Current status and correlation of fear of disease progression and sleep quality in laryngeal cancer patients_West China Medical Journal

Authors：

DENG Xin ¹ ,  LI Junying ² ,  YU Rong ¹ , LI Peifang ³

1. Department of Otorhinolaryngology - Head & Neck Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Division of Thoracic Tumor Multimodality Treatment, Cancer Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Orthopedic Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Junying, Email: lijunying2005@sina.com; YU Rong, Email: entyurong@163.com

Keywords：

Laryngeal cancer patients; fear of disease progression; sleep quality

DOI：

10.7507/1002-0179.202305011

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the current status of fear of disease progression and sleep quality among laryngeal cancer patients, and analyze the correlation between them. Methods Laryngeal cancer patients who were hospitalized in West China Hospital of Sichuan University between March 2021 and February 2022 were selected for this cross-sectional survey. Sociodemographic and disease-related data questionnaires, Chinese version of Fear of Progression Questionaire Short Form, and Pittsburgh Sleep Quality Index (PSQI) Scale were used to investigate the laryngeal cancer patients who met the inclusion criteria, and the correlation between fear of disease progression and PSQI score in laryngeal cancer patients was analyzed by Spearman correlation analysis. Multiple linear stepwise regression analysis was used to analyze the effects of sociodemographic and disease-related characteristics on the total score of fear of disease progression in laryngeal cancer patients, and the effects of sociodemographic, disease-related characteristics and total score of fear of disease progression on the total score of PSQI of laryngeal cancer patients. Scores were expressed as median (lower quartile, upper quartile). Results A total of 312 copies of questionnaires were distributed and 309 valid copies were recovered, with an effective recovery rate of 99.0%. The total score of fear of disease progression in the laryngeal cancer patients was 22.00 (16.00, 30.00), including 12.00 (8.00, 17.00) in physiological health dimension, and 10.00 (7.00, 14.00) in social and family dimension. The total score of PSQI was 5.00 (3.00, 8.50). The correlations of the physiological health dimension score, the social and family dimension score, and the total score of fear of disease progression with the total score of PSQI in laryngeal cancer patients were positive with statistical significance (r_s=0.294, P<0.001; r_s=0.234, P<0.001; r_s=0.287, P<0.001). Multiple linear stepwise regression analyses showed that the total score of fear of disease progression in laryngeal cancer patients was affected by the stage of disease, occupation, primary caregiver and treatment plan (P<0.05), and the total score of PSQI of laryngeal cancer patients was affected by level of education, treatment plan and the total score of fear of disease progression (P<0.05). Conclusions The fear of disease progression in laryngeal cancer patients has a significant negative correlation with the sleep quality. Meanwhile, alleviating the level of fear of disease progression may improve sleep quality.

Citation： DENG Xin, LI Junying, YU Rong, LI Peifang. Current status and correlation of fear of disease progression and sleep quality in laryngeal cancer patients. West China Medical Journal, 2024, 39(1): 48-55. doi: 10.7507/1002-0179.202305011 Copy

