Analysis of factors related to fear of cancer recurrence in liver cancer patients undergoing liver transplantation
肝癌肝移植患者癌症复发恐惧影响相关因素的分析

摘要

目的 探讨肝癌肝移植患者癌症复发恐惧的现状及其影响因素，为临床护理干预提供依据。方法 采用横断面调查研究方法，选取2024年在本院接受随访的60例肝癌肝移植患者进行问卷调查。工具包括一般资料调查表、恐惧疾病进展量表（FoP-Q-SF）和简易应对方式量表。采用多元线性回归分析影响患者癌症复发恐惧的相关因素。结果 60例患者FoP-Q-SF总分为（33.71±6.42）分，提示存在不同程度的复发恐惧。积极应对方式与恐惧程度呈负相关。回归分析显示，年龄、文化程度、肿瘤直径及脉管侵犯是影响患者复发恐惧的主要因素（P < 0.05）。结论 肝癌肝移植患者普遍存在疾病进展恐惧，医护人员应关注高危人群，针对性地实施心理干预措施，指导患者采用积极的应对方式。

Abstract

Objective To investigate the status and influencing factors of fear of cancer recurrence (FCR) in patients with hepatocellular carcinoma (HCC) after liver transplantation, providing evidence for clinical nursing interventions.
Methods A cross-sectional survey was conducted among 60 HCC liver transplant patients followed up in our hospital in 2024. Data were collected using a general information questionnaire, the Fear of Progression Questionnaire–Short Form (FoP-Q-SF), and the Simplified Coping Style Questionnaire (SCSQ). Multiple linear regression analysis was performed to identify factors associated with FCR.
Results The mean FoP-Q-SF score of the 60 patients was 33.71 ± 6.42, indicating varying degrees of fear of recurrence. Positive coping styles were negatively correlated with FCR. Regression analysis showed that age, education level, tumor diameter, and vascular invasion were significant predictors of FCR (P < 0.05).
Conclusion   HCC liver transplant patients generally experience fear of disease progression. Medical staff should focus on high-risk individuals, implement targeted psychological interventions, and encourage the use of positive coping strategies.