ZHANG Xi, SUN Jianyong, DANG Peipei. Correlations of postoperative quality of life with fear of disease progression and self-management in patients with esophageal cancer[J]. Journal of Clinical Medicine in Practice, 2023, 27(19): 71-74, 79. DOI: 10.7619/jcmp.20231678
Citation: ZHANG Xi, SUN Jianyong, DANG Peipei. Correlations of postoperative quality of life with fear of disease progression and self-management in patients with esophageal cancer[J]. Journal of Clinical Medicine in Practice, 2023, 27(19): 71-74, 79. DOI: 10.7619/jcmp.20231678

Correlations of postoperative quality of life with fear of disease progression and self-management in patients with esophageal cancer

More Information
  • Received Date: May 24, 2023
  • Revised Date: September 26, 2023
  • Available Online: October 18, 2023
  • Objective 

    To analyze the correlations of postoperative quality of life with fear of disease progression and self-management in patients with esophageal cancer.

    Methods 

    A total of 300 patients with esophageal cancer in the authors'hospital from March 2022 to March 2023 were selected as research objects, and they were investigated with the General Situation Questionnaire, the Spitzer Quality of Life Index (SQLI), the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the General Self-Efficacy Scale (GSES). Pearson correlation analysis was used to explore the correlations between the three scales, and the mediating effect of self-management on postoperative quality of life and fear of disease progression in patients with esophageal cancer were analyzed.

    Results 

    The total scores of the SQLI, GSES and FoP-Q-SF in 300 patients with esophageal cancer were (4.88±0.48), (30.54±3.84) and (29.81±3.76), respectively. Pearson correlation analysis showed that there were negative correlations of fear of disease progression with quality of life and self-management (r=-0.623, -0.734, P < 0.01), while there was a positive correlation between quality of life and self-management (r=0.678, P < 0.01). The mediating effect test showed that self-management had a mediating effect on fear of disease progression and postoperative quality of life in patients with esophageal cancer, accounting for 41.2% of the total effect.

    Conclusion 

    Self-management is a mediating variable for fear of disease progression and postoperative quality of life in patients with esophageal cancer. Medical staffs need to take corresponding intervention measures to enhance patients'self-management abilities and improve postoperative quality of life.

  • [1]
    UHLENHOPP D J, THEN E O, SUNKARA T, et al. Epidemiology of esophageal cancer: update in global trends, etiology and risk factors[J]. Clin J Gastroenterol, 2020, 13(6): 1010-1021. doi: 10.1007/s12328-020-01237-x
    [2]
    WATANABE M, OTAKE R, KOZUKI R, et al. Recent progress in multidisciplinary treatment for patients with esophageal cancer[J]. Surg Today, 2020, 50(1): 12-20. doi: 10.1007/s00595-019-01878-7
    [3]
    ASHOK A, NIYOGI D, RANGANATHAN P, et al. The enhanced recovery after surgery (ERAS) protocol to promote recovery following esophageal cancer resection[J]. Surg Today, 2020, 50(4): 323-334. doi: 10.1007/s00595-020-01956-1
    [4]
    KUANG X F, LONG F J, CHEN H, et al. Correlation research between fear of disease progression and quality of life in patients with lung cancer[J]. Ann Palliat Med, 2022, 11(1): 35-44. doi: 10.21037/apm-21-2821
    [5]
    THIELE S, GOEBEL S, KRÖGER N, et al. Fear of disease progression and relevant correlates in acute leukemia patients prior to allogeneic hematopoietic stem cell transplantation[J]. Psychooncology, 2020, 29(8): 1248-1254. doi: 10.1002/pon.5397
    [6]
    段宏为, 王筱筱, 王爱红. 自我管理项目对脑卒中患者生活质量和负性情绪影响的Meta分析[J]. 中国全科医学, 2020, 23(2): 147-155. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202002007.htm
    [7]
    KHAN L, CRAMAROSSA G, LEMKE M, et al. Symptom clusters using the Spitzer quality of life index in patients with brain metastases: a reanalysis comparing different statistical methods[J]. Support Care Cancer, 2013, 21(2): 467-473. doi: 10.1007/s00520-012-1540-6
    [8]
    MEHNERT A, HERSCHBACH P, BERG P, et al. Fear of progression in breast cancer patients: validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF)[J]. Z Psychosom Med Psychother, 2006, 52(3): 274-288.
    [9]
    王曙红. 临床护理评价量表及应用[M]. 长沙: 湖南科学技术出版社, 2011: 212-214.
    [10]
    IRIARTE F, SU S, PETROV R, et al. Surgical management of early esophageal cancer[J]. Surg Clin North Am, 2021, 101(3): 427-441. doi: 10.1016/j.suc.2021.03.005
    [11]
    JORDAN T, MASTNAK D M, PALAMAR N, et al. Nutritional therapy for patients with esophageal cancer[J]. Nutr Cancer, 2018, 70(1): 23-29. doi: 10.1080/01635581.2017.1374417
    [12]
    唐勇, 区柱安, 刘岩, 等. 加速康复外科在微创食管癌根治术中的应用价值[J]. 中华消化外科杂志, 2019, 18(6): 570-574. https://www.cnki.com.cn/Article/CJFDTOTAL-AHWZ202005030.htm
    [13]
    GOEBEL S, MEHDORN H M. Fear of disease progression in adult ambulatory patients with brain cancer: prevalence and clinical correlates[J]. Support Care Cancer, 2019, 27(9): 3521-3529. doi: 10.1007/s00520-019-04665-9
    [14]
    孟令强, 董伟, 陈秀敏, 等. 自我管理能力集束干预对终末期肾病血液透析患者临床依从性和治疗结局的作用[J]. 中华行为医学与脑科学杂志, 2021, 30(11): 1011-1016.
    [15]
    郭敏, 殷秀敏, 王翠, 等. 食管癌患者术后3个月症状群的调查[J]. 中华护理杂志, 2019, 54(8): 1189-1193. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201908016.htm
    [16]
    陈晨, 莫然. 食管癌术后吻合口瘘患者肠内外营养的比较[J]. 东南大学学报: 医学版, 2020, 39(3): 270-273. https://www.cnki.com.cn/Article/CJFDTOTAL-NJTD202003004.htm
    [17]
    张锐, 刘鸿芹. 食管癌根治术后患者心理弹性在家庭功能与恐惧疾病进展的中介效应研究[J]. 重庆医学, 2022, 51(15): 2579-2583, 2587. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202215012.htm
    [18]
    程红萍, 路清蒲, 杨红梅. 自我效能在食管癌化疗患者健康素养与生活质量间的中介效应及调节效应[J]. 中华现代护理杂志, 2019, 25(8): 1004-1007.
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