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| Development trajectory and influencing factors of cancer recurrence fear in spouses of patients with postoperative adjuvant chemotherapy after breast cancer |
| ZHANG Yanfang1, YU Yuanyuan2, HU Manman3,LUO Qun4, WANG Li5, ZHAO Long1, YANG Xiumu1. |
| 1.School of Nursing, Bengbu Medical College, Bengbu 233030, China; 2.Kidney Disease Department, the Second Affiliated Hospital of Bengbu Medical College,Bengbu 233030, China; 3.Respiratory and Critical Care Medicine, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233030, China; 4.Surgical Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei 230093, China; 5.Blood Purification Center, Bozhou People’s Hospital, Bozhou 236800, China |
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| Cite this article: |
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ZHANG Yanfang,YU Yuanyuan,HU Manman, et al. Development trajectory and influencing factors of cancer recurrence fear in spouses of patients with postoperative adjuvant chemotherapy after breast cancer[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(3): 195-202.
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Abstract Objective: To analyze the development trajectory of cancer recurrence fear and its influencing factors in the spouses of patients with adjuvant chemotherapy after breast cancer surgery. Methods: Convenient sampling method was used to select spouses of patients with adjuvant chemotherapy after breast cancer surgery as the investigation subjects, who were admitted to the Department of Oncology, the First Affiliated Hospital of Bengbu Medical College and the Second Affiliated Hospital of Bengbu Medical College from May 2021 to December 2022. Spouses were surveyed by fear of disease progression reduced scale, resilience scale and perceived social support scale before surgery, 7 days, 3 months, 5 months, 7 months after surgery. The growth mixed model was used to identify spouse cancer recurrence fear trajectory of potential categories, and multiclassification Logistic regression analysis was made on the influencing factors of potential categories. Results: A total of 192 spouses of breast cancer patients were included, and the trajectory of cancer recurrence was identified into three categories, namely, late remission (32.8%), slow decline (50.5%), and persistent fear (16.7%). Multiclassification Logistic regression analysis showed that residence, education level, combined chronic diseases,shared caregivers, psychological resilience and social support were the influencing factors of the trajectory of cancer recurrence (P<0.05). Conclusion: The fear of cancer recurrence in spouses of breast cancer patients is heterogeneous from preoperative to 7 months postoperative. Medical staff should pay more attention to the evaluation and intervention of the fear of cancer recurrence in spouses with more chronic diseases and lower level of social support.
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Received: 24 November 2022
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