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| Influence factors of the fear of cancer recurrence of patients with cervical cancer and their correlation with the marital support and health literacy |
| Huai'an Fist Hospital Afftliated to Nanjing Medical University，Huai'an，Jangsu Province, 223300 |
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Abstract To explore the correlation between the marital support and health literacy of patients with cervical cancer and their fear of cancer recurrence, and to provide reference for the clinical nursing of the patients. Methods: A total of 206 patients with cervical cancer who had undergone surgical treatment in hospital from July 2021 to June 2023 were investigated by the general information questionnaire, the couple support questionnaire (CSQ), the health literacy scale for patients with chronic diseases (HeLMS) and the fear of progression simplified scale (FoPQSF). Pearson regression analysis was used to analyze the correlation between the scores of CSQ and HeLMS of the patients and their FoPQSF score. Multiple linear regression analysis was used to identify the related factors affecting the fear of cancer recurrence of the patients. Results: A total of 206 questionnaires were distributed, and 189 were effectively recovered, with an effective recovery rate of 91.8%. The FoPQSF score of the patients with cervical cancer was 39.52±6.74 points, of which, the score of 105(55.6%) cases was ≥34 points. The scores of CSQ and HeLMS of the patients with cervical cancer were 68.6±10.59 points and 65.77±9.56 points. Pearson regression analysis showed that the CSQ score and HeLMS score of the patients with cervical cancer were negatively correlated with their FoPQSF score (P<0.001). Multivariate analysis showed that the young age, the low family per capita monthly income, the advanced tumor stage, and the low scores of CSQ and HeLMS of the patients with cervical cancer were all the factors influencing their cancer recurrence fear (all P<0.001). Conclusion: The incidence and the level of cancer recurrence fear of the patients with cervical cancer are all high. The marital support and the health literacy of patients with cervical cancer are negatively correlated with their fear of cancer recurrence. The nursing intervention measures should be taken according to these influencing factors of the cancer recurrence fear of the patients with cervical cancer in order to reduce their fear of cancer recurrence and improve their treatment effect.
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