目的:研究轨迹,肺癌患者癌症复发恐惧(FCR)与生活质量(QOL)的影响因素及动态关系。
方法:前瞻性纵向研究。
方法:对来自中国三家医院的310例肺癌患者在术后1、3、6和12个月(T1-T4)的纵向数据进行评估。描述性统计以患者人口统计学为特征,临床特征,FCR和QOL的水平。采用线性混合效应模型分析FCR轨迹,确定这些轨迹的影响因素,并预测FCR对QOL的影响。
结果:随着时间的推移,FCR发生了显著变化,在T1-T2期间略有下降,T3时增加,T4时逐渐下降。较高的恐惧水平与女性有关,郊区或乡村居民,作为一个养家糊口的人,存在合并症和消极应对行为,家庭韧性低。QOL与FCR呈负相关,和FCR预测较低的QOL。
结论:术后3个月和6个月,肺癌患者,尤其是女性,郊区或农村居民,家庭养家糊口,那些有合并症的人,消极应对行为和低家庭韧性,报告高水平的FCR。医疗保健提供者应特别注意肺癌患者,特别是在术后3-6个月期间,并提供量身定制的干预措施以改善他们的生活质量。
■了解FCR轨迹,其影响因素及其对QOL的负面影响可以指导制定有针对性的干预措施,以减少癌症患者的恐惧,提高患者的幸福感。
结论:确定患者在不同时间点对肺癌复发恐惧的轨迹和影响因素,为未来研究针对性干预措施以改善生活质量提供依据。
■该研究遵循了《关于报告观察性纵向研究的声明》中概述的指南。
OBJECTIVE: To investigate the trajectory, influencing factors and dynamic relationships between fear of cancer recurrence (FCR) and quality of life (QOL) in lung cancer patients.
METHODS: Prospective longitudinal study.
METHODS: Longitudinal data from 310 lung cancer patients across three hospitals in China were assessed at 1, 3, 6 and 12 months postoperatively (T1 -T4 ). Descriptive statistics characterised patient demographics, clinical characteristics, levels of FCR and QOL. A linear mixed-effects model was employed to analyse FCR trajectories, identify influencing factors on these trajectories, and predict the impact of FCR on QOL.
RESULTS: FCR changed significantly over time, with a slight decrease during T1 -T2 , an increase at T3 and gradual decline at T4 . Higher fear levels were associated with female sex, suburban or rural residency, being a family breadwinner, presence of comorbidities and negative coping behaviours, and low family resilience. QOL negatively correlated with FCR, and FCR predicted lower QOL.
CONCLUSIONS: At 3 and 6 months postoperatively, lung cancer patients, especially women, suburban or rural residents, family breadwinners, those with comorbidities, negative coping behaviours and low family resilience, reported high levels of FCR. Healthcare providers should pay special attention to lung cancer patients especially during the period of 3-6 months post-surgery and offer tailored interventions to improve their QOL.
UNASSIGNED: Understanding the FCR trajectories, its influencing factors and its negative impacts on QOL can guide the development of targeted interventions to reduce fear and enhance well-being in patients with cancer.
CONCLUSIONS: Identifying the trajectories and influencing factors of fear of lung cancer recurrence in patients at different time points informs future research on targeted interventions to improve QOL.
UNASSIGNED: The study adhered to the guidelines outlined in the Statement on Reporting Observational Longitudinal Research.