Change Trajectory and Factor Identification of Cancer Recurrence Fear in Patients with Endometrial Cancer:A Longitudinal Study Based on Different Time Points
LIU Mengzhe
SUN Rui
LI Caixia
Abstract：Objective To explore the change trajectory and influencing factors of cancer recurrence fear in patients with endometrial cancer.Methods A total of 120 patients with endometrial cancer from June 2018 to February 2023 in the Second Affiliated Hospital of Nanyang Medical College were selected.The fear of disease progression simplified scale was used to assess the change trajectory of cancer recurrence fear at different time points.The growth mixture model was used to identify trajectory categories,and logistic analysis was used to identify the influencing factors of trajectory categories.Results This study identified three different trajectories of cancer recurrence fear,namely,a sustained high level group(12.71％),a slowly declining group(61.86％),and a low level group(25.42％).Chemotherapy history,uncertainty about the disease,anxiety,and depression were risk factors for the trajectory of cancer recurrence fear in endometrial cancer patients,while hope level and social support were protective factors.Conclusion There are some differences in the fear of cancer recurrence in patients with endometrial cancer during the disease.Three different trajectrajectory have been preliminarily identified,and chemotherapy history,disease uncertainty,anxiety,depression,hope level,sleep quality and social support are the influencing factors.Clinical intervention measures can be taken on this basis in time.In order to reduce the negative impact of the fear of cancer recurrence on the physical and mental health of patients.
Keywords：endometrial cancerinfluencing factorsfear of cancer recurrencetrajectory of change
Publication Date：2024-10-31
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：5( 3700-3704 )