Study on status of fear for disease progression in human papillomavirus positive women
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摘要:目的 调查分析人乳头瘤病毒（HPV）阳性女性的疾病进展恐惧现状及其存在的心理问题。方法 第1阶段为质性研究，选取11名HPV阳性女性进行半结构式访谈，以资料饱和为原则，采用主题分析法进行资料整理；第2阶段为量性研究，以第1阶段的研究结果为基础编制HPV阳性女性疾病进展恐惧量表，选取180例HPV阳性女性为调查对象，采用一般资料问卷、HPV阳性女性疾病进展恐惧量表进行调查。结果 HPV阳性女性的访谈结果得出3个主题，分别为担心疾病进展及对感染转归的情感反应较重、对生理健康的恐惧、对家庭社会功能的恐惧。问卷总均分为（55.58±9.23）分，情感反应、生理健康、家庭社会功能维度的得分分别为（4.32±0.89）、（3.29±1.07）、（2.95±1.11）分。结论 HPV阳性女性对疾病进展的恐惧心理较严重，在生理健康及家庭社会功能方面均存在恐惧感，医务人员应充分重视并积极干预，以减轻HPV阳性女性的疾病进展恐惧心理。Abstract:Objective To investigate and analyze the fear of disease progression and the existing psychological problems in human papillomavirus(HPV) positive women.Methods The first stage of study was a qualitative study, 11 HPV-positive women were selected for semi-structured interviews. Based on the principle of data saturation, thematic analysis was used to collect the data. The second stage was quantitative research. Based on the results of the first qualitative stage, the HPV Positive Women's Fear of Disease Progression Scale was compiled. After the scale was formed, 180 cases of HPV positive women were selected as study subjects, and were investigated by general information questionnaire and HPV Positive Women's Fear of Disease Progression Scale.Results The interview results showed that there were three aspects they concerneddisease progression as well as emotion response caused by infection, physical health, and family as well as social function. The total average score of the questionnaire was (55.58±9.23), emotional response score was (4.32±0.89), physical health score was (3.29±1.07), and family social function score was (2.95±1.11).Conclusion HPV positive women have a serious psychological fear for disease progression, and they have a fear of physical health and family as well as social function. Medical staff should pay attention to the status of these patients with fear of disease progression to alliviate their fear of disease progression.
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表 1 HPV阳性女性疾病进展恐惧量表各维度得分情况(x±s)
维度 总得分范围/分 标准化得分/分 排序 情感反应 7~35 4.32±0.89 1 生理健康 5~25 3.29±1.07 2 家庭社会功能 3~15 2.95±1.11 3 
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表 2 HPV阳性女性疾病进展恐惧量表各条目得分情况(x±s)
维度 条目 得分/分 排序 情感反应 害怕无有效措施阻止癌变 4.10±0.95 6 害怕HPV感染发生癌变 4.51±0.63 2 害怕癌变后死亡 4.16±0.93 5 担心HPV感染不能转阴 4.68±0.63 1 担心下一次检查结果恶化 4.24±1.03 4 担心HPV感染转阴后会复发 4.46±0.86 3 向主治医生描述恐惧情况对自身有帮助 4.09±0.93 7 生理健康 因疾病可能进展而变得焦虑 3.33±1.18 10 预约医生或定期检查前感到紧张 3.33±0.97 11 因担忧自身健康而对别人感到烦躁 2.91±0.91 14 害怕感染危及与伴侣的关系，影响夫妻生活 3.56±0.98 8 担心HPV感染传染给伴侣 3.34±1.16 9 家庭社会功能 担心自己因为恐惧而给家人带来心理负担 2.83±1.16 15 担心自己得知感染后影响工作情绪 2.92±1.07 13 担心疾病进展后影响自己继续工作 3.11±1.10 12