1.	袁蕙芸, 蒋宇飞, 谭玉婷, 等. 全球癌症发病与死亡流行现状和变化趋势. 肿瘤防治研究, 2021, 48(6): 642-646.
2.	孔维佳, 周梁, 许庚, 等. 耳鼻咽喉头颈外科学. 北京: 人民卫生出版社, 2010: 460-464.
3.	吴蒙沙. 喉癌术后复发重要相关因素的 META 分析. 乌鲁木齐: 新疆医科大学, 2015.
4.	Simard S, Thewes B, Humphris G, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv, 2013, 7(3): 300-322.
5.	张蕊, 李小飒. 喉癌患者对疾病进展恐惧的影响因素. 现代肿瘤医学, 2021, 29(24): 4305-4309.
6.	郭婷婷, 邢伟, 张苇, 等. 郑州市某三甲医院中青年妇科癌症患者恐惧疾病进展现状及影响因素分析. 现代预防医学, 2019, 46(14): 2607-2611.
7.	Stewart DE, Duff S, Wong F, et al. The views of ovarian cancer survivors on its cause, prevention, and recurrence. Medscape Womens Health, 2001, 6(5): 5.
8.	Li N, Otomaru T, Taniguchi H. Sleep quality in long-term survivors of head and neck cancer: preliminary findings. Support Care Cancer, 2017, 25(12): 3741-3748.
9.	张爱萍, 段素伟. 社会疏离在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介效应. 护理学报, 2022, 29(13): 66-70.
10.	许晓玉. 自我表露干预对肺癌靶向治疗患者恐惧疾病进展及睡眠质量的影响. 当代护士(中旬刊), 2022, 29(1): 53-55.
11.	李峥. 认知行为干预对口腔肿瘤病人疾病恐惧和睡眠质量的影响. 护理研究, 2021, 35(3): 534-537.
12.	李第芬, 魏清风. 慢速背部穴位按摩联合徵羽调音乐冥想对喉癌术后患者恐惧疾病进展及睡眠质量的影响. 赣南医学院学报, 2020, 40(8): 822-828.
13.	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). Z Psychosom Med Psychother, 2006, 52(3): 274-288.
14.	吴奇云, 叶志霞, 李丽, 等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析. 中华护理杂志, 2015, 50(12): 1515-1519.
15.	Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
16.	刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究. 中华精神科杂志, 1996, 29(2): 103-107.
17.	路桃影, 李艳, 夏萍, 等. 匹兹堡睡眠质量指数的信度及效度分析. 重庆医学, 2014, 43(3): 260-263.
18.	袁维, 戴丽, 董啸男. 喉癌术后患者复发恐惧现状及疾病不确定感、社会支持相关性分析. 齐鲁护理杂志, 2021, 27(10): 109-111.
19.	张艳萍, 符浩. 老年喉癌手术治疗后恐惧复发及其影响因素. 中国老年学杂志, 2021, 41(21): 4851-4853.
20.	高佳, 孙叶飞. 癌症患者家庭照顾者复发恐惧的研究进展. 中华护理杂志, 2022, 57(7): 887-891.
21.	Rada R. Obstructive sleep apnea and head and neck neoplasms. Otolaryngol Head Neck Surg, 2005, 132(5): 794-799.
22.	杨玉颖, 莫福琴, 黄晓琳, 等. 青年鼻咽癌患者疾病进展恐惧现状及其与放疗后症状困扰的相关性研究. 中国护理管理, 2023, 23(1): 126-130.
23.	张红迎, 郑珊红. 不同年龄段晚期癌症患者的心理痛苦现状比较分析. 当代护士(下旬刊), 2022, 29(6): 41-43.
24.	Campbell BH, Marbella A, Layde PM. Quality of life and recurrence concern in survivors of head and neck cancer. Laryngoscope, 2000, 110(6): 895-906.
25.	李雪丽, 张斌. 睡眠障碍与焦虑抑郁障碍的联系. 中国临床医生杂志, 2018, 46(2): 131-133.
26.	蔡艺红, 曾婉婷. 喉癌喉切除术后患者睡眠障碍的影响因素及护理价值体会. 世界睡眠医学杂志, 2022, 9(12): 2434-2436.
27.	王玉娜, 周霞, 李艺, 等. 癌症住院患者的睡眠质量及其与神经质人格、负性情绪关系的中介效应分析. 东南大学学报(医学版), 2020, 39(5): 619-623.
28.	郭慧云, 刘彬, 卫莉. 癌症患者睡眠障碍的研究进展. 护士进修杂志, 2022, 37(14): 1278-1283.

