者的FoR。
OBJECTIVE: Fear of recurrence (FoR) is a prevalent and difficult experience among cancer patients. Most research has focused on FoR among breast cancer patients, with less attention paid to characterizing levels and correlates of FoR among oral and oropharyngeal cancer survivors. The purpose was to characterize FoR with a measure assessing both global fears and the nature of specific worries as well as evaluate the role of sociodemographic and clinical factors, survivorship care transition practices, lifestyle factors, and depressive symptoms in FoR.
METHODS: Three hundred eighty-nine oral and oropharyngeal survivors recruited from two cancer registries completed a survey assessing demographics, cancer treatment, symptoms, alcohol and tobacco use, survivorship care practices, depression, and FoR.
RESULTS: Forty percent reported elevated global FoR, with similar percentages for death (46%) and health worries (40.3%). Younger, female survivors and survivors experiencing more physical and depressive symptoms reported more global fears and specific fears about the impact of recurrence on roles, health, and identity, and fears about death. Depression accounted for a large percent of the variance. Lower income was associated with more role and identity/sexuality worries, and financial hardship was associated with more role worries.
CONCLUSIONS: FoR is a relatively common experience for oral and oropharyngeal cancer survivors. Many of its correlates are modifiable factors that could be addressed with multifocal, tailored survivorship care interventions.
CONCLUSIONS: Assessing and addressing depressive symptoms, financial concerns, expected physical symptoms in the first several years of survivorship may impact FoR among oral and oropharyngeal cancer survivors.