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[1] 石秀玲, 夏永梅, 彭存旭. 病程日记对高危型HPV持续感染妇女健康教育效果的影响[J]. 中华现代护理杂志, 2017, 23(17): 2234-2237. doi: 10.3760/cma.j.issn.1674-2907.2017.17.008 [2] DANKERT A, DURAN G, ENGST-HASTREITER U, et al. Fear of progression in patients with cancer, diabetes mellitus and chronic arthritis[J]. Rehabilitation: Stuttg, 2003, 42(3): 155-163. doi: 10.1055/s-2003-40094
[3] LEBEL S, OZAKINCI G, HUMPHRIS G, et al. Current state and future prospects of research on fear of cancer recurrence[J]. Psychooncology, 2017, 26(4): 424-427. doi: 10.1002/pon.4103
[4] RASK M, SWAHNBERG K, LINDELL G, et al. Women's experiences of abnormal Pap smear results-A qualitative study[J]. Sex Reprod Healthc, 2017, 12(6): 3-8. http://www.sciencedirect.com/science/article/pii/S1877575616300933
[5] LEITE V, SANTOS B D, PEREIRA M G. Psychosocial impact of human papillomavirus on women's sexual dissatisfaction and quality of life[J]. J Psychosom Obstet Gynaecol, 2019, 40(3): 232-238. doi: 10.1080/0167482X.2018.1470164
[6] 孙晓娥. 深度访谈研究方法的实证论析[J]. 西安交通大学学报: 社会科学版, 2012, 32(3): 101-106. doi: 10.3969/j.issn.1008-245X.2012.03.016 [7] 吴奇云. 原发性肝癌患者及其配偶对疾病进展恐惧的现状调查及研究[D]. 上海: 第二军医大学, 2016. [8] MCCAFFERY K, WALLER J, NAZROO J, et al. Social and psychological impact of HPV testing in cervical screening: a qualitative study[J]. Sex Transm Infect, 2006, 82(2): 169-174. doi: 10.1136/sti.2005.016436
[9] LIN H, JENG C, WANG R. The effect of HPV infection on a couple's relationship: a qualitative study in Taiwan[J]. Taiwan J Obstet Gynecol, 2011, 50(2): 154-158. doi: 10.1016/j.tjog.2011.01.035
[10] NAGELE E, REICH O, GREIMEL E, et al. Sexual activity, psychosexual distress, and fear of progression in women with human papillomavirus-related premalignant genital lesions[J]. J Sex Med, 2016, 13(2): 253-259. doi: 10.1016/j.jsxm.2015.12.012
[11] 刘欣, 高凤莉. HPV感染孕妇疾病认知与心理体验的质性研究[J]. 护理研究, 2019, 33(4): 717-720. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201904046.htm [12] PERRIN K M, DALEY E M, NAOOM S F, et al. Women's reactions to HPV diagnosis: insights from in-depth interviews[J]. Women Heal, 2006, 43(2): 93-110. doi: 10.1300/J013v43n02_06
[13] KOSENKO K A, HURLEY R J, HARVEY J A. Sources of the uncertainty experienced by women with HPV[J]. Qual Health Res, 2012, 22(4): 534-545. doi: 10.1177/1049732311424404
[14] MAST T C, ZHU X, DEMURO-MERCON C, et al. Development and psychometric properties of the HPV Impact Profile (HIP) to assess the psychosocial burden of HPV[J]. Curr Med Res Opin, 2009, 25(11): 2609-2619. doi: 10.1185/03007990903238786
[15] HERSCHBACH P, BERG P, DANKERT A, et al. Fear of progression in chronic diseases[J]. J Psychosom Res, 2005, 58(6): 505-511. doi: 10.1016/j.jpsychores.2005.02.007