1. 袁蕙芸, 蒋宇飞, 谭玉婷, 等. 全球癌症发病与死亡流行现状和变化趋势. 肿瘤防治研究, 2021, 48(6): 642-646.
2. 孔维佳, 周梁, 许庚, 等. 耳鼻咽喉头颈外科学. 北京: 人民卫生出版社, 2010: 460-464.
3. 吴蒙沙. 喉癌术后复发重要相关因素的 META 分析. 乌鲁木齐: 新疆医科大学, 2015.
4. Simard S, Thewes B, Humphris G, et al. Fear of cancer recurrence in adult cancer survivors: a systematic review of quantitative studies. J Cancer Surviv, 2013, 7(3): 300-322.
5. 张蕊, 李小飒. 喉癌患者对疾病进展恐惧的影响因素. 现代肿瘤医学, 2021, 29(24): 4305-4309.
6. 郭婷婷, 邢伟, 张苇, 等. 郑州市某三甲医院中青年妇科癌症患者恐惧疾病进展现状及影响因素分析. 现代预防医学, 2019, 46(14): 2607-2611.
7. Stewart DE, Duff S, Wong F, et al. The views of ovarian cancer survivors on its cause, prevention, and recurrence. Medscape Womens Health, 2001, 6(5): 5.
8. Li N, Otomaru T, Taniguchi H. Sleep quality in long-term survivors of head and neck cancer: preliminary findings. Support Care Cancer, 2017, 25(12): 3741-3748.
9. 张爱萍, 段素伟. 社会疏离在康复期乳腺癌患者癌症复发恐惧与睡眠质量间的中介效应. 护理学报, 2022, 29(13): 66-70.
10. 许晓玉. 自我表露干预对肺癌靶向治疗患者恐惧疾病进展及睡眠质量的影响. 当代护士(中旬刊), 2022, 29(1): 53-55.
11. 李峥. 认知行为干预对口腔肿瘤病人疾病恐惧和睡眠质量的影响. 护理研究, 2021, 35(3): 534-537.
12. 李第芬, 魏清风. 慢速背部穴位按摩联合徵羽调音乐冥想对喉癌术后患者恐惧疾病进展及睡眠质量的影响. 赣南医学院学报, 2020, 40(8): 822-828.
13. 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). Z Psychosom Med Psychother, 2006, 52(3): 274-288.
14. 吴奇云, 叶志霞, 李丽, 等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析. 中华护理杂志, 2015, 50(12): 1515-1519.
15. Buysse DJ, Reynolds CF, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 1989, 28(2): 193-213.
16. 刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究. 中华精神科杂志, 1996, 29(2): 103-107.
17. 路桃影, 李艳, 夏萍, 等. 匹兹堡睡眠质量指数的信度及效度分析. 重庆医学, 2014, 43(3): 260-263.
18. 袁维, 戴丽, 董啸男. 喉癌术后患者复发恐惧现状及疾病不确定感、社会支持相关性分析. 齐鲁护理杂志, 2021, 27(10): 109-111.
19. 张艳萍, 符浩. 老年喉癌手术治疗后恐惧复发及其影响因素. 中国老年学杂志, 2021, 41(21): 4851-4853.
20. 高佳, 孙叶飞. 癌症患者家庭照顾者复发恐惧的研究进展. 中华护理杂志, 2022, 57(7): 887-891.
21. Rada R. Obstructive sleep apnea and head and neck neoplasms. Otolaryngol Head Neck Surg, 2005, 132(5): 794-799.
22. 杨玉颖, 莫福琴, 黄晓琳, 等. 青年鼻咽癌患者疾病进展恐惧现状及其与放疗后症状困扰的相关性研究. 中国护理管理, 2023, 23(1): 126-130.
23. 张红迎, 郑珊红. 不同年龄段晚期癌症患者的心理痛苦现状比较分析. 当代护士(下旬刊), 2022, 29(6): 41-43.
24. Campbell BH, Marbella A, Layde PM. Quality of life and recurrence concern in survivors of head and neck cancer. Laryngoscope, 2000, 110(6): 895-906.
25. 李雪丽, 张斌. 睡眠障碍与焦虑抑郁障碍的联系. 中国临床医生杂志, 2018, 46(2): 131-133.
26. 蔡艺红, 曾婉婷. 喉癌喉切除术后患者睡眠障碍的影响因素及护理价值体会. 世界睡眠医学杂志, 2022, 9(12): 2434-2436.
27. 王玉娜, 周霞, 李艺, 等. 癌症住院患者的睡眠质量及其与神经质人格、负性情绪关系的中介效应分析. 东南大学学报(医学版), 2020, 39(5): 619-623.
28. 郭慧云, 刘彬, 卫莉. 癌症患者睡眠障碍的研究进展. 护士进修杂志, 2022, 37(14): 1278-1283.

West China Medical Journal

Current status and correlation of fear of disease progression and sleep quality in laryngeal cancer patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content