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：

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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.	袁蕙蕓, 蔣宇飛, 譚玉婷, 等. 全球癌癥發病與死亡流行現狀和變化趨勢. 腫瘤防治研究, 2021, 48(6): 642-646.
2.	孔維佳, 周梁, 許庚, 等. 耳鼻咽喉頭頸外科學. 北京: 人民衛生出版社, 2010: 460-464.
3.	吳蒙沙. 喉癌術后復發重要相關因素的 META 分析. 烏魯木齊: 新疆醫科大學, 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.	張蕊, 李小颯. 喉癌患者對疾病進展恐懼的影響因素. 現代腫瘤醫學, 2021, 29(24): 4305-4309.
6.	郭婷婷, 邢偉, 張葦, 等. 鄭州市某三甲醫院中青年婦科癌癥患者恐懼疾病進展現狀及影響因素分析. 現代預防醫學, 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.	張愛萍, 段素偉. 社會疏離在康復期乳腺癌患者癌癥復發恐懼與睡眠質量間的中介效應. 護理學報, 2022, 29(13): 66-70.
10.	許曉玉. 自我表露干預對肺癌靶向治療患者恐懼疾病進展及睡眠質量的影響. 當代護士(中旬刊), 2022, 29(1): 53-55.
11.	李崢. 認知行為干預對口腔腫瘤病人疾病恐懼和睡眠質量的影響. 護理研究, 2021, 35(3): 534-537.
12.	李第芬, 魏清風. 慢速背部穴位按摩聯合徵羽調音樂冥想對喉癌術后患者恐懼疾病進展及睡眠質量的影響. 贛南醫學院學報, 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.	吳奇云, 葉志霞, 李麗, 等. 癌癥患者恐懼疾病進展簡化量表的漢化及信效度分析. 中華護理雜志, 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.	劉賢臣, 唐茂芹, 胡蕾, 等. 匹茲堡睡眠質量指數的信度和效度研究. 中華精神科雜志, 1996, 29(2): 103-107.
17.	路桃影, 李艷, 夏萍, 等. 匹茲堡睡眠質量指數的信度及效度分析. 重慶醫學, 2014, 43(3): 260-263.
18.	袁維, 戴麗, 董嘯男. 喉癌術后患者復發恐懼現狀及疾病不確定感、社會支持相關性分析. 齊魯護理雜志, 2021, 27(10): 109-111.
19.	張艷萍, 符浩. 老年喉癌手術治療后恐懼復發及其影響因素. 中國老年學雜志, 2021, 41(21): 4851-4853.
20.	高佳, 孫葉飛. 癌癥患者家庭照顧者復發恐懼的研究進展. 中華護理雜志, 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.	楊玉穎, 莫福琴, 黃曉琳, 等. 青年鼻咽癌患者疾病進展恐懼現狀及其與放療后癥狀困擾的相關性研究. 中國護理管理, 2023, 23(1): 126-130.
23.	張紅迎, 鄭珊紅. 不同年齡段晚期癌癥患者的心理痛苦現狀比較分析. 當代護士(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.	李雪麗, 張斌. 睡眠障礙與焦慮抑郁障礙的聯系. 中國臨床醫生雜志, 2018, 46(2): 131-133.
26.	蔡藝紅, 曾婉婷. 喉癌喉切除術后患者睡眠障礙的影響因素及護理價值體會. 世界睡眠醫學雜志, 2022, 9(12): 2434-2436.
27.	王玉娜, 周霞, 李藝, 等. 癌癥住院患者的睡眠質量及其與神經質人格、負性情緒關系的中介效應分析. 東南大學學報(醫學版), 2020, 39(5): 619-623.
28.	郭慧云, 劉彬, 衛莉. 癌癥患者睡眠障礙的研究進展. 護士進修雜志, 2022, 37(14): 1278-1283.

1. 袁蕙蕓, 蔣宇飛, 譚玉婷, 等. 全球癌癥發病與死亡流行現狀和變化趨勢. 腫瘤防治研究, 2021, 48(6): 642-646.
2. 孔維佳, 周梁, 許庚, 等. 耳鼻咽喉頭頸外科學. 北京: 人民衛生出版社, 2010: 460-464.
3. 吳蒙沙. 喉癌術后復發重要相關因素的 META 分析. 烏魯木齊: 新疆醫科大學, 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. 張蕊, 李小颯. 喉癌患者對疾病進展恐懼的影響因素. 現代腫瘤醫學, 2021, 29(24): 4305-4309.
6. 郭婷婷, 邢偉, 張葦, 等. 鄭州市某三甲醫院中青年婦科癌癥患者恐懼疾病進展現狀及影響因素分析. 現代預防醫學, 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. 張愛萍, 段素偉. 社會疏離在康復期乳腺癌患者癌癥復發恐懼與睡眠質量間的中介效應. 護理學報, 2022, 29(13): 66-70.
10. 許曉玉. 自我表露干預對肺癌靶向治療患者恐懼疾病進展及睡眠質量的影響. 當代護士(中旬刊), 2022, 29(1): 53-55.
11. 李崢. 認知行為干預對口腔腫瘤病人疾病恐懼和睡眠質量的影響. 護理研究, 2021, 35(3): 534-537.
12. 李第芬, 魏清風. 慢速背部穴位按摩聯合徵羽調音樂冥想對喉癌術后患者恐懼疾病進展及睡眠質量的影響. 贛南醫學院學報, 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. 吳奇云, 葉志霞, 李麗, 等. 癌癥患者恐懼疾病進展簡化量表的漢化及信效度分析. 中華護理雜志, 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. 劉賢臣, 唐茂芹, 胡蕾, 等. 匹茲堡睡眠質量指數的信度和效度研究. 中華精神科雜志, 1996, 29(2): 103-107.
17. 路桃影, 李艷, 夏萍, 等. 匹茲堡睡眠質量指數的信度及效度分析. 重慶醫學, 2014, 43(3): 260-263.
18. 袁維, 戴麗, 董嘯男. 喉癌術后患者復發恐懼現狀及疾病不確定感、社會支持相關性分析. 齊魯護理雜志, 2021, 27(10): 109-111.
19. 張艷萍, 符浩. 老年喉癌手術治療后恐懼復發及其影響因素. 中國老年學雜志, 2021, 41(21): 4851-4853.
20. 高佳, 孫葉飛. 癌癥患者家庭照顧者復發恐懼的研究進展. 中華護理雜志, 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. 楊玉穎, 莫福琴, 黃曉琳, 等. 青年鼻咽癌患者疾病進展恐懼現狀及其與放療后癥狀困擾的相關性研究. 中國護理管理, 2023, 23(1): 126-130.
23. 張紅迎, 鄭珊紅. 不同年齡段晚期癌癥患者的心理痛苦現狀比較分析. 當代護士(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. 李雪麗, 張斌. 睡眠障礙與焦慮抑郁障礙的聯系. 中國臨床醫生雜志, 2018, 46(2): 131-133.
26. 蔡藝紅, 曾婉婷. 喉癌喉切除術后患者睡眠障礙的影響因素及護理價值體會. 世界睡眠醫學雜志, 2022, 9(12): 2434-2436.
27. 王玉娜, 周霞, 李藝, 等. 癌癥住院患者的睡眠質量及其與神經質人格、負性情緒關系的中介效應分析. 東南大學學報(醫學版), 2020, 39(5): 619-623.
28. 郭慧云, 劉彬, 衛莉. 癌癥患者睡眠障礙的研究進展. 護士進修雜志, 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

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