[16] BENNETTS A, IRWIG L, OLDENBURG B, et al. PEAPS-Q: a questionnaire to measure the psychosocial effects of having an abnormal pap smear. Psychosocial Effects of Abnormal Pap Smears Questionnaire[J]. J Clin Epidemiol, 1995, 48(10): 1235-1243. doi: 10.1016/0895-4356(95)00015-V
[17] 张建忠, 马瑞兰, 张世红, 等. 在校女大学生人乳头瘤病毒(HPV)首次检出者心理状况及影响因素[J]. 职业与健康, 2017, 33(23): 3248-3250, 3254. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201723020.htm [18] 周漫, 徐万洲, 李艳. 湖北地区女性人乳头瘤病毒感染流行病学特征[J]. 职业与健康, 2018, 34(13): 1788-1791, 1796. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201813016.htm [19] 韩肖燕, 杨桦, 蒋国庆. 妇科门诊HPV阳性患者心理健康状况调查[J]. 临床和实验医学杂志, 2016, 15(5): 498-500. doi: 10.3969/j.issn.1671-4695.2016.05.033 [20] 杨智敬, 李安群, 周艳秋. 结构化综合认知干预对妇女人乳头状瘤病毒认知的影响[J]. 护理研究: 上旬版, 2016(6): 1991-1993. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201616022.htm [21] KJEL B, HAAVE H, LYBAK S, et al. The impact of HPVinfection, smoking history, age and operability of the patient on disease specific survival in a geographically defined cohort of patients with oropharyngeal squamous cell carcinoma[J]. Acta Otolaryngol, 2014, 134(9): 964-973. doi: 10.3109/00016489.2014.927590
[22] 李珍. 健康体检女性的人乳头瘤病毒感染现状及其相关认知的调查分析[J]. 宁德师范学院学报: 自然科学版, 2019, 31(2): 176-180. https://www.cnki.com.cn/Article/CJFDTOTAL-NDSX201902014.htm [23] 黄玮, 祝晓丽, 马曦, 等. 高危人乳头瘤病毒感染患者心理特点及干预策略的应用研究[J]. 中国当代医药, 2019, 26(27): 213-216. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGUD201927063.htm [24] CHERNG-JYE J, HELEN L, LIH-RONG. The effect of HPVinfection on a couple's relationship: a qualitative study in Taiwan[J]. Taiwan J Obstet Gynecol, 2010, 49(4): 407-412. doi: 10.1016/S1028-4559(10)60090-3
[25] MCBRIDE E, TATAR O, ROSBERGER Z, et al. Emotional response to testing positive for human papillomavirus at cervical cancer screening: a mixed method systematic review with meta-analysis[J]. Health Psychol Rev, 2020: 1-35. doi: 10.1080/17437199.2020.1762106?tab=permissions&scroll=top
[26] 吴海静, 张国楠. HPV感染及其相关疾病对女性性心理及性功能的影响[J]. 实用妇产科杂志, 2010, 26(3): 188-192. doi: 10.3969/j.issn.1003-6946.2010.03.008 [27] 薛平莉. 二元应对干预对宫颈癌患者及其配偶心理压力及亲密关系的影响[J]. 实用临床护理学杂志, 2019, 5(02): 149-150. https://www.cnki.com.cn/Article/CJFDTOTAL-SLHL202002133.htm [28] 王旭, 任玉香, 陶雪梅, 等. HPV阳性患者心理应激特点及其与情绪体验和社会支持的关系[J]. 第三军医大学学报, 2017, 39(16): 1684-1690. https://www.cnki.com.cn/Article/CJFDTOTAL-DSDX201716018.htm [29] NGU S F, WEI N, KWAN T T C, et al. Impact of different educational interventions on psychosocial well-being of women with a positive high-risk human papillomavirus and normal cervical cytology: a randomised trial[J]. J Psychosom Obstet Gynecol, 2018, 39(2): 146-155. doi: 10.1080/0167482X.2017.1312335
[30] MILLS I J. Through the patient's eyes-the importance of person-centred care in oral cancer[J]. Br Dent J, 2018, 225(9): 889-891. doi: 10.1038/sj.bdj.2018.923
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