Status of Fear of Progression and Its Relationship with Self-Perceived Burden and Family Hardiness in Patients with Adenomatous Polyps

ZHOU Huiping; ZHANG Lin

doi:10.3639/j.issn.2095-3097.2026.01.023

Abstract：Objective To investigate the status quo of fear of progression(FoP)in patients with adenomatous polyps,and to explore its relationship with self-perceived burden and family hardiness.Methods A total of 190 patients with adenomatous polyps who were treated in Tangdu Hospital,Air Force Medical University from December 2023 to December 2024 were enrolled.The general information questionnaire,Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Family Hardiness Index(FHI)and Self-Perceived Burden Scale(SPBS)were used for assessment.Pearson correlation analysis was utilized to analyze the relationship between FoP and self-perceived burden as well as family hardiness.Logistic regression analysis was conducted to identify the main influencing factors of FoP.Results A total of 190 patients with adenomatous polyps were included.The total score of FoP-Q-SF was(29.09±3.95)points,with 41 patients(21.58%)scoring≥34 points,indicating psychological dysfunction.There were statistically significant differences in FoP-Q-SF scores among patients with different education levels,family monthly incomes,disease courses,medical payment methods,FHI scores and SPBS scores(P<0.05).FHI score was negatively correlated with FoP-Q-SF total score(r=-0.523),while SPBS score was positively correlated with FoP-Q-SF total score(r=0.543)(P<0.05).Education level of high school or below/junior college(OR=1.863,95%CI:1.128-3.076),family monthly income≤5 000 yuan(OR=1.808,95%CI:1.077-3.033),out-of-pocket payment for medical expenses(OR=2.162,95%CI:1.378-3.392),FHI score≤40 points(OR=0.471,95%CI:0.234-0.951)and SPBS score≥20 points(OR=2.143,95%CI:1.591-2.886)were identified as influencing factors of FoP in patients with adenomatous polyps(P<0.05).Conclusion At present,patients with adenomatous polyps have a relatively low level of FoP.FoP increases patients'self-perceived burden,and improving family hardiness is beneficial for reducing FoP level.