| Objective:（1）To explore the current situation of fear of cancer recurrence,social support and coping model in patients after radical cervical cancer resection;（2）To analyze the fear of cancer recurrence and the influencing factors of various dimensions after radical cervical cancer resection;（3）To analyze the correlation between social support and coping model of patients after radical cervical cancer resection and fear of cancer recurrence;（4）To clarify whether social support plays an intermediary role in coping style and fear of cancer recurrence of patients after radical cervical cancer resection,and to provide theoretical basis for the formulation of intervention measures for psychological adjustment of patients after radical cervical cancer resection.Methods:This study is a cross-sectional survey,Convenience sampling was used to select patients who met the inclusion criteria and were hospitalized in the department of gynecology and oncology in two grade lll,Grade A hospitals in Yan’ an city,Shaanxi Province from December 2020 to November 2021.The assessment tools were the self-designed general information questionnaire,fear Disease Progression Scale（FOP-Q-SF）,and Social Support Rating Scale（SSRS）.The medical Coping Style Scale（MCMQ）was used as the research tool,and SPSS26.0 was used as the statistical analysis tool.Frequency,constituent ratio,mean mean standard deviation descriptive analysis,independent sample T test,one-way analysis of variance,Pearson correlation analysis,and Bootstrap mediation test were used to analysise datas.Results:（1）General data of patients after radical resection of cervical cancer: 230 questionnaires was collected.109 patients were aged 40～49 years,76 patients were aged50～59 years;130 patients had primary school education.181 patients were mainly married.83 patients with family income <2000 accounted for the most.221 patients had children;81 patients was in the stage of figo 1,121 patients was in the stage of figo ll.51.3%patients had lymphatic metastasis,112 48.7% patients did not.18.7%patients received surgery and chemotherapy,6.5% patients received surgery alone.The course of postoperative time was less than 6 months in 76 cases（33.1%）.（2）The score of FOP-Q-SF for recurrence of cervical cancer after radical resection was（36.57±7.07）and the average score of items was（3.05±0.59）;Physical health dimension score range from 6 to 30,and the final socre was（18.26±3.83）: Social family dimension score range from 6 to 30,and the final socre was（18.32±4.43）.The total score of social support of patients after radical resection of cerical cancer was（31.91±2.67）,and the average score of item was（3.19±0.27）,support utilization had the score of（9.96±1.23）,item average score was（3.32±0.41）.The items facing the dimension were evenly divided（3.02±0.41）.Avoidance dimension was（20.93±3.19）;Yield dimension was（14.79±2.69）,item average score was（2.96±0.54）.（3）The patients who were 39 years old,family incomes <2000,surgery+ radiotherapy+ chemotherapy as the treatment mode,and lymphatic metastasis after radical resection of cervical cancer had the highest level of pain recurrence,physiological health and family function score than others（P<0.05）.（4）Social support after radical cervical cancer resection was negatively correlated with total fear of cancer recurrence（r=-0.339,P<0.01）Social support after radical cervical cancer resection was negatively correlated with physiological health dimension（r=-0.309,P<0.01）and family function dimension（r=-0.379,P<0.01）.Coping style was negatively correlated with the total score of fear of recurrence（r=-0.437,P<0.01）,Coping style was negatively correlated with the total score of physiological health dimension（r=-0.356,P <0.01）,and with family function dimension（r =-0.344,P <0.05）.There was a significant positive correlation between coping and social support（r=-0.349,P<0.01）,and a significant negative correlation between coping and social support（r=-0.321,P<0.01）.（5）The mediating effect of coping style between social support and fear of cancer recurrence was effective and partially complete with an effect value of-0.103,accounting for 38.43%.Conclusion:（1）patients undergoing radical cervical cancer resection have significant level of fear of cancer recurrence,moderate level of social support,and tend to adopt coping style;（2）Patients with age <39 years old,family income <2000 years old,surgery+ radiotherapy+chemotherapy as the treatment mode,and lymphatic metastasis after radical resection of cervical cancer had the highest level of cancer recurrence,physiological health and family function score;（3）There was a significant negative correlation between social support,coping style of confronting and avoidance and fear of cancer recurrence physical health and social and family dimensions.There was a significant positive correlation between social support and coping style of confronting and coping style,and a significant negative correlation between coping style and submission;（4）Coping style plays a partially mediating role in social support and fear of cancer recurrence after radical cervical cancer resection. |
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