| Citation: |
HUANG Qinghua, QIU Tengyu, LI Yanxing, MO Xiaoai. Related factors of fear of disease progression in patients with liver failure based on principal component analysis[J]. Journal of Clinical Medicine in Practice, 2023, 27(19): 89-93, 100. DOI: 10.7619/jcmp.20231869
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To analyze the related influencing factors of fear of disease progression(FoP)in patients with liver failure using a modified Logistic regression model based on principal component analysis.
A total of 122 patients with liver failure were included in the study. The family support, health literacy, negative emotions, psychological resilience, and social support were evaluated using the Family Resilience Scale(FHI), Chinese version of the Comprehensive Health Literacy Survey Scale, Positive and Negative Affect Scale(PANAS), Connor Davidson Resilience Scale(CD-RISC) and MOS Social Support Scale (MOS-SSS). Fear of Progression Questionnaire-Short Form(FoP-Q-SF) was used to evaluate FoP condition, and the patients were divided into FoP group (n=74) and control group (n=48) with a FOP-Q-SF score of 34 as the critical value. The original variables were diagnosed collinearly, and the related factors affecting FoP in patients with liver failure were analyzed by using the Logistic regression model improved by principal component analysis.
PANAS score and liver failure stage in the FoP group were higher than those in the control group, while the age, monthly income, employee medical insurance ratio, health literacy score, CD-RISC score, FHI score, and MOS-SSS score were lower than those in the control group (P < 0.05). Five independent related factors were analyzed using improved Logistic regression using principal component analysis. Among them, liver failure stage(advanced stage) (OR=3.903) was an independent risk factor for FoP in patients with liver failure, and age (OR=0.901), monthly income>5 000 Yuan RMB (OR=0.171), higher CD-RISC score (OR=0.874), and higher FHI score (OR=0.927) were independent protective factors for FoP in patients with liver failure (P < 0.05).
The occurrence of FoP in patients with liver failure is the result of a combination of multiple factors. The improved Logistic regression model using principal component analysis can eliminate the collinearity relationship among different factors and obtain a more scientific model.
| [1] |
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]. Psycho-Oncology, 2020, 29(8): 1248-1254. doi: 10.1002/pon.5397
|
| [2] |
GIESLER J M, WEIS J. Patient competence in the context of cancer: its dimensions and their relationships with coping, coping self-efficacy, fear of progression, and depression[J]. Support Care Cancer, 2021, 29(4): 2133-2143. doi: 10.1007/s00520-020-05699-0
|
| [3] |
BAN Y, LI M Y, YU M L, et al. The effect of fear of progression on quality of life among breast cancer patients: the mediating role of social support[J]. Health Qual Life Outcomes, 2021, 19(1): 178-182. doi: 10.1186/s12955-021-01816-7
|
| [4] |
中华医学会感染病学分会肝衰竭与人工肝学组, 中华医学会肝病学分会重型肝病与人工肝学组. 肝衰竭诊治指南(2018年版)[J]. 中华肝脏病杂志, 2019, 27(1): 18-26. https://cpfd.cnki.com.cn/Article/CPFDTOTAL-BGBR201905001003.htm
|
| [5] |
樊颖维, 米雪, 张立力. 中文版家庭坚韧性量表在癌症患者家庭中的信效度研究[J]. 中国实用护理杂志, 2018, 34(20): 1576-1580.
|
| [6] |
明志君, 陈祉妍, 王雅芯, 等. 中文版多元心理健康素养量表在男性军人中信效度评价[J]. 中国公共卫生, 2021, 37(1): 86-91. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202101023.htm
|
| [7] |
吴清, 叶旭春, 巫雅萍, 等. 全面健康素养测量量表的汉化及信效度分析[J]. 中国全科医学, 2017, 20(10): 1229-1233. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201710020.htm
|
| [8] |
郑泓, 李玲艳, 李诗晨, 等. 中文版正性负性情绪量表在乳腺癌患者中的信度和效度[J]. 中国临床心理学杂志, 2016, 24(4): 671-674, 670. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLCY201604022.htm
|
| [9] |
毛晓雨, 万秋容, 黄雅莲, 等. 慢性阻塞性肺疾病住院失能老人社会支持现状及影响因素[J]. 中华老年多器官疾病杂志, 2022, 21(9): 655-659. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202209004.htm
|
| [10] |
关亮, 黄召江, 李天畅, 等. 心理弹性量表简版CD-RISC-10在高职学生群体中的信效度分析[J]. 太原城市职业技术学院学报, 2022(7): 127-131. https://www.cnki.com.cn/Article/CJFDTOTAL-CSZY202207040.htm
|
| [11] |
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.
|
| [12] |
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.
|
| [13] |
YANG Y L, ZHANG Y W, LIANG L C, et al. Fear of progression and its associated factors in parents of children undergoing cancer treatment: a cross-sectional study[J]. Psycho-Oncology, 2022, 31(10): 1737-1744.
|
| [14] |
NAKATA H, HALBACH S, GEISER F, et al. Health literacy, mental disorders and fear of progression and their association with a need for psycho-oncological care over the course of a breast cancer treatment[J]. Psychol Health Med, 2021, 26(7): 818-831.
|
| [15] |
LIU Q W, QIN T, HU B, et al. Relationship between illness perception, fear of progression and quality of life in interstitial lung disease patients: a cross-sectional study[J]. J Clin Nurs, 2021, 30(23/24): 3493-3505.
|
| [16] |
REB A M, BORNEMAN T, ECONOMOU D, et al. Fear of cancer progression: findings from case studies and a nurse-led intervention[J]. Clin J Oncol Nurs, 2020, 24(4): 400-408.
|
| [17] |
FOLKERTS A K, HAARMANN L, NIELSEN J, et al. Fear of Progression is Determined by Anxiety and Self-Efficacy but not Disease-Specific Parameters in Patients with Parkinson's Disease: preliminary Data from a Multicenter Cross-Sectional Study[J]. J Park Dis, 2022, 12(8): 2543-2553.
|
| [18] |
WANG Y H, YU Q H, ZENG Z H, et al. Predictors of fear of diabetes progression: a multi-center cross-sectional study for patients self-management and healthcare professions education[J]. Front Public Health, 2022, 10: 910145.
|
| [19] |
OCALEWSKI J, MICHALSKA P, IZDEBSKI P, et al. Fear of cancer progression and health behaviors in patients with colorectal cancer[J]. Am J Health Behav, 2021, 45(1): 138-151.
|
| [20] |
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.
|
| [21] |
COUTTS-BAIN D, SHARPE L, PRADHAN P, et al. Are fear of cancer recurrence and fear of progression equivalent constructs[J]. Psycho-Oncology, 2022, 31(8): 1381-1389.
|
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