关键词: 乳腺肿瘤, 复发恐惧, 焦虑, 抑郁, 社会支持

Abstract: Objective　To explore the status and influencing factors of the fear of cancer recurrence（FCR） among breast cancer survivors.Methods　By convenience sampling，280 breast cancer patients who received postoperative chemotherapy in the First Affiliated Hospital of Zhengzhou University from September 2016 to March 2017 were enrolled.A self-developed sociodemographic data questionnaire，Chinese version of the Fear of Progression Questionnaire-Short Form
（FoP-Q-SF），Chinese version of the Hospital Anxiety and Depression Scale（HADS） and Chinese version of the Perceived Social Support Scale（PSSS） were used to survey them for collecting the sociodemographic characteristics，status of FCR，anxiety and depression，and social support.Results　A total of 280 questionnaires were handed out，and 270 responsive ones were returned.The effective recovery rate was 96.4%.The mean score of FoP-Q-SF was（36.8±10.7），171 cases（63.3%） had a FCR score≥34 and the mean score was（19.3±5.5） for physical health，and（17.5±6.2） for social and family.The mean score was（16.6±7.4） for HADS，（8.9±4.3） for anxiety subscale and（7.8±3.9） for depression subscale.The mean score of PSSS was（59.9±13.9），the family support score was（21.7±5.1），and the score of external support of family dimension was （38.2±9.8）．The mean FoP-Q-SF score varied significantly by age，marital status，employment status，average household monthly income，cancer stage and treatment response（P<0.05）．FoP-Q-SF score of breast cancer patients was positively correlated with HADS score（r=0.665，P<0.01），but negatively correlated with PSSS score（r=-0.464，P<0.01）．Multiple linear regression analysis revealed that age（t=-3.908），marital status（t=-3.218），HADS score（t=11.327），and the score of PSSS（t=-4.672）were associated factors of FoP-Q-SF score of breast cancer patients（P<0.05）．Conclusion　The prevalence rate of FCR was high among breast cancer survivors，which was significantly affected by age，marital status，anxiety，depression and social support.

Key words: Breast neoplasms, Fear of cancer recurrence, Anxiety, Depression, Social support